T. vaginalis, insanin ürogenital sisteminde yasayan, kamçili bir protozoon olup, ürogenital sistemdeki parazitligine
Trichomoniosis denir.
T. vaginalis monoksen bir parazittir ve kesin konagi insandir, insandan insana baslica cinsel iliskiyle dogrudan
bulasir. Hastalik bu nedenle yasam tarzina bagli olarak farkli insidans göstermektedir.
Bu çalismada, Malatya Adafi Frengi ve Lepra Savas Merkezine gelen ve pavyonlarda konsomatris olarak çalisan 33
kadinda T. vaginalis insidansi arastirilmistir.
Olgular jinekolojik muayene ile degerlendirilmis, ayrica alinan dogum kontrol yöntemleri sorgulanmis ve vaginal
akinti örnekleri direkt mikroskopi, Giemsa boyama ve kültür yöntemleriyle [ cycteine- peptone- liver- maltose
(CPLM) ] incelenmistir. 14 olguda (% 42.4) T. vaginalis görülmüstür. Tani yöntemleri arasinda fark
gözlenmemistir.
Jinekolojik muayene ile lezyon saptanan 25 olgunun 14 tanesinde T. vaginalis saptanmis, diger saglikli 11 olguda T.
vaginalis saptanmamistir. Ayrica dogum kontrol yöntemlerine göre korunmayan 27 kadinin 17’sinde, RIA kullanan
3 kadinin 1’inde ve oral kontraseptif kullanan 3 kadinin 1’inde T. vaginalis belirlenmistir.
Olgu sayisinin azligi nedeni ile uygulanan dogum kontrol yönteminin insidansa etkisi belirlenememistir. T.
vaginalis’in konsomatris olarak çalisip, jinekolojik sikayeti olan kadinlarda daha sik görüldügü saptanmistir.
T. vaginalis is a flagellated protozoon which lives in the urogenital system of human and causes of Trichomoniosis.
T. vaginalis is a monoksen parasite and its definite host is human and usually transmitted with sexual contact. So
incidence changes due to life style.
This study was made to determine the T. vaginalis incidence on 33 bar girls that came to Malatya Adafi Syphilis
and Lepra Preventorium.
Women were examined by using gynecologic evaluation, saline wet mount and Giemsa staining techniques and
cultivating of vaginal specimens. In addition the contraception methods ingiven were evaluated.
In 14 (42%) of 25 women of whom lesions were observed in gynecological exam were found to be infected while
remaining healthy 11 women were found to be uninfected. Trichomoniosis clinical findings were observed in 25
women and all of the infected women were from this group. From the point of contraception methods, 27
women used none, 3 women have used intrauterin device and another, 3 oral contraceptives Trichomoniosis has
been seen in 17,1 and 1 cases respectively.
The correlation between Trichomoniosis and contraception methods could not been determined because of the
small number of cases. The incidance of T.vaginalis in bar girls that have gynecological complaints was found to
be higher.