Burden of trichomoniasis among older adults in the United States: a systematic review

Abstract

Despite being one of the most common sexually transmitted infections (STIs) in the United States, the epidemiology of trichomoniasis remains understudied. One population that has been historically overlooked regarding STIs is that of older adults, despite many individuals remaining sexually active well into their older years. We investigated the reported prevalence and incidence of trichomoniasis in adults aged ≥45 years in the United States using a systematic literature review. Twelve articles were included in the review, all assessing prevalence of trichomoniasis in this age group. Notably, no included articles assessed trichomoniasis incidence. Data collected encompassed several decades, from 1993 to 2016. Estimates of infection prevalence varied widely and ranged from 0.2% to 21.4% in included populations, with the highest prevalence typically seen among individuals seeking diagnostic testing for STIs. Several studies found increased risk for trichomoniasis in older patients compared to younger age groups. This is the first review to examine the risk of trichomoniasis in older adults, and the surprisingly high prevalence suggests that older adults may merit increased screening for trichomoniasis and sexual health education.

Chronic trichomoniasis in a 95-year-old man with history of benign prostatic hyperplasia: an unusual case report

“…Research conducted by Lindrose et al indicated a higher prevalence ofT. vaginalis in older age groups compared to young adults (11). Notably, our case report revealed the presence of trichomonas in a 95-year-old man, which is an unexpected finding for this age group.…”

“…Notably, our case report revealed the presence of trichomonas in a 95-year-old man, which is an unexpected finding for this age group. It is important not to overlook the possibility of this infection in elderly patients, as they face an elevated risk of inflammation, cervical cancer, and prostate cancer (11). Future studies could focus on identifying specific subgroups within the elderly population who may be at a higher risk of trichomoniasis or complications related to T. vaginalis (11).…”

“…It is important not to overlook the possibility of this infection in elderly patients, as they face an elevated risk of inflammation, cervical cancer, and prostate cancer (11). Future studies could focus on identifying specific subgroups within the elderly population who may be at a higher risk of trichomoniasis or complications related to T. vaginalis (11). In elderly individuals who have experienced dysuria and have had multiple sexual partners, it is important to consider the possibility of T. vaginalis infection.…”