Bacterial Vaginoses caused by Gardnerella vaginalis at Thiès Regional Hospital: Study of Clinic-Biological Aspects

Abstract

Introduction: Bacterial vaginosis is a frequent infection among women. The aim of this study is to make an evaluation of the prevalence of infections caused by Gardnerella vaginalis among women who underwent vaginal tests in the laboratory of Biology of Thies Regional hospital... Our study intends to elucidate and define the characteristics of vaginal exudate in this condition, but also to evaluate the diagnostic criteria in force at the laboratory level. Materials and Methods: It is about a retro-prospective study over two years between July 31st 2017 and July 31st 2019 among women from whom vaginal samples were taken. Our study population concerned all female outpatients or hospitalized consultants at the Regional hospital of Thiès during the study period. The secretions are collected at the level of the vaginal walls or at the level of the posterior fornix with a sterile swab, trying to bring back as much secretion as possible. Macroscopic and microscopic examinations and the identification of the germs involved were carried out. Results: Out of a total of 2376 vaginal samples, we observed a frequency of 25.5% of vaginosis caused by Gardnerella vaginalis.70.72% presented with white-haired leuchorrhoea, 35.69% presented with fetid leuchorrhea.Very rare leukocytes were found in 74.34% and 24.51% with cervicitis associated with vaginosis. Conclusion: Vaginosis caused by Gardnerella vaginalis is a frequent condition especially among women of childbearing age. It can lead to severe gynecological and obstetric complications. For better management, strengthening laboratory diagnosis is necessary.