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Iranian Journal of Parasitology، جلد ۱۰، شماره ۳، صفحات ۴۹۰-۴۹۷
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عنوان انگلیسی A Diagnostic and Symptomatological Study on Trichomoniasis in Symptomatic Pregnant Women in Rafsanjan, South Central Iran in 2012-13
چکیده انگلیسی مقاله Background: Trichomonas vaginalis , the causative agent of trichomoniasis, is responsible for more than half of all sexually transmitted infections (STIs). The present study aimed to deter­mine the frequency of T. vaginalis infection and its clinical manifestations in sympto­matic pregnant women in the area based on four different diagnostic methods. Methods: A total of 162 pregnant women with at least one sign or symptom of vaginosis, referred to two gynecologic and obstetrics clinics in Rafsanjan City, south central Iran, were randomly selected in 2012-13. Through speculum examination of patients by gynecologists, clinical diagnosis determined, vaginal discharge were collected by using two sterile cotton swabs from the posterior fornix and vagina pH was measured. Samples were examined by three diagnostic methods including wet mount, culture in TYI-S-33 medium and polymerase chain reaction (PCR). Results: T. vaginalis was detected in 19.5%, 27.2%, 56.2% and 51.6% of subjects according to diagnostic methods of clinical diagnosis, wet mount, culture and PCR, respectively. There was statistically significant relationship between T. vaginalis infection and patients' age, gestational age, marriage age, residence, educational level, parity. The symptomatological pattern in the 91 women infected with T. vaginalis was as follows: leukorrhea, 96.7%; urine frequency, 65.9%; odorous secretion, 63.3%; urogenital itching and irritation, 53.8%; vagi­nal inflammation, 47.3%; dyspareunia, 39.6%; and dysuria, 16.5%. Conclusion: Our results indicated a high prevalence of T. vaginalis in symptomatic pregnant women, very low sensitivity and relative high specificity of clinical diagnosis and wet mount technique compared to culture and PCR, as well as that pregnancy increases the susceptibil­ity to the infection in a gestational age-dependent manner.
کلیدواژه‌های انگلیسی مقاله Trichomonas vaginalis,Diagnosis,Signs and symptoms,Iran
نویسندگان مقاله آزیتا منشوری | azita manshoori
department of gynecology and obstetrics, school of medicine, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

سکینه میرزایی | sakineh mirzaei
department of gynecology and obstetrics, school of medicine, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

زرین تاج ولدخانی | zarrintaj valadkhani
department of medical parasitology, pasteur institute of iran, tehran, iran

سازمان اصلی تایید شده: انستیتو پاستور ایران (Pasteur institute of iran)

محمد کاظمی عرب آبادی | mohammad kazemi arababadi
immunology of infectious diseases research center, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

محسن رضاییان | mohsen rezaeian
occupational environment research center, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

ناهید زین الدینی | nahid zainodini
immunology of infectious diseases research center, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

رضا بهرام آبادی | raza bahramabadi
department of microbiology, school of medicine, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

محمد زارع بیدکی | mohammad zare bidaki
immunology of infectious diseases research center, rafsanjan university of medical sciences, rafsanjan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی رفسنجان (Rafsanjan university of medical sciences)

نشانی اینترنتی http://ijpa.tums.ac.ir/index.php/ijpa/article/view/316
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