Clinical Epidemiological Characterization of Vaginal Infection in Pregnant. “Orlando Matos Mosquera” Polyclinic 2019-2021

Elisa Puentes Rizo M, Alejandro Aguilar Puentes, Ruben Aguilar Puentes, Mariam Machado Tejeda, Pedro Rolando López Rodríguez
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Abstract

Introduction: Vaginal infection is a disease with a high incidence in pregnancy. It is associated with maternal-fetal complications, being early diagnosis and fundamental treatment. Objective: To clinically and epidemiologically characterize pregnant women with vaginal infection belonging to the “Orlando Matos Mosquera” Polyclinic in the period 2019-2021. Method: Observational, descriptive and cross-sectional study of pregnant women with vaginal infection. The arithmetic mean and standard deviation of the quantitative variables and the absolute frequencies and percentages in qualitative variables whose association was obtained through the Chi-square with 5% significance were obtained. Results: 245 pregnant women were analyzed. The mean age was 25 years. 42.4% were mestizo, 56.4% accompanied or single, 41.2% had an upper secondary level, and 12.7% were housewives. At least 7 out of 10 smoked or had unprotected sex. 80.8% of the examined had vaginal discharge. 75 pregnant women suffered infection by Candida albicans and the average gestational age was 18.58 ± 8.48 weeks of pregnancy, with 37.6% of vaginal infections occurring in the first trimester. 73.0% of the mixed infections had vaginal changes and 66.7% of the infections due to infrequent germs were complicated. 3 out of 10 presented premature rupture of membranes, abortion or preterm delivery. Conclusions: Adolescents and young adults, mestizos, accompanied and with a higher secondary level prevailed. Vaginal discharge as a symptom and Candida albicans infection predominated. There was an association between the variables analyzed and complications.
妊娠期阴道感染的临床流行病学特征。“奥兰多马托斯莫斯克拉”综合诊所2019-2021
阴道感染是妊娠期高发的疾病。它与母胎并发症有关,需要早期诊断和基础治疗。目的:了解2019-2021年“奥兰多·马托斯·莫斯克拉”综合诊所阴道感染孕妇的临床和流行病学特征。方法:对阴道感染孕妇进行观察性、描述性和横断面研究。得到定量变量的算术平均值和标准差,以及定性变量的绝对频率和绝对百分比,其相关性通过卡方得到,显著性为5%。结果:对245例孕妇进行分析。平均年龄为25岁。42.4%为混血儿,56.4%为伴或单身,41.2%为高中学历,12.7%为家庭主妇。10人中至少有7人吸烟或有无保护措施的性行为。80.8%的患者有阴道分泌物。75例孕妇感染白色念珠菌,平均胎龄为18.58±8.48周,其中37.6%的阴道感染发生在妊娠早期。73.0%的混合感染伴阴道改变,66.7%的混合感染伴少见菌感染。10例中有3例出现胎膜早破、流产或早产。结论:以青少年和青壮年、混血儿、伴发和较高二级发病为主。以阴道分泌物和白色念珠菌感染为主。所分析的变量与并发症之间存在关联。
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