TY  - BOOK
AU  - Augustino J. Maufi
AU  - Kihunrwa, Albert
AU  - Mazigo, Humphery
TI  - Prevalence and Associated Risk Factors of Trichomonas Vaginalis, Infections Among Pregnant Women Attending Antenatal Clinincs in Mwanza City, North Western Tanzania
PY  - 2015///
CY  - Mwanza, Tanzania:  
PB  - Catholic University of Health and Allied Sciences CUHAS - Bugando
KW  -  
N2  - Abstract:

Background: Trichomonas vaginalis is a sexually transmitted parasitic infection known to cause vaginitis especially in women of child bearing age. Screening of pregnant women for T. vaginalis is not practiced as part of the antenatal care (ANC) in Tanzania and thus, there are little information on the prevalence and risk factors for T. vaginalls infection in developing countries. Thus, the present study was therefore conducted to determine the prevalence and risk factors, of T. vaginalis among pregnant women attending selected health facilities in Mwanza City.

Methods: This was a descriptive cross sectional study conducted in three selected antenatal clinics in Mwanza city, North-Western Tanzania. Wet preparation and Giemsa stained thick smears techniques were used to diagnosed T. vaginalis infection. A pre-tested questionnaire was used to collect demographic and other risk related behaviors from the study participants. All study participants infected with T. vaginalis were given a single 2g dose of metronidazole.

Results: A total of 365 pregnant women were involved in this study, 84(23.1%) and 38(10.41%) of them were having Trichomoniasis based on Giemsa stained thick smears and wet preparation respectively. Being HIV seropositive (OR=7.15; 95%CI; 1.28-39.86, p<0.03) and having other sexual transmitted disease such as syphilis (OR=3.30, 95% CI: 1.11-9.77, p<0.03) were significantly associated with Trichomonas vaginalis. Patient with symptoms such as vaginal discharge (OR=2.10; 95%CI; 1.20-3.70, <0.01), vaginal itching (OR=2.16; 95%CI; 1.31-3.55; p<0.01) and vulva ulcertain (OR=2.36, 95%CI; 1.24-4.52, P<0.01) were significantly associated with T. vaginalis.

Conclusion: The prevalence of T. vaginalis among pregnant women who participated in the present study was high. HIV – 1 and syphilis were significantly associated with T. vaginalis. We recommend routine screening and Management of T.vaginalis alongside with other sexual transmitted infections so as to reduce the risk of adverse pregnancy outcome associated with T. vaginalis

ER  -