title: A pilot study on Trichomonas vaginalis in women with recurrent urinary tract infections.
abstract: Trichomoniasis and recurrent urinary tract infections (UTIs) shared similar risk factors, age distribution and overlapping symptoms. The aim of this study was to determine the prevalence of Trichomonas vaginalis (TV) in women with recurrent UTIs, attending a urology clinic in a medical center, in order to inform screening and treatment policies.
  
  
  
  Women with recurrent UTIs, defined as the presence of lower urinary tract symptoms (dysuria, frequency and urgency) and three positive urine cultures on voided urine specimens in the previous year, were enrolled prospectively from January 2013 to April 2014. Urine samples were collected for culture and tested for TV using immunochromatographic strip. Outpatient follow-up was arranged to diagnose any symptomatic UTI recurrence.
  
  
  
  Sixty-five women were recruited. Mean age was 57.4 ± 14.3 year-old and follow-up duration was 9.5 ± 4.0 months. The prevalence of TV was 16.9% (11/65). Eight women had UTI recurrence in the follow-up period. Recurrence rate did not differ in patients with and without concomitant TV infection.
  
  
  
  Given the high prevalence of TV, we suggest that testing for TV should be considered in women with recurrent UTIs. Further larger studies are needed to evaluate the potential benefit of treating TV in this group of patients.
authors: Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: Po-Chih
authors: PC
authors: Chang
authors: Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: Yu-Chao
authors: YC
authors: Hsu
authors: Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: Ming-Li
authors: ML
authors: Hsieh
authors: Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: Shih-Tsung
authors: ST
authors: Huang
authors: Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors: Hsin-Chieh
authors: HC
authors: Huang
authors: Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, Taiwan. Electronic address: yu.iok2681@gmail.com.
authors: Yu
authors: Y
authors: Chen
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D012008:Recurrence; D014246:Trichomonas vaginalis / Q000302:isolation & purification*; D014552:Urinary Tract Infections / Q000469:parasitology*
keywords: Prevalence; Trichomonas vaginalis; Urinary tract infection; Women