Trichomonas vaginalis Among Women in Sulaimania Governorate-Iraq

Abstract

Trichomonas vaginalis infection is one of the sexually transmitted diseases. It is a health problem all over the world, including Iraq. The parasite usually infected in the vagina and urethra, but could involve the endocervix. Aim: This study aim to show the prevalence of Trichomonas vagina/is in the women that have vaginal discharge. The study included ( 600) women attended the gynecological out patient clinic in Sulaimania obstetrical and gynecological teaching hospital and rozhan out patient clinic tlu·ough the period from January 2007 till September 2007. Per vaginal examination was performed for each patient using a sterile cuscos speculum. Two high vaginal swabs were obtained from each patient one for direct microscopic examination and other for Trichomonas vagina/is culture. The prevalence of T. vaginalis was 1 0( 1. 66%) The infection rate between pregnant women was 8(1.77%) higher than that of non-pregnant women 2(1.33%). The highest is found in women at the age group (26-3 5) years in which the infection rate was 5(2.48%). The rate of infection was higher among uneducated women 9(1.5%) than educated ones. The higher rate of T. vaginalis was obtained from women with white to gray (frothy discharge) 6(1.57%) and with yellow to green discharge 4(1.81 %) and those with bad odor was 8(2.02%) was higher than odourless discharge 2(0.97%). In positive cases of T. vagina/is , 6(60%) had white to gray vaginal discharge, and the rate of bad odour (80%) and without bad odour (20%). The rate of infection among illiterate women was higher than those with school education and no positive cases were detected among those with college education. In cultures the rate ofT. vagina/is was (5%) while in direct wet mount examination was (1.66%). Candida albicans were detected in 167(83.5%) in selected culture media ofT. vaginalis