Hindawi Publishing Corporation
ISRN Infectious Diseases
Volume 2013, Article ID 485439, 5 pages
http://dx.doi.org/10.5402/2013/485439
Clinical Study
Trichomonas vaginalis Infection among Pregnant Women in
Jimma University Specialized Hospital, Southwest Ethiopia
Abdurehman Eshete, Zeleke Mekonnen, and Ahmed Zeynudin
Department of Medical Laboratory Science and Pathology, Jimma University, P.O. Box 409, Jimma, Ethiopia
Correspondence should be addressed to Abdurehman Eshete; abdurehman.eshete@ju.edu.et
Received 15 January 2013; Accepted 2 February 2013
Academic Editors: D. Bachani, K. Couper, M. A. De Souza, and T. Matsumoto
Copyright © 2013 Abdurehman Eshete et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Background. Trichomonas vaginalis is a sexually transmitted parasitic protozoan known to be responsible for an estimated 180
million new infections per year, making it the most prevalent nonviral sexually transmitted pathogen worldwide. Method. A cross-
sectional study design was conducted on vaginal swabs by wet mount and Modifed Columbia Agar culture technique in Jimma
University Specialized Hospital (JUSH), ANC clinic, Jimma, Ethiopia. Te study was done to assess the magnitude and associated
risk factors of T. vaginalis infection from December to May, 2011/2012. Result. A total of 361 pregnant women were involved in this
study. From these, 18 (4.98%) of the pregnant women were positive for T. vaginalis infection by Modifed Columbian Agar culture
technique. Education status (AOR = 0.186, 95% CI: 0.059–0.585, < 0.05), patients with dysuria (AOR = 0.180; 95% CI: 0.046–
0.704, < 0.05) and dyspareunia (AOR = 0.152; 95% CI: 0.035–0.667, < 0.05) were signifcantly associated with T. vaginalis
infection. Conclusion. Te prevalence of T. vaginalis infection at 4.89% is relatively high among young reproductive aged women.
Because this infection increases the risk of HIV transmission and is associated with adverse pregnancy outcomes, there is a need for
increased provision of health information concerning T. vaginalis to the community, educating women, screening, and treatment
of T. vaginalis infection in Ethiopia.
1. Introduction
Trichomonas vaginalis is a fagellated protozoan possessing
fve fagella, four of which are located at its anterior portion.
Te ffh fagellum is incorporated within the undulating
membrane of the parasite, which is supported by a slender
noncontractile costa. Tis parasite varies in size and shape,
with the average length and width being 13 and 10 m. Te
life cycle of T. vaginalis is simple and involves only the direct
transmission of viable trophozoite. Unlike many protozoan
parasites, it possesses trophozoite form and lacks cyst stage. It
has a cosmopolitan distribution and has been identifed in all
racial group and socioeconomic strata; however, it has been
encountered in every continent and climate, with no seasonal
variability. T. vaginalis infections are commonly associated
with other sexually transmitted diseases (STDs) [1, 2].
Trichomonas vaginalis, an anaerobic, parasitic, is the
causative agent of trichomoniasis and is the most common
pathogenic protozoan infection of humans in the industri-
alized countries. Te fagellate was originally considered a
commensal organism until the 1950s when the understanding
of its role as a sexually transmitted infection (STI) began to
evolve. Humans are the only known host with the trophozoite
transmitted via fomites. Both males and females are infected
but the majority of cases were reported among females
who also present with symptomatic infection than males. In
females, vaginitis is the most common manifestation of the
infection. Complications include the infection of the adnexa,
skin, endometrium, and Bartholin glands. Te pregnant
women infected with this parasite may be at risk of an adverse
birth out comes like postabortion or posthysterectomy infec-
tion, as well as infertility and enhanced predisposition to
neoplastic transformation in cervical tissues [3].
Trichomonas vaginalis is a sexually transmitted parasitic
protozoan known to be responsible for an estimated 180
million new infections per year, making it the most prevalent