فراوانی تریکوموناس واژینالیس در نمونه های پاپ اسمیر زنان مراجعه کننده به بیمارستان نفت اهواز طی سال‏های 93-1384

نوع مقاله: اصیل پژوهشی

نویسندگان

1 استادیار گروه انگل شناسی، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران

2 دانشجوی کارشناسی ارشد انگل شناسی، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: تریکوموناس واژینالیس، یکی از شایع‌ترین عفونت‌های جنسی است که با وجود شیوع بالای 75-5% و پیامدهای نامطلوب بهداشتی و بارداری، توجه اندکی در سطح جهانی به آن شده است. مطالعه حاضر با هدف بررسی فراوانی تریکوموناس واژینالیس در زنان مراجعه کننده به بیمارستان نفت اهواز بر اساس تست پاپ اسمیر انجام شد.
روش کار: در این مطالعه مقطعی- توصیفی و گذشته نگر 37332 مورد از پرونده‏های پاپ اسمیر دریافت شده از آزمایشگاه بیمارستان نفت اهواز طی سال‏های 93-1384 از لحاظ ابتلاء به انگل تریکوموناس واژینالیس مورد بررسی قرار گرفتند. در میان نمونه‏های مثبت دریافتی علائمی نظیر التهاب، آلودگی های‏ قارچی و باکتریایی نیز مورد بررسی قرار گرفت. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS(نسخه 21) و آزمون کای دو انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: از مجموع 37332 پرونده مورد بررسی، 312 مورد (83/0%) آلوده به تریکوموناس واژینالیس بودند. از بین 312 نمونه مورد مطالعه، 240 نفر (9/76%) دارای التهاب واژینال، 26 نفر (3/8%) دارای عفونت قارچی و 89 نفر (5/28%) دارای عفونت باکتریایی بودند. 6869 نفر (4/18%) از مراجعه کنندگان 1 مورد سقط و 2277 نفر (1/6%) 2 مورد سقط داشتند که بین آلودگی به انگل تریکوموناس واژینالیس و تعداد سقط تفاوت آماری معنی‏داری وجود نداشت (05/0<p).
نتیجه گیری: فراوانی تریکوموناس واژینالیس در زنان مراجعه کننده به بیمارستان نفت اهواز در مقایسه با سایر مناطق ایران پایین تر است، اما به دلیل اینکه این تک یاخته می تواند یکی از عوامل مستعد کننده انتقال سایر بیماری های منتقله جنسی نظیر بیماری های ویروسی، قارچی و باکتریایی باشد، لذا آموزش بهداشت جنسی می‌تواند در پیشگیری از آلودگی به این عوامل مؤثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Frequency of Trichomonas vaginalis in PAP smears of women referring to Naft hospital in Ahvaz during 2005-2014

نویسندگان [English]

  • Molouk Beiromvand 1
  • Roya Daneshbakhtyar 2
1 Assistant Professor, Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 M.Sc. student, Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Trichomonas vaginalis is one of the most common sexually transmitted infections, which had received little attentions at the global level despite its high prevalence rate of 5 to 75% and adverse health and pregnancy outcomes. This study was performed with aim to evaluate the frequency of Trichomonas vaginalis among women referred to Naft Hospital in Ahvaz based on the Pap smear test.
Methods: In this cross-sectional, descriptive and retrospective study, 37332 Pap smear files obtained from the laboratory of Naft Hospital in Ahvaz during 2005-2014 were evaluated in terms of Trichomonas vaginalis infection. Among the received positive samples, the symptoms such as inflammation, fungal and bacterial infections were examined. Data were analyzed using SPSS software (version 21) and the chi-square test. PResults: Among 37332 studied files, 312 samples (0.83%) had T. vaginalis infection. Among 312 cases, 240 (76.9 %) had vaginal inflammation, 26 (8.3 %) fungal, and 89 (28.5 %) bacterial infections. Also, 6869 (18.4%) of referred cases had one abortion and 2277 (6.1%) had two abortions that no significant relationship was found between Trichomonas vaginalis infection and number of abortion (P>0.05).
Conclusion: The frequency of Trichomonas vaginalis among women referred to Naft hospital in Ahvaz is lower than other parts of Iran, but since this protozoan can be a potential factor in the transmission of other sexually transmitted infections such as viral, bacterial and fungal diseases, therefore, sex educational programs can be effective on prevention of these infections.

کلیدواژه‌ها [English]

  • Ahvaz
  • Trichomonas vaginalis
  • Trichomonas vaginitis
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