International Journal of Biotechnology and Microbiology
21
International Journal of Biotechnology and Microbiology
Onlien ISSN: 2664-7680; Print ISSN: 2664-7672
Received: 05-11-2018; Accepted: 07-12-2018
www.biotechnologyjournals.com
Volume 1; Issue 1; January 2019; Page No. 21-25
Prevalence and correlates of Trichomonas vaginalis infection in women attending antenatal clinic in
Jos, Plateau State, Nigeria
Ocheme Julius Okojokwu
1
*, Bashiru Shafa Abubakar
2
, Nanlop Ladul Mwankat
3
, Ibrahim Abubakar Yusuf
4
, Entonu
Elijah Entonu
5
, Innocent A Onaji
6
, Francis Ofuowoicho Ukah
7
1, 3, 5, 7
Department of Microbiology, Faculty of Natural Sciences, University of Jos, Plateau State, Nigeria
2
Department of Zoology, Faculty of Natural and Applied Sciences, Nasarawa State University, Keffi, Nasarawa State, Nigeria
4
Department of Microbiology, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Nigeria
6
Department of Pharmaceutical Microbiology, Faculty of Pharmaceutical Sciences, University of Jos, Plateau State, Nigeria
Abstract
Background: Trichomonas vaginalis is the most common, treatable or curable non-viral sexually transmitted infection (STI) with
an annual incidence of more than 170 million cases worldwide.
Objectives: The study was carried out to determine the prevalence of Trichomonas vaginalis infection and the associated risk
factors associated among pregnant women attending antenatal clinic in Plateau State Specialist Hospital Jos.
Methods: This cross-sectional study was carried out with a total of 300pregnant women who consented to participate in the study.
Urine samples were collected from the consenting pregnant women and analysed microscopically. Information on
sociodemographic and risk factors were collected via structured questionnaire and analysed statistically.
Results: Prevalence of T. vaginalis infection was found to be 22.0% in this study. The studied population had a mean age of 28.49
years with the infection most prevalent among women in the 3
rd
trimester of their pregnancy (24.1%). Women who admitted to
having had stillbirths/miscarriages had the highest prevalence of the infection (33.3%). Trichomonas vaginalis was found (32.1%)
among women with vaginal discharge.
Conclusion: Trichomonas vaginalis infection is prevalent in Jos with 22.0% prevalence among women attending antenatal clinic
in plateau State Specialist Hospital. Enlightenment on good personal hygiene as well as education on safe sexual practices are
recommended.
Keywords: Trichomonas vaginalis, pregnant women, pregnancy, jos
1. Introduction
Trichomonas vaginalis is an anaerobic flagellated protozoan
parasite that infects the human urogenital tract and the
causative agent of trichomoniasis (Mahmoud et al., 2015)
[15]
.
It is the most common, treatable or curable non-viral sexually
transmitted infection (STI) with an annual incidence of more
than 170 million cases worldwide (Muzny et al., 2013,
Okojokwu et al., 2015)
[19, 20]
. According to the World Health
Organisation (WHO) an estimated 276.4 million new cases of
trichomoniasis occurred globally in 2008 making it more
prevalent than gonorrhea and Chlamydia, however, this is
predominantly in developing countries (WHO, 2012)
[27]
.
Humans are the only known host, with the trophozoite
transmitted via direct, skin-to-skin contact with an infected
individual, primarily through vaginal sexual intercourse
(Wilkerson, 2011, Mosab, 2018)
[11, 18]
. Transmission via
formites is rarely established.
The infection is more common in women than in men and
older women are more likely to be infected than younger
women (Johnson and Mabey, 2008)
[10]
. Trichomoniasis is
often asymptomatic in men, however more than half of the
infected women manifests symptoms such as; vaginal
discharge (which can be white, gray, yellow, or green, and
usually frothy with an unpleasant smell), vaginal spotting or
bleeding, genital burning or itching, genital redness or
swelling, frequent urge to urinate and pain during urination or
sexual intercourse.
Adverse effects of this infection are significant during
pregnancy leading to pre-labour rupture of membranes,
preterm delivery, and low birth weight. Infections can also
occur after abortion and caesarean delivery (pneumonia and
conjunctivitis). In addition, infants with Trichomonas
vaginalis cultured from nasopharyngeal secretions have been
reported to present with significant respiratory distress (David
et al., 2003)
[4]
. Trichomonas vaginalis infection has been
associated with an increased risk of transmission of other
STIs, including human immunodeficiency virus (HIV) (Buvé
et al., 2001, McClelland et al., 2007; Kissinger and Adamski,
2013)
[17, 13]
.
Higher prevalence is observed among persons with multiple
sexual partners, poor sexual activity hygiene, poor personal
hygiene, low socio-economic status and presence of other
venereal diseases (Iwueze et al., 2014).This high prevalence
has been reported in many states of Nigeria including Lagos
(Adeoye and Akande, 2007)
[2]
, Plateau (Okojokwu et al.,
2015)
[20]
, Maiduguri (Mairiga et al., 2011)
[16]
, Anambra