Microbiological study of vaginitis among women of reproductive age group

Ushangishvili Mg, S. P
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Abstract

: Vaginitis is the most common health problem among women of reproductive age group, which is associated with gynaecological and obstetrical complications and also increases the transmission of HIV and other sexually transmitted diseases.: This study aimed at estimating the various etiological agents causing vaginitis, different laboratory methods for its diagnosis, isolation of different species and antibiotic susceptibility pattern of aerobic bacterial isolates.: In present study, 104 clinically suspected cases of vaginitis attending gynaecology OPD was included after obtaining informed consent and various data were collected using via questionnaire. Three high vaginal swabs collected from each patient and subjected to PH, Whiff test, Microscopic examination (Grams staining, KOH mount, Acridine orange staining (AO), Saline wet mount) Culture and Biochemical reactions following standard protocols. Aerobic isolates were subjected to antibiotic susceptibility testing as per CLSI guidelines.: Out of 104 Clinically suspected cases most common type of vaginitis were Bacterial vaginosis (BV)51.9% followed by Candidiasis 41.3%, Trichomoniasis 3.9%. Most common species isolated in vulvovaginal Candidiasis is 32.5%. Majority of Gram positive organisms were susceptible to Linezolid and Gram negative organisms to Azithromycin.: Bacterial vaginosis, Candidiasis and Trichomoniasis are common problem in women of reproductive age, therefore screening of vaginal infection in women of reproductive age should be implemented. Culture and sensitivity should be mandatory and treatment should be based on invitro susceptibility testing. So that misuse of antibiotics will be avoided.
育龄妇女阴道炎的微生物学研究
阴道炎是育龄妇女中最常见的健康问题,它与妇产科并发症有关,也增加了艾滋病毒和其他性传播疾病的传播。本研究旨在了解阴道炎的各种病因、诊断阴道炎的不同实验室方法、不同菌种的分离及好氧菌的药敏模式。本研究选取104例妇科门诊临床疑似阴道炎患者,经知情同意后,采用问卷调查的方式收集各项资料。从每位患者处收集三份阴道拭子,进行PH值、嗅嗅试验、显微镜检查(克染色、KOH染色、吖啶橙染色、生理盐水湿载)培养和生化反应。需氧菌株按照CLSI指南进行抗生素敏感性试验。104例临床疑似阴道炎中,细菌性阴道炎(BV)占51.9%,其次是念珠菌病(41.3%)和滴虫病(3.9%)。外阴阴道念珠菌病最常见的菌种为32.5%。革兰氏阳性菌对利奈唑胺敏感,革兰氏阴性菌对阿奇霉素敏感。细菌性阴道病、念珠菌病和滴虫病是育龄妇女的常见病,因此应对育龄妇女进行阴道感染筛查。培养和敏感性应该是强制性的,治疗应该基于体外药敏试验。这样就可以避免滥用抗生素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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