Vijaya Mn Dharma, Umashankar Km, Nagure Abed Gulab, Kavitha G
Associate Professor, Department of Obstetrics and Gynaecology, MVJ Medical College , Bangalore, India .
J Clin Diagn Res. 2013 Jul;7(7):1401-3. doi: 10.7860/JCDR/2013/5375.3140. Epub 2013 Apr 29.
The infection with Trichomonas Vaginalis is one of the most common sexually transmitted diseases (STDs) in humans. The prevalence of this infection has been reported to be between 2 to 8%, depending on the different socio-cultural conditions. This study aimed to determine the prevalence of T. vaginalis in the women who were referred to the gynaecologic clinics at the MVJ medical college, Bangalore, India.
This descriptive, cross-sectional study was conducted on 750 women who were referred to the gynaecologic clinics from October 2010 to September 2012. Vaginal samples were obtained from them and they were examined by wet mount and culture methods for the detection of T. vaginalis.
Sixteen out of the 750 vaginal swab specimens (2.1%) were culture positive for T. vaginalis and 13 among these positive specimens (1.7%) were wet mount positive. Only 12 of the 42 patients who were clinically diagnosed as having the T. vaginalis infection, were confirmed by the culture method. Five hundred and fifty of the participants (73.3%) had at least one of signs and symptoms of trichomoniasis. No statistical correlation was observed between the clinical manifestations and the parasitological results (p>0.05).
This study showed a low prevalence of the T. vaginalis infection in the study population. Since the clinical signs of trichomonal vaginitis are the same as those of other STDs, a confirmatory laboratory diagnosis is necessary. Wet smears, as well as culture, are sensitive for the detection of T. vaginalis.
阴道毛滴虫感染是人类最常见的性传播疾病之一。据报道,根据不同的社会文化条件,这种感染的患病率在2%至8%之间。本研究旨在确定印度班加罗尔MVJ医学院妇科诊所就诊女性中阴道毛滴虫的患病率。
这项描述性横断面研究对2010年10月至2012年9月转诊至妇科诊所的750名女性进行。从她们那里获取阴道样本,并通过湿片法和培养法检查以检测阴道毛滴虫。
750份阴道拭子标本中有16份(2.1%)阴道毛滴虫培养阳性,其中13份阳性标本(1.7%)湿片检查阳性。临床诊断为阴道毛滴虫感染的42例患者中,只有12例通过培养法得到证实。550名参与者(73.3%)至少有一项滴虫病的体征和症状。未观察到临床表现与寄生虫学结果之间存在统计学相关性(p>0.05)。
本研究显示研究人群中阴道毛滴虫感染的患病率较低。由于滴虫性阴道炎的临床体征与其他性传播疾病相同,因此需要进行实验室确诊。湿涂片以及培养对阴道毛滴虫的检测都很敏感。