A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections

Background: Trichomoniasis and recurrent urinary tract infections (UTIs) shared similar risk factors, age distribution and overlapping symptoms. The aim of this study was to determine the prevalence of Trichomonas vaginalis (TV) in women with recurrent UTIs, attending a urology clinic in a medical c...

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Main Authors: Po-Chih Chang, Yu-Chao Hsu, Ming-Li Hsieh, Shih-Tsung Huang, Hsin-Chieh Huang, Yu Chen
Format: Article
Language:English
Published: Elsevier 2016-08-01
Series:Biomedical Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417016301809
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author Po-Chih Chang
Yu-Chao Hsu
Ming-Li Hsieh
Shih-Tsung Huang
Hsin-Chieh Huang
Yu Chen
author_facet Po-Chih Chang
Yu-Chao Hsu
Ming-Li Hsieh
Shih-Tsung Huang
Hsin-Chieh Huang
Yu Chen
author_sort Po-Chih Chang
collection DOAJ
description Background: Trichomoniasis and recurrent urinary tract infections (UTIs) shared similar risk factors, age distribution and overlapping symptoms. The aim of this study was to determine the prevalence of Trichomonas vaginalis (TV) in women with recurrent UTIs, attending a urology clinic in a medical center, in order to inform screening and treatment policies. Methods: Women with recurrent UTIs, defined as the presence of lower urinary tract symptoms (dysuria, frequency and urgency) and three positive urine cultures on voided urine specimens in the previous year, were enrolled prospectively from January 2013 to April 2014. Urine samples were collected for culture and tested for TV using immunochromatographic strip. Outpatient follow-up was arranged to diagnose any symptomatic UTI recurrence. Results: Sixty-five women were recruited. Mean age was 57.4 ± 14.3 year-old and follow-up duration was 9.5 ± 4.0 months. The prevalence of TV was 16.9% (11/65). Eight women had UTI recurrence in the follow-up period. Recurrence rate did not differ in patients with and without concomitant TV infection. Conclusions: Given the high prevalence of TV, we suggest that testing for TV should be considered in women with recurrent UTIs. Further larger studies are needed to evaluate the potential benefit of treating TV in this group of patients. Keywords: Prevalence, Trichomonas vaginalis, Urinary tract infection, Women
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spelling doaj.art-6729d124c40e4203816cc70cf21ad7722022-12-22T03:59:58ZengElsevierBiomedical Journal2319-41702016-08-01394289294A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infectionsPo-Chih Chang0Yu-Chao Hsu1Ming-Li Hsieh2Shih-Tsung Huang3Hsin-Chieh Huang4Yu Chen5Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, TaiwanCorresponding author. Department of Urology, Chang Gung Memorial Hospital at Linkou, 5, Fusing St., Gueishan, Taoyuan 333, Taiwan. Tel.: +886 3 3281200; fax: +886 3 3285818.; Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, TaiwanBackground: Trichomoniasis and recurrent urinary tract infections (UTIs) shared similar risk factors, age distribution and overlapping symptoms. The aim of this study was to determine the prevalence of Trichomonas vaginalis (TV) in women with recurrent UTIs, attending a urology clinic in a medical center, in order to inform screening and treatment policies. Methods: Women with recurrent UTIs, defined as the presence of lower urinary tract symptoms (dysuria, frequency and urgency) and three positive urine cultures on voided urine specimens in the previous year, were enrolled prospectively from January 2013 to April 2014. Urine samples were collected for culture and tested for TV using immunochromatographic strip. Outpatient follow-up was arranged to diagnose any symptomatic UTI recurrence. Results: Sixty-five women were recruited. Mean age was 57.4 ± 14.3 year-old and follow-up duration was 9.5 ± 4.0 months. The prevalence of TV was 16.9% (11/65). Eight women had UTI recurrence in the follow-up period. Recurrence rate did not differ in patients with and without concomitant TV infection. Conclusions: Given the high prevalence of TV, we suggest that testing for TV should be considered in women with recurrent UTIs. Further larger studies are needed to evaluate the potential benefit of treating TV in this group of patients. Keywords: Prevalence, Trichomonas vaginalis, Urinary tract infection, Womenhttp://www.sciencedirect.com/science/article/pii/S2319417016301809
spellingShingle Po-Chih Chang
Yu-Chao Hsu
Ming-Li Hsieh
Shih-Tsung Huang
Hsin-Chieh Huang
Yu Chen
A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
Biomedical Journal
title A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
title_full A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
title_fullStr A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
title_full_unstemmed A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
title_short A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
title_sort pilot study on trichomonas vaginalis in women with recurrent urinary tract infections
url http://www.sciencedirect.com/science/article/pii/S2319417016301809
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