Infecção pelo Trichomonas Vaginalis em gestantes: patogênese, diagnóstico e tratamento

Abstract

Objective: Gather information that addresses the changes resulting from Trichomonas vaginalis infection in pregnant women. Methods: This is a descriptive, qualitative research. The search for articles was carried out in the following databases: SCIELO, PUBMED and LILACS, using the descriptors: “Women's Health”; “Trichomonas Infections”; “Pregnancy Complications, Infectious”. Scientific articles published from January 2018 to October 2023, in English, Portuguese and Spanish and which presented content relevant to the topic, were included. At the end of the analysis, 26 articles remained to be included in the present study. Results: Trichomoniasis is associated with adverse birth outcomes. In the public network in Brazil, the diagnosis is not made by identifying the etiological agent and management occurs syndromically. There are different responses from women to the same type of change in the vaginal microbiota. To diagnose the disease, nucleic acid amplification methods provide more accurate results and treatment is carried out with oral metronidazole, a safe medication during pregnancy. Final considerations: More studies need to be carried out in Brazil to assess the need for screening for some infectious diseases in pregnant women, such as trichomoniasis.