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Paper Information

Journal:   INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)   june 2017 , Volume 15 , Number 6; Page(s) 357 To 366.
 
Paper: 

Genital infections and reproductive complications associated with Trichomonas vaginalis, Neisseria gonorrhoeae, and Streptococcus agalactiae in women of Qom, central Iran

 
 
Author(s):  Nateghi Rostami Mahmoud*, HOSSEIN RASHIDI BATOOL, HABIBI AZAM, NAZARI RAZIEH, DOLATI MASOUMEH
 
* Department of Parasitology, Pasteur Institute of Iran, Tehran, Iran, 1316943551
 
Abstract: 
Background: Trichomonas vaginalis (T. vaginalis) and Neisseria gonorrhoeae (N. gonorrhoeae) are two most common non-viral sexually transmitted infections in the world. No data are available regarding the epidemiology of genital infections in women of Qom, central Iran. Objective: Epidemiological investigation of sexually transmitted infections in genital specimens of women referred to the referral gynecology hospital in Qom, central Iran. Materials and Methods: Genital swab specimens were collected from women volunteers and used for identification of bacterial and protozoal infections by conventional microbial diagnostics, porA pseudo gene LightCycler® real-time PCR (for N. gonorrhoeae) and ITS-PCR (for T. vaginalis). Results: Of 420 volunteers, 277 (65. 9%) had genital signs/symptoms, including 38. 3% malodorous discharge, 37. 9% dyspareunia, and 54. 8% abdominal pain. Totally, 2 isolates of Streptococcus agalactiae were identified. Five specimens (1. 2%) in Thayer-Martin culture and 17 (4. 1%) in real-time PCR were identified as N. gonorrhoeae. Fifty-four specimens (12. 9%) in wet mount, 64 (15. 2%) in Dorset’ s culture, and 81 (19. 3%) in ITS-PCR showed positive results for T. vaginalis. Five mixed infections of T. vaginalis+ N. gonorrhoeae were found. The risk of T. vaginalis infection was increased in women with low-birth-weight (p=0. 00; OR=43. 29), history of abortion (p=0. 00; OR=91. 84), and premature rupture of membranes (PROM) (p=0. 00; OR=21. 75). The probability of finding nuclear leukocytes (p=0. 00; OR=43. 34) in vaginal smear was higher in T. vaginalis infection. Conclusion: The significant prevalence of trichomoniasis and gonorrhea emphasizes the need for accurate diagnosis and effective surveillance to prevent serious reproductive complications in women.
 
Keyword(s): Sexually transmitted infections,Trichomoniasis,Gonorrhea,Pregnancy-related complications
 
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