Prevalence, Risk factors, and Clinical Findings of Candidiasis and Trichomoniasis in women supported with selected health center of Tabriz, 2004.

Abstract

Abstract: Background: Vulvovaginal candidiasis, bacterial vaginosis and Trichomoniasis include at least 90% of infectious vaginitis. Midwives have a primary role in prevention through patient education. The aim of this study was determining the prevalence, risk factor and clinical findings of candidiasis and Trichomoniasis in women supported with selected health centers of Tabriz. Material and Method: This is a descriptive and analytical study, in which 1000 women who had the specifications of investigation units were selected by random sampling of 12 selected health centers of Tabriz. A questionnaire were used to obtain their personal and reproductive informations, check list for clinical observations and culture methods (Sabura Agar and Diamond), for diagnosis vaginal infection s. PH of their vaginal discharges was determined. Data were analyzed by using SPSS 11.5, and frequency, mean and standard deviation, x2, fisher exact test, t student were used to analyze. Results: The prevalence of candidiasis and Trichomoniasis was 25.2%. Findings showed that, there is relationship between candidiasis infection and history of diseases, pH, number of coitus, number of delivery, number of vaginal delivery, breast feeding status, tip of last delivery and contraceptive Methods, also there is a relationship between Trichomoniasis and marriage age, personal health, coital health and vaginal PH. Statistically significant relationship was observed between candidiasis and clinical findings such as purities, purities with coitus, burning with coitus, dysuria in woman and her husband, dyspareunia, low abdominal pain, urinal symptoms, vaginal status, amount, consistency appearance and color of discharges. Also a significant relationship was observed between Trichomoniasis and dysuria, appearance and color of discharges. Conclusion: By according to with high prevalence of candidiasis and Trichomoniasis infections and many infected women as asymptomatic carriers, it seems necessary to pay more attention to these infections, and more efforts should be done in order to begin prevention. Midwives and other health professionals have an important role give in giving more information for women about infections and risk factors for improving their quality of life.