P062 Asymptomatic trichomonas vaginalis infection among undergraduate students in a selected university in Ogun state, Nigeria

Background Trichomoniasis is caused by the adhesion of Trichomonas vaginalis to mucosa of vagina or urethra. Its incidence rate is estimated to be higher than both gonorrhea and chlamydia combined. While largely asymptomatic, it’s associated with preterm delivery, premature rupture of membrane, PID and increased predisposition to HIV infection. Targeted screening of high-risk populations is imperative to identify, treat partners, eliminate reservoir and prevent reinfection. This study was aimed to determine the prevalence and risk factors associated with T. vaginalis among asymptomatic undergraduate students at Babcock University, Ilisan-Remo, Ogun State, Nigeria. Methodology Descriptive cross-sectional study involving 123 female and 123 male students of Babcock University was done from February 2019 to April 2020. The institution’s ethical committee approved the study. Information regarding demographics, behavioural and sexual characteristics was obtained from consenting participants using questionnaire. First-void urine samples were collected from each participant for the detection of T. vaginalis using the traditional wet preparation method and TV in-pouch. The data were analyzed by using IBM SPSS version 23. Result The prevalence of T. vaginalis among the participants was 12.2% (30/246) using TV in-pouch and 8.5% (21/246) using the traditional wet preparation method. This differential rate was statistically significant. The prevalence rate was slightly higher among females 53.3% (16/30) compared to males 46.7% (14/30). Excessive alcohol intake and low condom use lost their significance on multivariate analysis while there was no significant association with prior STI. Recent sexual intercourse (OR= 22.26, 95% CI: 4.73–104.65), use of hormonal contraceptives (OR= 0.07, 95% CI: 0.006–0.742) and internet-based sex seeking behaviour (OR=31.17, 95% CI: 2.59–375.19) had increased likelihood of T. vaginalis infection on multivariate analysis. Conclusion The occurrence of T. vaginalis among the asymptomatic population in this study is very high. Associated risk factors identified may be helpful for counseling, screening and management of patient.