The clinical diagnosis of trichomoniasis.

摘要: Two hundred twenty-six consecutive women attending an inner-city clinic for sexually transmitted diseases were evaluated. Problem-directed histories and physical examinations conducted vaginal specimens wet preparation Trichomonas vaginalis culture obtained from each patient. One patients found to be infected. Patients with multiple sex partners at increased risk of trichomoniasis (P less than .05). Those abnormal discharge noted on examination had a higher frequency positive cultures T .001). Only 50% discharge. greater 10 white blood cells per high power field preparation, regardless whether trichomonads visualized, incidence .01). Factors that not associated infection included patient age, coitus, date most recent day menstrual cycle which was examined, antibiotic use, use contraceptives or specific contraceptive methods, symptoms pruritus, the finding Leptothrix preparation. These data support contention classic description cannot uniformly relied upon diagnosis, but partners, and/or are by vaginalis.