Trichomonisis

Most common cause of vaginitis in childbearing age gp.

Organism.
-Actively motile n 4 ant n 1     post flagella.
-Types
  T vaginalis-in vagina
  T hominis -in anal canal n      rectum
  T buccalis- mouth
-In men : urethra n prostate
.
Transmission
1) sexual contact.
2) infected material
3) inadequate hygiene

C/F
1) Discharge - profuse thin      greenish n frothy- diagnostic
2) Tender vaginal wall
3) Strawberry vagina-           punctate spots on vaginal    vault n portio vaginalis.
4) urinary symptms: dysuria n    low grade urethritis.
5) abdominal pain  low           backache n dyspareunia.

DIAGNOSIS
1)  Hanging drop preparation.
   Temp shud be 35 deg.
2) Culture in Kupferberg's or     Feinberg Whittington med.
3) PCR n antigen testing.

Rx
 METRONIDAZOLE-
 200 mg tab tds 4 1wk after   meal for both parteners n    use condom during therapy.
OR 2 g for 1 day at nt.

Other: tinidazole secnidazole. Ornidazole.
- Recurrent inf. :- tinidazole     500mg qid n vaginal           pessary 500mg bd 4 14       days.
- Breast feeding                 Contraindicated during