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العلاقة بين المشعرات المهبلية والعوامل المرضية التناسلية الاخرى بين النساء في مدينتي كركوك وتكريت == Relationship Betwee Trichomonas Vaginalis And Other Genital Infectious Agents Among Women In Kirkuk & Tikrit Cities
Author name:
برهان احمد محمد علي بيباني
Supervisor name:
يحيى جرجيس سلمان | ابراهيم شعبان داود
General topic:
Biology
Specific topic:
Zoology
Degree:
Master
University:
University of Baghdad - Ibn Al-Haytham College Of Education For Pure Sciences - Department Of Biology
Language:
English
University location:
Baghdad
First pages:
24T3024 - p.pdf
Abstract:
تم خلال الفترة من الخامس عشر من شهر تشرين الاول 2006 ولغاية الثلاثين من شهر حزيران 2007 اجراء دراسة عن وبائية طفيلي المشعرات المهبلية وبعض مسببات الالتهابات المهبلية الافرازية المرافقة وغير المرافقة لها بين النساء المراجعات لقسم الاستشارية النسائية والتول | An epidemiological study was carried out from 15th, October 2006 to 30th, June 2007 for prevalence of Trichomonas vaginalis parasite and some causative agents of secretary vaginal inflammations associated or non - associated with the parasite among women attending the department of Obstetrics and Gynecology in two General hospitals in Kirkuk city and Tikrit teaching hospital in Tikrit city. A total of 300 samples (200 in Kirkuk, 100 in Tikrit) were colle - cted from (15 - 47) years old women. Two swabs were taken from the vaginal (high vaginal) and the lining of uterus cervix (endocervical) for each woman by Gynecologic physician. A gross examination of the swabs was done to determine the color of vaginal secretions and measurement of pH. A wet preparation was done from the (high vaginal swab) and examined microscopically for diagnosis of Trichomonas vaginalis and Candida spp. In addition a Gram stain smear was prepared from a portion of the same swab and examined by oil - immersion for diagnosis of Neisseria gonorrhoeae and Trichomonas vaginalis. A chemical test was done for the detection of Gardnerella vaginalis bacteria & Candida spores. The swabs prepared from endocervical were treated by ACON - Chlamydia Kit specific for diagnosis of Chlamydia trachomatis in vaginal swabs samples. The study concluded the following results : 1 - The infection with various sexually transmitted diseases agents were 68% , 78% in Kirkuk & Tikrit cities respectively (P>0.05).2 - The maximum infection rate for T. vaginalis was 19.5% in Kirkuk city & 16% in Tikrit city among co - infection with other agents and single infections.3 - The percentages of single infections with T. vaginalis alone for various age groups were 16.5%, 8% in Kirkuk and Tikrit cities respectively (P>0.05).4 - The rate of infections with various vaginal micro - organisms were in the following sequence : T. vaginalis (19.5%), G. vaginalis (18.5%), C. trachomatis (14%), Candida spp. (11.5%) & N. gonorrhoeae (4.5%) in Kirkuk city, whereasin Tikrit city the sequence of infection rates were as follows : G. vaginalis (43%), T. vaginalis (16%), C. trachomatis (12%), Candida spp. (6%) & N. gonorrhoeae (1%).(P>0.05).5 - The highest rates of infections with T. vaginalis only as a single infecting agents were 21.27%, 10% among a group age range (36 - 45) years in both Kirkuk & Tikrit cities respectively (P<0.05). 6 - The maximum rate of infection with the T. vaginalis were recorded among women with yellowish vaginal secretions without itching (37%), (31.25%), whereas in those with symptoms of copious secretions onlythe corresponding figures (30.17%), (18.51%) were recorded in bothcities respectively (P<0.05). 7 - The maximum infection rate with C. trachomatis in bloody swabs were (40%), (50%) in Kirkuk & Tikrit cities respectively correlated withclinical signs & symptoms. However, maximum infection rate with G. vaginalis was recorded in women with whitish vaginal discharge (60.86%) or yellowish (53.12%) then greenish (52.94%) in Tikrit city in comparison to Kirkuk city. The maximum infection with G. vaginalis were among women with bloody secretion (40%) followed by whitish secretion (30.35%). (P<0.05). 8 - The maximum infection rate with Candida spp. were recorded in women discharge milky secretions (33.33%), (25%) in Kirkuk & Tikrit cities respectively. Infection with N. gonorrhoeae showed different color vaginal discharge (P>0.05).9 - The maximum rate of infections with T. vaginalis (27.43%), (19.69%) were recorded in women whose pH of vaginal secretion range was between (5 - 6). (P> 0.05). The high vaginal swabs have been revealed to be more efficient in diagnosis of vaginal infection with T. vaginalis than endocervical swabs. The maximum rate of infections recorded by these swabs were (22.22%), (19.73%) respectively. The infection rate of pregnant women were (48%), (22.22%) from positive cases in both cities.10 - The maximum rate of infections with T. vaginalis were recorded in women using various contraceptive, women using intrauterine contraceptive device were the highly infected (33.33%), (31.57%) in both cities. P<0.05
