Genotyping of Trichomonas vaginalis isolates in Iran by using single stranded conformational polymorphism-PCR technique and internal transcribed spacer regions.

Infection with Trichomonas vaginalis, the causative agent of human urogenital infection, is the most prevalent nonviral sexually transmitted disease worldwide. In spite of the high prevalence and medical importance of trichomoniasis, there is little knowledge about genetic epidemiology and genetic characterisation of this parasite. For this purpose, a Single Stranded Conformation Polymorphism-PCR (SSCP-PCR) typing method was conducted for Iranian T. vaginalis isolates using 5.8s ribosomal gene (rRNA gene) and the flanking internal transcribed spacer (ITS) regions. Nine hundred and fifty vaginal swab samples were examined in which 50 (5.3%) samples were parasitologically positive and used for molecular identification based on SSCP-PCR and nucleotide sequence analyses. Results of the SSCP analysis showed two distinct reproducible banding patterns (I, II) which were confirmed by nucleotide sequence analysis in the ITS1 regions. Frequencies of the SSCP banding patterns I and II were 84% (42/50) and 16% (8/50), respectively. In conclusion, SSCP-PCR analysis provided a reliable and sensitive method for strain genotyping of T. vaginalis based on the ITS1/5.8s/ITS2 region. This finding may help us gain more information about correlation between genetic properties and biological features of this parasite.

Prevalence of Trichomonas vaginalis Infection in Hamadan City, Western Iran.

BACKGROUND: Infection with Trichomonas vaginalis is one of the most common sexually transmitted diseases (STDs) in humans. The prevalence of infection in Iran has been reported between 2 to 8%, depending on deferent socio-cultural conditions. This study aimed to determine the prevalence of T. vaginalis in women referred to gynecologic clinics in Hamadan city, West of Iran. METHODS: This descriptive cross-sectional study was conducted on 750 women who referred to Gynecologic clinics in Hamadan from November 2010 to July 2011. Vaginal samples were obtained from them and examined by wet mount and culture methods for the detection of T. vaginalis. RESULTS: Sixteen out of 750 vaginal swab specimens (2.1%) were culture positive for T. vaginalis and 13 of these positive specimens (1.7%) were wet mount positive. Only 12 of 42 patients who were clinically diagnosed as having T. vaginalis infection, confirmed by culture method. Five hundred and fifty of the participants women (73.3%) had at least one of signs and symptoms of trichomoniasis. No statistical correlation was observed between clinical manifestations and parasitological results (p>0.05). CONCLUSION: This study showed low prevalence of T. vaginalis infection in the study population. Since clinical signs of trichomonal vaginitis are the same of other STDs, a confirmatory laboratory diagnosis is necessary. Wet smear as well as culture are sensitive for detection of T. vaginalis.

Comparison of Resistant and Susceptible Strains of Trichomons vaginalis to Metronidazole Using PCR Method.

BACKGROUND: Metronidazole is drug of choice recommended by WHO for treatment of trichomoniasis, however, some reports claims drug resistance in Trichomonas vaginalis isolates recently. The objective of this study was to determine the minimum lethal concentration (MLC) of metronidazole in resistant and sensitive strains, as well as genetic patterns of these stains by PCR method. METHODS: From February 2006 to March 2007, in a cross sectional study, clinical and wet mount examination of vaginal smear along with culture were performed on 683 women attending to public and private outpatient clinics in Hamadan. Trichomoniasis marked based on major clinical symptoms. Diagnosis confirmed using wet mount microscopically and culture in Diamond medium. A serial concentration of metronidazole was provided and all isolated Trichomonas strains (resistant and sensitive) tested by standard method. Finally, all sensitive and resistant strains examined by PCR technique. RESULTS: Only 15/683, (2.2%) of patients clinically diagnosed trichomonal vaginitis were positive for T. vaginalis by wet smear and culture. The minimum lethal concentration (MLC) for clinically sensitive isolates was 25 µg/ml; however, this concentration for resistant isolates was 200 µg/ml after 24 h and 100 µg/ml after 50 h. The results of PCR examination of DNA from sensitive and resistant isolates had same pattern. The lanes appeared by two primers were 98 bp and 261 bp for both clinically sensitive and resistant strains. CONCLUSION: Resistance to metronidazole in T. vaginalis has not relation to genetic variations and might be related to some physiologic pathways of organism.

Seroepidemiology of toxoplasmosis in primigravida women in Hamadan, Islamic Republic of Iran, 2004.

We determined the prevalence of Toxoplasma antibodies in 576 primigravid women randomly selected from health houses in Hamadan. The relationship between positivity and some risk factors was assessed. Data were collected by questionnaire and blood samples examined for Toxoplasma antibodies by indirect fluorescent antibody test. Of the 576 women, 193 (33.5%) were positive for Toxoplasma antibodies (titre > or = 1:20). Age, consumption of fresh undercooked meat and frequent consumption of raw vegetables were statistically significantly associated with higher infection rates. Educational level, touching cats, handling raw meat, farming, method of washing vegetables and consumption of raw milk and eggs were not associated with infection.

Seroepidemiology of toxoplasmosis in primigravida women in Hamadan, Islamic Republic of Iran, 2004

We determined the prevalence of Toxoplasma antibodies in 576 primigravid women randomly selected from health houses in Hamadan. The relationship between positivity and some risk factors was assessed. Data were collected by questionnaire and blood samples examined for Toxoplasma antibodies by indirect fluorescent antibody test. Of the 576 women, 193 [33.5%] were positive for Toxoplasma antibodies [titre >/= 1:20]. Age, consumption of fresh undercooked meat and frequent consumption of raw vegetables were statistically significantly associated with higher infection rates. Educational level, touching cats, handling raw meat, farming, method of washing vegetables and consumption of raw milk and eggs were not associated with infection