Women genital health during child conceding is vital to preserve women healthy and to avoid post-delivery neonate complications. This study was aimed to determine the relationship between Trichomonas vaginalis (T. vaginalis), Chlamydia trachomatis (CT) incidences and type of women blood group. Cross- sectional study was carried on 185 women who attend Gynecological and obstetric clinic in Azadi-teaching Hospital in Kirkuk city during 2018. Women ages ranged from 15 to 46 years, their complaint involve urogenital discharges, miscarriage, congenital anomalies, and others. After completing the special questionnaire, two swabs (high vaginal and endo-cervical) were taken and examined microscopically for T. vaginalis and serologically for Chlamydia. The overall rate for Chlamydia was 96.21% versus to 28.10 % for T. vaginalis, P<0.05. Chlamydial infections were higher among women with (O) blood group, whereas T. vaginalis infection highly recorded among (A) blood group. Positive rhesus factor (Rh +ve) women samples reveal 88.24 % for both infectious agents compare to 11.76 % in the specimens for women negative Rh-ve. Co-existence infection was detected among 35 specimens and the rates of both types infections were high; 36.21% and 33.55% in samples belong to women with (O) and (B) blood groups respectively, P<0.05.

To assess the effectiveness of laboratory samples in demonstrating Chlamydia among women, high rates 54.05% and 32.97% were recorded in endocervical and high vaginal swabs respectively, contrary to low rate 13.51 % by using urine samples, p<0.05. In general high rates of Chlamydial infections were recorded among women with blood group (O), contrary to HVS which showed 11.35 % in the samples of women for both (B and O). Considering T. vaginalis infections in regrad to blood group of infected women, high rate13.51% was recorded in HVS for women with blood group (A) compare to other types of blood group, endocervical swabs and urine samples, P<0.05. Regarding women husbands urogenital infection and the occurrence of Chlamydial infection was significant; P<0.05. Correlation between the incidence of both microorganisms and women urogenital discharges, occupation were significant, P<0.05. Meanwhile, the relationship between urogenital both pathogens and patients residencies was not significant, P>0.05.

Conclusions: Relationship between Chlamydia, T. vaginalis infection and women ABO blood groups, rhesus factor was significant in women during childbearing age in Kirkuk city.

Keywords: Chlamydia, T. vaginalis , HIV, blood group and rhesus factor.

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Yahya Jirjees Salman

Microbiology and Immunology Department, Faculty of Medicine, Kirkuk University