Tình hình và yếu tố liên quan đến nhiễm Trichomonas vaginalis ở phụ nữ khám phụ khoa tại Trung tâm Y tế Cẩm Mỹ năm 2025 - 2026

Abstract

Trichomonas vaginalis is a common cause of genital tract infection. This cross-sectional study included 263 females receiving gynecological care at Cam My Medical Center from June 2025 to January 2026, aiming to determine the prevalence and associated factors of Trichomonas vaginalis infection. The prevalence of Trichomonas vaginalis infection was 7.6%. Multivariable analysis identified vaginal douching (adjusted odds ratio [aOR] = 35.8; 95% confidence interval [CI]: 8.51 – 151.18; p < 0.001), lack of genital hygiene after sexual intercourse (aOR = 9.58; 95% CI: 2.19 – 41.84; p = 0.003), cervicitis (aOR = 9.44; 95% CI: 1.63 – 54.60; p = 0.012), and elevated vaginal leukocytes on microscopy (3+) (aOR = 3.89; 95% CI: 1.03 – 14.70; p = 0.045) as independent factors associated with Trichomonas vaginalis infection. In contrast, yellow-green frothy vaginal discharge and HIV infection were not significantly associated in the multivariable model. In conclusion, the prevalence of Trichomonas vaginalis infection was 7.6% among women receiving gynecological care. Behavioral, clinical, and laboratory factors, particularly vaginal douching, inadequate post-coital hygiene, cervicitis, and high vaginal leukocyte counts, were independently associated with infection, providing useful guidance for targeted microbiological testing.