study of some causative agents of leukorrhea among females at the child bearing period in Alexandria

ABSTRACT

The aim of this work was to define the prevalence of some microorganisms in cases of leukorrhea among females at the child bearing period. One hundred and twenty females at child-bearing period [100 patients and 20 controls] were included in this study. For all of them, vaginal pH was determined, vaginal smear [for direct microscopic examination] vaginal and cervical swabs were taken, inoculated on culture media for isolation and identification of different microorganisms. The obtained results revealed that The commonest causative agents isolated were T. vaginalis followed by C. Vaginalis while they were absent in the control group. Trichomonas was better diagnosed by culture than by smear method. It was frequently associated with vaginal pH > 4.5. Staph. Aureus, Str. pyogenes, Str. fecalis and E. coli were isolated at low comparable rates for both cases and control groups. N. Gonorrhea was not isolated in any case included in this study. Also, there was no identified causative agents in 15 cases of leukorrhea. So it can be concluded that T. Vaginalis, C. albicans and G. Vaginalis are significantly associated with leukorrhea and are considered as main causative agents of leukorrhea. Leukorrhea due to G. vaginalis should receive more attention and its clinical entity should be better defined for the gynecologist, as its role in the etiology of leukorrhea was well defined in this study. Care, in the form of periodic medical check-up should be paid for those using contraceptives like oral pills or I.U.D., as a great percentage of them were complaining of leukorrhea