CLINICAL AND DIAGNOSTIC APPROACH TO TRICHOMONIASIS: ERADICATION AND PREVENTION STRATEGIES

Abstract

Trichomoniasis, caused by the flagellated protozoan Trichomonas vaginalis, is recognized as the most common non-viral sexually transmitted infection (STI) globally. This study aimed to analyze the diagnostic complexity and therapeutic updates for this pathology, based on recent evidence highlighting the high prevalence of asymptomatic carriers. The analysis reveals that the advent of Nucleic Acid Amplification Tests (NAATs) has revolutionized the detection of the pathogen, overcoming the limitations of traditional microscopy. Regarding treatment, clinical guidelines have shifted towards multidose regimens in women due to higher cure rates, while the management of sexual partners and attention to co-infections, especially HIV, have become essential pillars. It is concluded that the eradication of trichomoniasis depends on an integrated approach that includes sensitive diagnosis, effective treatment, and strategies for preventing reinfections.