Yarizadeh Manizheh, Taherkhani Heshmatollah, Amir-Zargar Mohammad Ali, Matini Mohammad
Department of Medical Parasitology and Mycology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Urology and Nephrology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Iran J Parasitol. 2021 Apr-Jun;16(2):245-252. doi: 10.18502/ijpa.v16i2.6282.
Trichomoniasis, caused by protozoan, may lead to clinical or subclinical urethritis or prostatitis in men. Despite the importance of men in the epidemiology of trichomoniasis, there is little information about this topic. This epidemiological study was performed on men in Hamedan, western Iran.
During Oct 2018 to Mar 2019, 214 male individuals, presenting to the Urology Clinic of Shahid Beheshti Hospital in Hamadan, were enrolled and evaluated for trichomoniasis. First-voided urine specimen was used for detection of infection using molecular and parasitological methods.
Trichomoniasis was detected in 10 of 214 male participants (4.7%, 95% CI: 7.5-1.8%) using PCR assay. Culture and wet mount preparation of urine sediment were unable to isolates any parasite. Nine of the 10 infected men were married, and six of them were ≥49 yr of age. Urinary frequency and dysuria were the most complaints (80%) among infected individuals.
Given the notable prevalence of the infection, the prevalence of male trichomoniasis will be underestimated if only conventional diagnostic methods are used. Therefore, the risk of infection as well as the molecular survey of infection should be considered in men with or without clinical symptoms.
由原生动物引起的滴虫病可能导致男性出现临床或亚临床尿道炎或前列腺炎。尽管男性在滴虫病流行病学中具有重要性，但关于该主题的信息却很少。这项流行病学研究在伊朗西部哈马丹的男性中进行。
在2018年10月至2019年3月期间，招募了214名前往哈马丹沙希德·贝赫什提医院泌尿外科诊所就诊的男性个体，并对其进行滴虫病评估。首次晨尿标本用于通过分子和寄生虫学方法检测感染情况。
使用PCR检测法，在214名男性参与者中有10人检测出滴虫病（4.7%，95%置信区间：7.5 - 1.8%）。尿液沉淀物的培养和湿片制备未能分离出任何寄生虫。10名感染男性中有9人已婚，其中6人年龄≥49岁。尿频和排尿困难是感染个体中最常见的症状（80%）。
鉴于该感染的显著患病率，如果仅使用传统诊断方法，男性滴虫病的患病率将被低估。因此，对于有或无临床症状的男性，都应考虑感染风险以及感染的分子检测。
