Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain

More than one million sexually transmitted infections (STIs) occur every day, and <i>Trichomonas vaginalis</i> is responsible for more than 156 million cases each year worldwide. Nevertheless, epidemiological studies of this parasite in Europe are scarce. The aim of this study was to eva...

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Main Authors: Celia Bolumburu, Vega Zamora, María Muñoz-Algarra, Maria Luisa de la Cruz Conty, José Antonio Escario, Alexandra Ibáñez-Escribano
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/12/3/620
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author Celia Bolumburu
Vega Zamora
María Muñoz-Algarra
Maria Luisa de la Cruz Conty
José Antonio Escario
Alexandra Ibáñez-Escribano
author_facet Celia Bolumburu
Vega Zamora
María Muñoz-Algarra
Maria Luisa de la Cruz Conty
José Antonio Escario
Alexandra Ibáñez-Escribano
author_sort Celia Bolumburu
collection DOAJ
description More than one million sexually transmitted infections (STIs) occur every day, and <i>Trichomonas vaginalis</i> is responsible for more than 156 million cases each year worldwide. Nevertheless, epidemiological studies of this parasite in Europe are scarce. The aim of this study was to evaluate the impact that the COVID-19 pandemic may have had in the diagnosis and epidemiology of trichomoniasis. All available data from January 2018 to December 2021 for <i>T. vaginalis</i> isolation on gynecologic patients attending a Spanish Tertiary Hospital were analyzed. Pre-pandemic results (2018–2019) were compared to pandemic results (2020–2021). The pre-pandemic <i>T. vaginalis</i> prevalence in women was 1.15% (95% Confidence Interval, CI: 0.94–1.41), and significantly decreased in 2020–2021 (0.77%, 95% CI: 0.57–1.03; <i>p</i> = 0.025). Demographic nor clinical characteristics of women diagnosed with trichomoniasis did not statistically differ between the periods, although an increase in chlamydia co-infected patients was observed in the latest (from 8% in 2018–2019 to 19% in 2020–2021). This study has detected a decrease in the diagnosis of trichomoniasis; however, this is probably due to the increase in the healthcare pressure triggered by the pandemic. More than 75% of the cases diagnosed in 2021 occurred in the second half, which suggests that special attention should be given to the evolution in the coming years once normality has been restored in hospitals. Moreover, these results warn of the lack of routine diagnosis of trichomoniasis during pregnancy and the absence of specific protocols for possible co-infections, which could become a strategy to reduce the growing trend of STIs, including <i>T. vaginalis</i> detection, as an interesting marker of sexual risk behaviors.
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spelling doaj.art-f0c16cfe5fe549d9822351e36eeeb0d92024-03-27T13:56:01ZengMDPI AGMicroorganisms2076-26072024-03-0112362010.3390/microorganisms12030620Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, SpainCelia Bolumburu0Vega Zamora1María Muñoz-Algarra2Maria Luisa de la Cruz Conty3José Antonio Escario4Alexandra Ibáñez-Escribano5Departamento de Microbiología y Parasitología, Facultad de Farmacia, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, 28040 Madrid, SpainServicio de Microbiología y Parasitología Clínica, Hospital Universitario Puerta de Hierro-Majadahonda, C. Joaquín Rodrigo, 1, 28222 Madrid, SpainServicio de Microbiología y Parasitología Clínica, Hospital Universitario Puerta de Hierro-Majadahonda, C. Joaquín Rodrigo, 1, 28222 Madrid, SpainDepartamento de Estadística e Investigación Operativa, Facultad de Medicina, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, 28040 Madrid, SpainDepartamento de Microbiología y Parasitología, Facultad de Farmacia, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, 28040 Madrid, SpainDepartamento de Microbiología y Parasitología, Facultad de Farmacia, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, 28040 Madrid, SpainMore than one million sexually transmitted infections (STIs) occur every day, and <i>Trichomonas vaginalis</i> is responsible for more than 156 million cases each year worldwide. Nevertheless, epidemiological studies of this parasite in Europe are scarce. The aim of this study was to evaluate the impact that the COVID-19 pandemic may have had in the diagnosis and epidemiology of trichomoniasis. All available data from January 2018 to December 2021 for <i>T. vaginalis</i> isolation on gynecologic patients attending a Spanish Tertiary Hospital were analyzed. Pre-pandemic results (2018–2019) were compared to pandemic results (2020–2021). The pre-pandemic <i>T. vaginalis</i> prevalence in women was 1.15% (95% Confidence Interval, CI: 0.94–1.41), and significantly decreased in 2020–2021 (0.77%, 95% CI: 0.57–1.03; <i>p</i> = 0.025). Demographic nor clinical characteristics of women diagnosed with trichomoniasis did not statistically differ between the periods, although an increase in chlamydia co-infected patients was observed in the latest (from 8% in 2018–2019 to 19% in 2020–2021). This study has detected a decrease in the diagnosis of trichomoniasis; however, this is probably due to the increase in the healthcare pressure triggered by the pandemic. More than 75% of the cases diagnosed in 2021 occurred in the second half, which suggests that special attention should be given to the evolution in the coming years once normality has been restored in hospitals. Moreover, these results warn of the lack of routine diagnosis of trichomoniasis during pregnancy and the absence of specific protocols for possible co-infections, which could become a strategy to reduce the growing trend of STIs, including <i>T. vaginalis</i> detection, as an interesting marker of sexual risk behaviors.https://www.mdpi.com/2076-2607/12/3/620<i>Trichomonas vaginalis</i>COVID-19prevalencepregnancyco-infections
spellingShingle Celia Bolumburu
Vega Zamora
María Muñoz-Algarra
Maria Luisa de la Cruz Conty
José Antonio Escario
Alexandra Ibáñez-Escribano
Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain
Microorganisms
<i>Trichomonas vaginalis</i>
COVID-19
prevalence
pregnancy
co-infections
title Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain
title_full Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain
title_fullStr Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain
title_full_unstemmed Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain
title_short Impact of COVID-19 Pandemic on the Trends of <i>Trichomonas vaginalis</i> Infection in a Tertiary Hospital of Madrid, Spain
title_sort impact of covid 19 pandemic on the trends of i trichomonas vaginalis i infection in a tertiary hospital of madrid spain
topic <i>Trichomonas vaginalis</i>
COVID-19
prevalence
pregnancy
co-infections
url https://www.mdpi.com/2076-2607/12/3/620
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