Saudi Journal of Pathology and Microbiology (SJPM)
Volume-2 | Issue-08 | 269-275
Original Research Article
Prevalence and Factors Associated with Trichomonas vaginalis among HIV-1 Positive Women Attending Tertiary Hospital in Jos, Nigeria
Anejo-Okopi A. Joseph, Simji Gomerep, Okon E. Bassey, Ejeliogu U. Emeka, Okojokwu O. Julius, Okechalu Juliet, Mafuyai Sule, Efekamaraye Esther, Isa S. Ejiji
Published : Sept. 30, 2017
Abstract
Trichomonas vaginalis amongst other STIs facilitate the natural history of
HIV infection and may play an important role in the transmission dynamics of HIV.
In this study we determined the prevalence of T. vaginalis infection and associated
risk factors among HIV-1 infected women attending antiretroviral treatment Center at
Jos University of Teaching Hospital. The study was a cross sectional survey of 168
HIV-1 infected women who presented to the STI clinic with symptoms and/or without
symptoms of T. vaginalis infection from November 2015 to January 2016 after
obtained informed consent. Demographic data and high vaginal swabs were collected
by trained nurse. The samples were examined by light Microscope to identify T.
vaginalis, Candida species and bacterial vaginosis. Of 168 HIV-1 infected women, 87
(51.8%) were positive for T. vaginalis infection. The rate of co-infection of T.
vaginalis with bacterial vaginosis, Candidiasis was 44.8% and 5.7% respectively,
both showed no statistical significance, P=0.360. The highest prevalence of T.
vaginalis infection 29.8% was among individuals in the 30-41 years age group while
the lowest 3.05% was among individuals in the 54-65 years age group. In the
univariate analyses; age, occupation, educational status, marital status, previous
history of STI, condom use, multiple sexual partners, pregnancy, ART status and
symptoms manifestations showed no significant association, but in multivariate
analyses, history of STI , symptoms manifestations showed significant association
with p>0.05. The high prevalence of T. vaginalis highlights the need for routine
screening among HIV-infected women.