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9.Trichomoniasis

Protocols


Trichomoniasis:


2. Symptoms

  • Women: Vaginal discharge (often frothy and yellow-green with a strong odor), vaginal itching or irritation, discomfort during intercourse, and painful urination.

  • Men: Often asymptomatic but can include urethral discharge, irritation inside the penis, and burning during urination or after ejaculation.

3. Diagnosis

  • Microscopic Examination: Direct examination of a saline wet mount to identify motile trichomonads.

  • Culture: The most sensitive method before the advent of nucleic acid amplification tests.

  • Nucleic Acid Amplification Tests (NAATs): These tests are now considered the gold standard due to their high sensitivity and specificity.

  • Rapid Antigen Tests: Provide results in approximately 10 minutes but are less sensitive than NAATs.



Rx:
1st Line : 
1.Tab. Flimet(Metronidazole) (400mg)
  • 5 tab stat orally single dose 
OR
Tab. Flamyd(Metronidazole) (500mg)
  • 1+0+1.......... 7 days 
2.Tab.Alben-DS
  • 1 TAB stat

Alternative drug:

Tab.T-ZOL(Tinidazole)(1gm)
  • 2 tab stat orally -single dose


In pregancy:

Tab.Flaymed (metronidazole)(500mg)
  • 1+0+1.......7 days 

Partner Notification and Treatment:

  • Sexual partners should be informed, tested, and treated to prevent re-infection.
  • Patients should avoid sexual intercourse until they and their partners have completed treatment and are symptom-free.



Advice :
  • maintain personal hygiene 
  • Use Protection: Always use condoms or dental dams during vaginal, anal, and oral sex.
  • Limit Sexual Partners: Reducing the number of sexual partners can lower the risk.
  • Regular Testing: Regular STI screenings for sexually active individuals help detect and treat infections early.
  • Communication: Discuss STI status and prevention methods with sexual partners.