A Systematic Review of Trichomonas Vaginalis in Turkey from 2002 to 2020

Trichomonas vaginalis is a flagellate human parasite responsible for the most common non-viral sexually transmitted infection (STI) in the world. We aim to estimate the prevalence and basic characteristics of T. vaginalis infection in the Turkish population from 2002 to 2020. Six international and two national electronic databases were searched using keywords of "Trichomonas vaginalis" and "Turkey" both in English and Turkish languages. Searching motors for the present study included the following: Google Scholar, PubMed, Scopus, Mendeley, Science Direct, Proquest, Web of Science, YOKtez, and TRDizin. This review includes cross-sectional studies estimating the prevalence of T. vaginalis infection in the Turkish general population. If it meets the criteria for inclusion, the full-text article was obtained and reviewed. The basic characteristics of each paper were extracted and listed. Overall, 65 articles were found about T. vaginalis infection in the general Turkish population in this period. Overall, the mean prevalence of infection was found to be 5.94%, 2.87% in men, and 6.17% in women. The maximum prevalence rates were 42.4% in bar girls, 28.3% in patients with gynecological complaints, 28% in patients applied to gynecology clinics, and 15.37% in patients with vaginal discharge. Among the regions, the highest rate of infection was in the Black Sea (8.76%) and Eastern Anatolia (8.12%). In most of the studies, DM and culture methods were applied together, and the specificity of the culture method was found to be higher. Although the superiority of culture over DM is obvious, both methods can give false negativity. T. vaginalis is still an important health problem among the Turkish population. The prevalence varies depending on the socioeconomic structure of the region, the lifestyle of the person, the method used in the study, the size of the population, and the clinical condition of patients.