[Epidemiological features of parasitary invasis in women of reproductive age with disorders of reproductive health].

OBJECTIVE

The aim: The purpose of this study is to analyze the frequency and structure of parasitic lesion in women with reproductive health disorders.

PATIENTS AND

METHODS

Materials and methods: The immune-enzyme method tested immunoglobulins IgG to ascaris, lamblia, toxocara. Determination of the presence of pinworm eggs (sticky tape and perianal scrape method) and ascarid (methods of K.Cato, F.Fueleborna and E.S.Schulman).

RESULTS

Results

In women with complicated obstetric anamnesis, parasitic invasions occurred in (52.3 ± 5.0)% (Χ² = 34.9, p <0.01; 95% CI = 42.5-62.1). Enterobiasis was detected in (12,0 ± 3,3)% of patients, acarida eggs in (29,3 ± 4,6)%, positive titers of IgG to ascaris - in (11.5 ± 3.2)%, IgG to lamblia in - 7.5%, IgG to toxocara 3.5%, the combined detection - in (11.5 ± 3.2)% of the examined group. In patients of the control group, parasitic invasions were detected in (13.1 ± 3.4)%. The prevalence of parasitic lesion in women with primary infertility (58.0 ± 4.9)% (OR = 8.9; 95% CI = 5.2-15.3; p <0.01), in planning pregnancy (25, 7 ± 4.4)% (OR = 2.3, 95% CI = 1.3-4.0). The most significant aggressive parasite in women with complicated obstetric anamnesis, reproductive loss and infertility is ascariasis (95% CI 6.1-38; p <0.001). In women with parasitic lesion revealed the dominance of pathology of the mammary glands, gastrointestinal tract, acne, pathology of the urinary system, thyroid gland.

CONCLUSION

Conclusions

The obtained results make it possible to recommend parasite examination in women with infertility and complicated obstetric anamnesis.