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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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Autores principales: Chang, Po-Chih, Hsu, Yu-Chao, Hsieh, Ming-Li, Huang, Shih-Tsung, Huang, Hsin-Chieh, Chen, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chang Gung University 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139873/
https://www.ncbi.nlm.nih.gov/pubmed/27793272
http://dx.doi.org/10.1016/j.bj.2015.11.005
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author Chang, Po-Chih
Hsu, Yu-Chao
Hsieh, Ming-Li
Huang, Shih-Tsung
Huang, Hsin-Chieh
Chen, Yu
author_facet Chang, Po-Chih
Hsu, Yu-Chao
Hsieh, Ming-Li
Huang, Shih-Tsung
Huang, Hsin-Chieh
Chen, Yu
author_sort Chang, Po-Chih
collection PubMed
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.
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spelling pubmed-61398732018-09-27 A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections Chang, Po-Chih Hsu, Yu-Chao Hsieh, Ming-Li Huang, Shih-Tsung Huang, Hsin-Chieh Chen, Yu Biomed J Original Article 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. Chang Gung University 2016-08 2016-09-16 /pmc/articles/PMC6139873/ /pubmed/27793272 http://dx.doi.org/10.1016/j.bj.2015.11.005 Text en © 2016 Chang Gung University. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Chang, Po-Chih
Hsu, Yu-Chao
Hsieh, Ming-Li
Huang, Shih-Tsung
Huang, Hsin-Chieh
Chen, Yu
A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections
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
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139873/
https://www.ncbi.nlm.nih.gov/pubmed/27793272
http://dx.doi.org/10.1016/j.bj.2015.11.005
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