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العنوان
Epidemiological Study of Chlamydia and Trichomonas Infections among Married Females Attending Some Health Care Centres in Cairo
المؤلف
Abd Alla Abd El Nasser,Hala
هيئة الاعداد
باحث / Hala Abd Alla Abd El Nasser
مشرف / Mohsen Abd Elhamed Gadalla
مشرف / Iman Ibrahim salama
مشرف / Naness Ahmed Gad
مشرف / Ihab Shehad Habil
الموضوع
Sexually Transmitted Diseases Prevention -
تاريخ النشر
2010
عدد الصفحات
145.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الصحة العامة والصحة البيئية والمهنية
تاريخ الإجازة
1/1/2010
مكان الإجازة
جامعة عين شمس - كلية الطب - Public Health
الفهرس
Only 14 pages are availabe for public view

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from 146

Abstract

Reproductive tract infections (RTIs) are one of the main causes of morbidity in the world and sexually transmitted infections (STIs) can give rise to severe sequels. Chlamydia trachomatis is a bacterial STI which has been the target of potential screening programmes because of its seriousness, high prevalence and availability of control measures. Trichomonas vaginalis infection is a common sexually transmitted protozoal infection and is associated with several adverse health outcomes.
Collecting data on prevalence of the STDs and its determinants provide the planners with necessary information to raise this issue in their priority and effectively implement the already agreed on and adopted concept of integration of STDs in the primary health care activities.
Also raising awareness of sexually active females about RTIs/STDs and their preventive measures is very effective strategy for prevention and control of such infections.
The current study was a cross section descriptive study for estimation of the prevalence of Chlamydia Trachomatis and Trichomonas Vaginalis among married women in Cairo and determining possible risk factors associated with these STDs. knowledge, Attitude and Practice (KAP) of the participating women about STDs were assessed followed by health education intervention. Reevaluation of KAP measures was done 6 months after the intervention.
The study was conducted in 4 health care centers in Greater Cairo and included 362 married non pregnant women in the age group 15-49 voluntarily participated in the study and filled in an interview questionnaire to collect their socio-demographic data, obstetric history, history of contraception and present and past medical history. Urine samples and vaginal swabs were collected from the study subjects. PCR test for the collected urine samples for diagnoses of chlamydia trachomatis and Wet mount microscopical examination for the vaginal swabs for diagnoses of Trichomonas Vaginalis were carried out.
The following results were reported:
1- Prevalence of Chlamydia Infection among study subjects was 11.4%.
2- No cases of Trichomonas Vaginalis were diagnosed .
3- Age group <35ys , elder marital age, low parity, last delivery at health care setting and history of ectopic pregnancy were found to be significantly associated with Chlamydia Infection.
4- Percentage of +ve Chlamydia cases were higher among educated group but the difference didn’t reach significance level, I was also slightly higher among housewives.
5- No association was detected between presence of chlamydia infection and uses of IUD or hormonal contraceptive
6- There was no agreement between chlamydia infection and self reported RTI symptoms.
7- Statistical significant difference between pre and post education KAP measures was recorded for all items except the female attitude toward abnormal vaginal discharge.
8- RTI awareness was found to be significantly higher with higher level of education and among working women.
9- Subjects with RTI awareness reported significantly better attitude and behaviors towards RTI and significantly less self reported RTI symptoms