TRICHOMONIASIS VAGINALIS

TRICHOMONIASIS VAGINALIS

 

Definition :
Infection caused by Trichomonas vaginalis.

Trichomonas Vaginalis
• Shaped ovoid
• Size 10-20 mmikron
• Has four flagella movement Dengah
• Perform attachment to the mucous membranes
• It anaerobic.

Pathogenesis
• Infection of the most genito urinary tract.
• Women most of the vagina.
• Can the urethra and Skene kel.
• Isolation of the bladder
• Men more in-urethra.
• Symptoms can be asymptomatic, mild symptoms, to acute and    severe inflammation.
• Secretion contains many pmnl
• The smell is like a fishy fish.
• Women> Men (asymptomatic)
• Sexual and Non-Sexual Transmission
• Non-venereal transmission in infants
• Survive for 45 minutes in the toilet, tub of water.

Occurred In Women
Incubation period: 5-28 days
Complaints and symptoms
• Symptoms (20% -50%).
• complaints and symptoms:
   - Vaginal secretions little to much diluted
   - Yellow / greenish foamy (10% - 30%) à classical
   - Smelling.
   - Vulvitis and vaginitis.
   - When the number of germs aplenty → strawberry cervix (2%)
   - Discomfort in the lower abdomen.

Occurred In Men
Complaints and symptoms :
• a female partner who is infected
• complaints and symptoms:
   - Urethritis light
   - Asymptomatic



LABORATORY
In women:
• vaginal pH > 5
• Test amin / whiff test can be positive
• Microscopic (wet preparation):
  - Looks Trichomonas vaginalis with the movement "flagella" typical

In men:
• Urine Sediment: Trichomonas vaginalis

MANAGEMENT
• Metronidazole 2 x 500 mg po (7 days)
                 or
   2 g po single dose
• Sexual partners should be treated
• In pregnancy:
  - The entire period of pregnancy: Metronidazole 2g single dose po

COMPLICATIONS
Pregnant women:
• premature parturition
• Low Birth Weight Babies