A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal
Introduction. Trichomoniasis is nowadays the most prevalent non-viral sexually transmitted infection in the world. In Senegal, the epidemiology of trichomoniasis is not well known. The current study aimed at assessing the prevalence and factors associated with T. vaginalis infection among women with...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Parasitology Research |
| Online Access: | http://dx.doi.org/10.1155/2019/2069672 |
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| author | Roger C. Tine Khadime Sylla Rougyatou Ka Lamine Dia Doudou Sow Souleye Lelo Khardiata Diallo Babacar Faye Thérèse Dieng Cheikh T. Ndour Ahmet Y. Sow |
| author_facet | Roger C. Tine Khadime Sylla Rougyatou Ka Lamine Dia Doudou Sow Souleye Lelo Khardiata Diallo Babacar Faye Thérèse Dieng Cheikh T. Ndour Ahmet Y. Sow |
| author_sort | Roger C. Tine |
| collection | DOAJ |
| description | Introduction. Trichomoniasis is nowadays the most prevalent non-viral sexually transmitted infection in the world. In Senegal, the epidemiology of trichomoniasis is not well known. The current study aimed at assessing the prevalence and factors associated with T. vaginalis infection among women with vaginal discharge. Methods. A retrospective analysis of laboratory records from patients referred at the Fann Teaching Hospital in Dakar, Senegal, for vaginal discharge was carried out. The study covered the period from 2006 to 2011. For each participating woman, a vaginal swab was collected and a wet mount smear performed immediately. Optic microscopic examination with 40x magnification was done to detect T. vaginalis and assess biological modifications such as presence of epithelial cells, white blood cells, and red blood cells. A gram stained smear was also performed and examined under oil immersion (100x magnification) to assess the vaginal flora. Results. Overall, 3893 women were enrolled with a mean age at 31.2 ± 10 years. The prevalence of Trichomoniasis represented 4.8%, 95%CI(3.1-5.7) and it was lower among women less than 30 years (4.1%), while divorced women more likely to be infected compared to married and single women (aOR:2.1, 95%CI (1.2-3.7)). Trichomoniasis was associated with abnormal vaginal flora such as type III (aOR:2.6, 95%CI(1.5-4.4)) and type IV (aOR:3.3, 95%CI(2.1-5.3)). In addition, patients with erythrocytes excretion were more likely to be infected by T. vaginalis (aOR:2.8, 95%CI(1.9-3.9). Conclusion. Trichomonas vaginalis remains prevalent among sexually active women. Strategies aiming at improving disease awareness in these high-risk groups are needed to improve trichomoniasis prevention but extensive epidemiological data are still needed for a better understanding of the disease transmission dynamic. |
| format | Article |
| id | doaj-art-a910732aa6134d01a31ee29fdd1a059a |
| institution | Kabale University |
| issn | 2090-0023 2090-0031 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
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| series | Journal of Parasitology Research |
| spelling | doaj-art-a910732aa6134d01a31ee29fdd1a059a2025-02-03T01:12:49ZengWileyJournal of Parasitology Research2090-00232090-00312019-01-01201910.1155/2019/20696722069672A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in SenegalRoger C. Tine0Khadime Sylla1Rougyatou Ka2Lamine Dia3Doudou Sow4Souleye Lelo5Khardiata Diallo6Babacar Faye7Thérèse Dieng8Cheikh T. Ndour9Ahmet Y. Sow10Department of Medical Parasitology, Faculty of Medicine, University Cheikh Anta Diop, Dakar, SenegalDepartment of Medical Parasitology, Faculty of Medicine, University Cheikh Anta Diop, Dakar, SenegalLaboratory of Bacteriology and Virology, Fann Teaching Hospital, Dakar, SenegalLaboratory of Bacteriology and Virology, Fann Teaching Hospital, Dakar, SenegalDepartment of Medical Parasitology, Faculty of Medicine, University Cheikh Anta Diop, Dakar, SenegalLaboratory of Parasitology and Mycology, Fann Teaching Hospital, Dakar, SenegalDepartment of Infectious and Tropical Diseases, Fann Teaching hospital, Dakar, SenegalDepartment of Medical Parasitology, Faculty of Medicine, University Cheikh Anta Diop, Dakar, SenegalLaboratory of Parasitology and Mycology, Fann Teaching Hospital, Dakar, SenegalDepartment of Infectious and Tropical Diseases, Fann Teaching hospital, Dakar, SenegalLaboratory of Bacteriology and Virology, Fann Teaching Hospital, Dakar, SenegalIntroduction. Trichomoniasis is nowadays the most prevalent non-viral sexually transmitted infection in the world. In Senegal, the epidemiology of trichomoniasis is not well known. The current study aimed at assessing the prevalence and factors associated with T. vaginalis infection among women with vaginal discharge. Methods. A retrospective analysis of laboratory records from patients referred at the Fann Teaching Hospital in Dakar, Senegal, for vaginal discharge was carried out. The study covered the period from 2006 to 2011. For each participating woman, a vaginal swab was collected and a wet mount smear performed immediately. Optic microscopic examination with 40x magnification was done to detect T. vaginalis and assess biological modifications such as presence of epithelial cells, white blood cells, and red blood cells. A gram stained smear was also performed and examined under oil immersion (100x magnification) to assess the vaginal flora. Results. Overall, 3893 women were enrolled with a mean age at 31.2 ± 10 years. The prevalence of Trichomoniasis represented 4.8%, 95%CI(3.1-5.7) and it was lower among women less than 30 years (4.1%), while divorced women more likely to be infected compared to married and single women (aOR:2.1, 95%CI (1.2-3.7)). Trichomoniasis was associated with abnormal vaginal flora such as type III (aOR:2.6, 95%CI(1.5-4.4)) and type IV (aOR:3.3, 95%CI(2.1-5.3)). In addition, patients with erythrocytes excretion were more likely to be infected by T. vaginalis (aOR:2.8, 95%CI(1.9-3.9). Conclusion. Trichomonas vaginalis remains prevalent among sexually active women. Strategies aiming at improving disease awareness in these high-risk groups are needed to improve trichomoniasis prevention but extensive epidemiological data are still needed for a better understanding of the disease transmission dynamic.http://dx.doi.org/10.1155/2019/2069672 |
| spellingShingle | Roger C. Tine Khadime Sylla Rougyatou Ka Lamine Dia Doudou Sow Souleye Lelo Khardiata Diallo Babacar Faye Thérèse Dieng Cheikh T. Ndour Ahmet Y. Sow A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal Journal of Parasitology Research |
| title | A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal |
| title_full | A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal |
| title_fullStr | A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal |
| title_full_unstemmed | A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal |
| title_short | A Study of Trichomonas vaginalis Infection and Correlates in Women with Vaginal Discharge Referred at Fann Teaching Hospital in Senegal |
| title_sort | study of trichomonas vaginalis infection and correlates in women with vaginal discharge referred at fann teaching hospital in senegal |
| url | http://dx.doi.org/10.1155/2019/2069672 |
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