The prevalence of Trichomonas vaginalis infections in the population of Warmińsko-Mazurskie voivodeship (North-Eastern Poland)

Przegl Epidemiol. 2017;71(4):547-554.

Abstract

Introduction: Trichomonas vaginalis is considered to be the most common non-viral sexually transmitted infection. Trichomoniasis is not a reportable disease and due to this fact only estimates can be made about its incidence

Aim of the study: The aim of the study was to determine the prevalence of T. vaginalis in the female population of north-eastern Poland as well as to conduct an epidemiological analysis on the basis of the data from the years of 2009 – 2015 derived from the registers of the National Health Fund

Materials and methods: In this study 300 women aged 19 – 50 were examined. Two vaginal swabs were taken from each patient. The first swab was used to prepare microscope slides, and stained with Giemsa stain. The second swab was used for a diagnostic immunochromatographic rapid test (OSOM Trichomonasis test). Each woman was also asked to complete a questionnaire. Additionally, on the basis of the data from the National Health Fund, epidemiological analysis was conducted. Statistical analysis was performed with SPSS Statistics ver. 24 using Fisher test

Results: T. vaginalis infection was confirmed in two women. The diagnosis of trichomoniasis was confirmed as a result of T.vaginalis antigen detection with the use of immunochromatographic diagnostic test (OSOM Trichomonas test). The data from the National Health Fund show that 160 cases of trichomoniasis were reported, of which women accounted for 135 (84%), and men for 25 (16%). The highest infection rate was found in women aged 50 – 59 and those over 60 years old

Conclusions: Our results show that the prevalence of T. vaginalis infection remains low, the infection occurs mainly in elderly women. However, one should pay attention to the differences in the detection of T. vaginalis connected with a particular method used. Conducting screen tests on a larger scale using more advanced tests would allow a more accurate assessment of the scale of the problem in our country

Keywords: Trichomonas vaginalis; epidemiology; diagnostics.

MeSH terms

  • Adult
  • Age Distribution
  • Animals
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Trichomonas Infections / epidemiology*
  • Trichomonas Infections / parasitology*
  • Trichomonas Vaginitis / parasitology*
  • Trichomonas vaginalis / isolation & purification*
  • Vaginal Discharge / epidemiology
  • Vaginal Discharge / parasitology
  • Women's Health
  • Young Adult