Prevalence of Trichomonas vaginalis by polymerase chain reaction-based molecular method among symptomatic women from Northern India.

IF 0.6 Q4 INFECTIOUS DISEASES Indian Journal of Sexually Transmitted Diseases and AIDS Pub Date : 2023-01-01 Epub Date: 2023-06-06 DOI:10.4103/ijstd.ijstd_21_22
Rajneesh Dadwal, Nandita Sharma, Rimjhim Kanaujia, Sakshi Malhotra, Hemant Chaudhry, Shivali Rathore, Aastha Saini, Rashmi Bagga, Abhishek Mewara, Sumeeta Khurana, Rakesh Yadav, Sunil Sethi
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Abstract

Introduction: Trichomoniasis remains one of the most common sexually transmitted infections, which is curable. To prevent complications and transmission, prompt and correct diagnosis is essential to treat Trichomonas vaginalis. The present study was done to evaluate polymerase chain reaction (PCR) with other conventional techniques for the diagnosis of T. vaginalis infection and determine the prevalence of T. vaginalis in women with vaginal discharge based on PCR assay.

Methods: Vaginal swabs were collected by the trained health-care professional using FLOQSwabs™ (Copan, Italy) during routine pelvic examinations among 1974 symptomatic females. The wet microscopy, culture, and PCR were performed.

Results: The sensitivity of wet mount and culture in comparison to PCR was 60.87% and 56.52%, respectively. The kappa inter-rater agreement of T. vaginalis PCR showed substantial agreement with wet mount microscopy (κ = 0.742) and culture (κ = 0.707). The PCR detected an additional 17 cases that were missed by conventional techniques.

Discussion: The study highlights the importance of PCR for T. vaginalis screening among symptomatic females.

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基于聚合酶链式反应的分子方法在印度北部有症状妇女中的阴道毛滴虫患病率。
引言:滴虫病仍然是最常见的性传播感染之一,是可以治愈的。为了预防并发症和传播,及时、正确的诊断对治疗阴道毛滴虫至关重要。本研究旨在评估聚合酶链式反应(PCR)和其他常规技术对阴道曲霉菌感染的诊断,并基于PCR检测确定阴道分泌物妇女中阴道曲霉菌的患病率。方法:由经过培训的卫生保健专业人员使用FLOQSwabs采集阴道拭子™ (意大利科潘)在1974名有症状的女性的常规骨盆检查中。进行了湿显微镜、培养和PCR。结果:与PCR相比,湿贴和培养的敏感性分别为60.87%和56.52%。阴道T.vaginalis聚合酶链式反应的kappa评分一致性与湿式显微镜(κ=0.742)和培养物(κ=0.707)基本一致。聚合酶链式反应检测到另外17例常规技术遗漏的病例。讨论:这项研究强调了聚合酶链式反应在有症状女性中筛查阴道毛滴虫的重要性。
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25.00%
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34
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