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We hypothesise that bathing in water that is shared with other women in the household is a route of non-sexual transmission of T. Another possible route of transmission may be manipulation of the genitals of the young girls by an older woman or by other girls who are themselves infected. Elongation of the labia is traditionally practised by people in Zambia as part of preparations for marriage. Unfortunately we did not collect any data on this practice. But a case of transmission of T. Although trichomoniasis is very prevalent worldwide, there is still some uncertainty about its significance in terms of morbidity and mortality [21].

Several studies have found trichomoniasis to be associated with an increased risk of acquiring HIV infection [5][22]. A meta-analysis published in found an effect of trichomoniasis on HIV acquisition of 1. A recent publication of a nested-case control study demonstrated a strong association between vaginal trichomoniasis and subsequent acquisition of HIV infection adjusted OR, 2. There is also mounting evidence that infection with T. A more recent study showed that treatment of trichomoniasis was able to reduce the HIV-1 RNA vaginal levels, confirming the findings of a previous study [26][27]. However, more research is needed on the role of T.

The reasons for this high prevalence of HIV infection in young girls are not entirely clear. HSV-2 infection may play an important role in increasing the vulnerability of young girls for HIV, but we can not exclude trichomoniasis as a risk factor in these girls. These observations call for better screening for T. In conclusion, we confirmed the high prevalence rate of T. We have not been able to identify the routes of transmission and further studies are needed to improve our understanding of the routes of transmission of T. Acknowledgments We are indebted to all interviewers from the TDRC who walked long distances to find the homes of the participants.

We thank all study participants. The authors have declared that no competing interests exist. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Global prevalence and incidence estimates of selected curable STDs. Fouts A, Kraus SJ.

Trichomonas vaginalis solo with low tout weight and preterm no. Zip of evidence for the print of social and servile trichomonads in the glad of no trichomoniasis in Nagasaki.

Trichomonas vaginalis reevaluation of its clinical presentation oussy laboratory diagnosis. Atypical pelvic inflammatory disease: Am J Obstet Gynecol. Trichomonas vaginalis associated with low birth weight and pre-term delivery. Infection with Trichomonas vaginalis increases the risk of HIV-1 acquisition.

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