The urine sediment test using microscopic examinations remains a practical method for t. vaginalis screening in clinical practice. the advantageous features of this test include easy specimen. In men, the cobas tv mg assay was 100% sensitive for the detection of t. vaginalis in both male urine samples and meatal swabs, with specificity of 98.4% in urine samples and 92.5% in meatal swabs. the cobas tv mg is a suitable diagnostic test for the detection of t. vaginalis , which could support public health efforts toward infection control and complement existing sti programs.
The sensitivity and specificity of pcr for urine specimens were 64.2 and 100%, respectively, compared to the previously defined gold standard (table (table1). 1). the sensitivity of pcr for urine specimens from only those women with motile trichomonads detected in the urine by wet mount or culture was still only 68.4% (26 of 38). For women, vaginal secretions are the preferred specimen type for culture because urine culture is less sensitive (698,1099,1100). for men, culture specimens require a urethral swab, urine sediment, or semen. to improve diagnostic yield, multiple specimens from men can be used to inoculate a single culture. Treatment. treatment of trichomoniasis requires an oral antibiotic that is effective against infections caused by this parasite. treatment can be given during pregnancy. options may include: megadose. your health care provider may recommend one large dose (megadose) of either metronidazole (flagyl), tinidazole (tindamax) or secnidazole (solosec). Wet mount microscopy has very low sensitivity for male genital specimens (eg, urethra, urine sediment, semen; <51%) and is not commonly used in men [73s]. other rapid, poc tests have been developed recently (eg, osom trichomonas rapid test by sekisui diagnostics, ca, framingham, ma, usa), but they are not approved for use in men due to inadequate sensitivity [74s].
Treatment. treatment of trichomoniasis requires an oral antibiotic that is effective against infections caused by this parasite. treatment can be given during pregnancy. options may include: megadose. your health care provider may recommend one large dose (megadose) of either metronidazole (flagyl), tinidazole (tindamax) or secnidazole (solosec). Wet mount microscopy has very low sensitivity for male genital specimens (eg, urethra, urine sediment, semen; <51%) and is not commonly used in men [73s]. other rapid, poc tests have been developed recently (eg, osom trichomonas rapid test by sekisui diagnostics, ca, framingham, ma, usa), but they are not approved for use in men due to inadequate sensitivity [74s]. Routine urinalysis showed erythrocytes (21–30 high power field) and leucocytes (>50 high power field). also, large numbers of trichomonas vaginalis trophozoites were observed. since urine culture was negative, there was no evidence of urinary tract infection and the patient was only treated with doxazosin, which improved symptoms. Of the 75 patients included in the analysis, 55 had a positive culture on vaginal wet mount, 48 had a positive culture on spun urine examination and 64 had a culture positive for t. vaginalis on.
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