Diagnosis of Trichotomies Vaginalis in Reproductive age Group Libyan Ladies in Benghazi City using OSOM Rapid Test

Abstract

Trichomonas Vaginosis is a protozoal infestation considered among sexually transmitted diseases with a prevalence rate variable across societies and regions. Such infection is associated with some gynecological trouble and affects adversely the quality of life of women. The aim of the study is to study the prevalence of Trichomonas vaginalis infection using OSOM test ™. Two hundred women were investigated with history, speculum examination and OSOM test. The prevalence of Trichomonas infection was 4.0% with another 0.5% inconclusive result. The conservative nature and hygienic practice among the Libyan population may help in the lower prevalence of TV infection. But the prevalence is still high in comparison to some other countries in the Mediterranean region. History of irregular cycle and also Co-morbidities with hypertension, diabetes mellitus, polycystic ovarian syndrome and thyroid disorder as well as findings of whitish discharge and Odorous discharge have no statistically significant association with positive result. Frothy discharge was higher in positively testing with a statistically significant association and sensitivity as well as specificity and negative predictive value of the finding of frothy secretion were 100.0%, while the positive predictive value was 72.7%. The OSOM test should be available for use in maternity centers and women health clinics. A careful history and clinical findings should be obtained from the clinician. A further well designed study may be worthy to examine other characteristics might be related to the Trichomonas infection across different groups of women.