Trichomonas Vaginalis and Associated Microorganisms in Women with Vaginal Discharge in Kerkuk-Iraq

Abstract

Objectives: Trichomonas vaginalis is an anaerobic flagellated protozoan parasite which is the causative agent of trichomoniasis. Our aim is to show the frequency of Trichomonas vaginalis and other microorganisms among women with vaginal discharge and their husbands attending Kirkuk hospitals during the period from the beginning of July 2007 till the end of May 2008.Materials & Methods: Laboratory investigations included vaginal, cervical swabs and urine for direct examination; culture of swabs and urine on appropriate media was applied and blood samples for serological test were carried out.Results: In women with vaginal discharges, the rate of T. vaginalis was 2.8%. The associated organisms were Candida albicans 8.0%, Neisseria gonorrhoea 0.8%. The mixed infections of T. vaginalis and C. albicans were 1.6%. The frequency of co-infection of T. vaginalis and associated Escherichia coli was 1.6%, Staphylococcus aureus 0.8%, and proteus 0.4%.The highest frequency of pathogenic microorganisms in vaginal swabs was Staph. aureus 12.4%, followed by E. coli 11.6% and C. albicans 8.0%. The rate of pathogenic agents in urine samples was lower than those in vaginal swabs. In urethral discharge, the rate of N. gonorrhea was 35.0% while E. coli was 5.0%. The highest rate of infections in vaginal swabs and urine was at the age group 15-29 years of age. Conclusions: The pathogenic infections associated with trichomoniasis are more common in females than males, their rate were highest among 15-29 years of age. The rate of gonorrhea was high in urethral discharge.

Keywords

• Trichomonas vaginalis, vaginal discharge, Iraq

Kerkük’de Vajinal Akıntılı Kadınlarda Trichomonas vaginalis ve Eşlik Eden Mikroorganizmalar

Öz

Özet

Amaç: Trichomonas vaginalis trikomoniazisin etkeni olan anaerobik flajellalı protozoan bir parazittir. Amacımız, Temmuz 2007 -Mayıs 2008 aralığında Kerkük hastanelerine başvuran vajinal akıntılı kadınlarla eşlerinde Trichomonas vaginalis ve diğer mikroorganizmaların sıklıgını araştırmaktır.

Materyal ve Metod: Vajinal ve servikal sürüntü ve idrar örnekleri üzerinde laboratuar incelemeleri yapıldı, uygun ortamda sürüntü ve idrar kültürleri ve kan örneklerinde serolojik testler yapıldı.

Bulgular: Vajinal akıntılı kadınlarda T. vaginalis oranı %2.8 iken, eşlik eden mikroorganizmalar %8.0 Candida albicans ve %0.8 Neisseria gonorrhoea olmuştur. T. vaginalis and C. albicans'ın mikst enfeksiyon oranı %1.6, T. vaginalis ve Escherichia coli koenfeksiyon oranı %1.6, Staphylococcus aureus ile % 0.8, proteus ile %0.4 olarak bulunmuştur. Vajinal sürüntüdeki enyaygın patojen mikroorganizma %l2.4 Staph. Aureus, ardından %11.6 E. coli ve %8.0 C. albicans olmuştur.

İdrar örneklerindeki patojen ajan oranı daha düşük bulunmuştur. Üretral sürüntüde N. gonorrhea oranı %35.0, E. coli oranı %.5.0 bulunmuş, vajinal sürüntü ve idrarda en yüksek enfeksiyon oranı 15-29 yaş grubunda bulunmuştur.

Sonuç: Trikomoniazisle ilgili patojen enfeksiyonlar bayanlarda daha sık izlenir, oranı 15-29 yaş grubunda en yüksektir ve idrarda gonore oranı yüksektir.

Anahtar Kelimeler

• Trikomonas vajinalis, vajinal akıntı, Irak

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