Syndromic Management Approach And Laboratory Diagnosis Of Trichomonas Vaginalis In Sti Compliant And Pregnant Women Attending Merawi Health Center Merawi Amhara Regional State Ethiopia

Back ground: Trichoomonas vaginalis is a flagellated, single cell protozoan parasite. T.rnvaginalis carries the distinction of being the only truly sexually transmitted parasitic infection inrnhumans. It is highly adapted to the human urogenital tract and majority of infections arernasymptomatic. Symptomatic trichomoniasis presents with an offensive vaginal discharge andrnvulval itching in women. T. vaginalis infection has been shown to be associated with adversernpregnancy outcomes, particularly premature rupture of membranes, pre-term delivery and lowrnbirth weight.rnObjective: the aim of this study was to determine the prevalence of T. vaginalis among STIrncompliant and (or) pregnant women attending Merawi Health center. Simultaneous comparisonrnof the laboratory (wet mount microscopy) result with the syndromic management results wasrnperformed.rnResult: 222 women have participated in this study. 198 were pregnant and 24 were STIrncomplaint. Majority of them were under the age group of 15-25 years (48.6%, 108). 73.9% (164)rnwere illiterate, 94.1% (209) were married, and 86.9% (193) didn’t have awareness to any ofrnSTIs. Syndromic management approach has identified 4 women (1.8%) who had self-reportedrnsymptoms related to trichomoniasis. However; the laboratory wet mount diagnosis has identifiedrn14 women who were positive for the trophozoites of T. vaginalis. As a result, the prevalence ofrntrichomoniasis using the laboratory wet mount result was increased to 6.3% (14/222). Thernsensitivity of syndromic management approach with respect to the wet microscopy was 21.4%.rnConclusion: As a result of high rates of asymptomatic infections, syndromic managementrnapproach should not be the first choice to screen out trichomoniasis. So, this study supports thernneed for improved diagnostic parameters and disease control activities to reduce adverserntrichomoniasis associated reproductive health outcomes such as ectopic pregnancy, low infantrnbirth weight and preterm labor.rnKey words:rnTrichomoniasis, Syndromic Management approach, STI

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