Epidemiology of Gardnerella vaginalis Infections at Thies Regional Hospital Center (Senegal)

Abstract

Introduction: Bacterial vaginosis is a very common infection in women, and is the most common form of genital infection. It results from the imbalance of the vaginal flora by the replacement of lactobacilli by anaerobic bacteria, mycoplasmas and Gardnerella vaginalis. Materials and Method: This is a two-year retro prospective study between July 31, 2017 and July 31, 2019 in women for whom a vaginal swab was performed. We performed a macroscopic and microscopic examination of the vaginal secretions. These are collected from the vaginal walls or from the posterior cul-de-sac with a sterile swab, trying to bring back as many secretions as possible. Results: We collected a total of 2376 vaginal swabs from the Thiès RHC (Regional Hospital Center). We observed 608 cases of Gardnerella vaginalis vaginosis, a frequency of 25.5%. The average age of the patients was 32.7 years. The age group [25-34] years represents 40.9%, [35-44] 25.65% and the age group [15-24] years 17.26%. Married women represented 54.77% and single women 3%. Nulligest patients accounted for 28.78%, paucigests 40.62% and multigestates 28.94%. The frequency of carriage was 40% in nulliparous women, 42.1% in paucigests and 16.77% in multigestates. Conclusion: Gardnerella vaginalis vaginosis is a common condition especially in women of childbearing age. It can lead to severe gynecological and obstetrical complications. For a more accurate diagnosis, it is necessary to reinforce the laboratory diagnosis. *Correspondence: Rokhaya Diagne, Microbiologist, Teacherresearcher, Thies university, UFR des Sciences de la Santé, BP 967, Thies, Senegal. Received: 30 October 2020; Accepted: 16 November 2020 Microbiology & Infectious Diseases ISSN 2639-9458