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Aim of the study: To test the pervasiveness of vaginal infection in diabetic pregnant women and normal pregnant women; Al Dawadmi, Saudi Arabia. Patients and methods: The samples are obtained from Al- Dawadmi hospital, Riyad, Saudi Arabia. If vaginal swab samples positive microbial tests for any infection and culture in media, we were reported the participants and referral to the gynecologist. Vaginal swabs were gathered from 500 pregnant women divided into 250 diabetic and 250 non-diabetics. The ages were ranged from 20 to 45 years. Results: Total 500 women were included in this study. Of these patients, 253 (50.6%) of them diagnosed vaginal infection. 30.6% was diagnosed with diabetes and 20% was diagnosed with non-diabetes. This prevalence is comparably higher among pregnant women with diabetes. Conclusion: The ordinary microbiota may don’t allow infection and colonization of the host and the spread of microorganisms related to urogenital infections, including those in charge of bacterial vaginosis, fungal, viral, protozoal and aerobic bacterial vaginitis, the disturbed vaginal flora, particularly when asymptomatic, could cause female and male problems, infertility and be principally connected with an adverse pregnancy outcome, as well as maternal and fetal morbidity.
RESUMO
Resumen Introducción: La mujer embarazada está expuesta anumerosas infecciones de transmisión sexual (ITS), las que pueden producir aborto, enfermedad en el feto y/o en el recién nacido, además de alteraciones en el curso normal del embarazo. Objetivo: Realizar tamizaje de infección cervical asintomática en mujeres embarazadas y su relación con la microbiota. Pacientes y Métodos: Se enrolaron 85 mujeres embarazadas sin cervicitis clínica que consultaron en control de rutina de embarazo (47 pacientes) o que fueron derivadas a una unidad de ITS (38 pacientes). Se tomaron muestras de fondo de saco vaginal, que fueron analizadas por técnicas clásicas de microscopía y cultivo corriente y reacción de polimerasa en cadena para Neisseria gonorrhoeae, Trichomonas vaginalis y Chlamydia trachomatis. Resultados: Se encontró 12,9% de infección por C. trachomatis, 2,4% de T. vaginalis. En este estudio no se encontró N. gonorrhoeae. El 23,3% de pacientes con microbiota alterada (vaginosis bacteriana y microbiota intermedia) fue positiva para C. trachomatis. Conclusión: En este trabajo, encontramos una alta frecuencia de infección por C. trachomatis, que se relaciona en forma significativa con la presencia de microbiota alterada. Esta alta frecuencia debería promover estrategias preventivas en los controles de salud de la mujer embarazada.
Background: Pregnant woman is exposed to many sexual transmitted infections (STI). Many of these infections may produce diseases in the fetus and newborn, and also alteration in the normal course of the pregnancy. Aim: Screening of asymptomatic cervical infection in pregnant woman and its relationship with the vaginal microbiota. Patients and Methods: 85 pregnant women without clinical cervicitis who consult in the routine pregnant control (47 patients) and women derived from STI service (38 patients). The samples were obtained from the vaginal fund sac and were analyzed with optic microscopy, cultures and PCR of Neisseria gonorrhoeae, Trichomonas vaginalis and Chlamydia trachomatis. Results: 12,9% of the enrolled women were positive for C. trachomatis, 2,4% for T. vaginalis. In this study, we did not found N. gonorrhoeae. We observed 23,3% of patients with altered microbiota (bacterial vaginosis and intermediate microbiota) was positive for C. trachomatis. Conclusions: In this study, we found a high frequency of C. trachomatis infection, that correlates with the presence of altered microbiota. This high frequency would promote preventive strategies in the pregnant women routine controls.