Microbiological patterns in vaginitis.
Ceylon Med J
;
1994 Jun; 39(2): 91-4
Article
in English
| IMSEAR
| ID: sea-47288
ABSTRACT
OBJECTIVES:
To determine the incidence and microbial aetiology of vaginitis, and the usefulness of Gram staining of vaginal fluid in detecting the aetiology of vaginitis in Sri Lankan women.DESIGN:
Prospective study with microbiological investigation of high vaginal specimens from symptomatic and healthy groups of women.SETTING:
A gynaecological clinic of the De Soysa Hospital for Women, and a family planning clinic of the Family Health Bureau, Colombo. PATIENTS 114 untreated patients with symptoms suggestive of vaginitis and 109 healthy controls.RESULTS:
Candida species were isolated from 36% patients and 9% of controls. Gardnerella vaginalis was recovered from 8.8% of patients and 7.3% of controls. The bacterial vaginitis group consisted of several distinct subgroups, viz Gardnerella vaginalis vaginitis, anaerobic vaginitis, non-anaerobic vaginitis and polymicrobial vaginitis. The incidence of trichomoniasis was lower (4.4%) compared to other studies. Other bacteria (anaerobes, enterococci, coliforms, Group B Streptococci) were isolated in significantly higher numbers in the symptomatic group compared to the control group. Microscopy showed that the majority (73%) of the Candida vaginitis patients retained the normal Lactobacillus morphotype. In bacterial vaginitis Lactobacillus morphotype was replaced by other bacterial morphotypes.CONCLUSIONS:
In our study 36% had candidiasis, 4.4% had trichomoniasis and 47% had bacterial vaginitis. In 12% there was no detectable pathogen. Microscopy of vaginal fluid is useful in determining the aetiology of vaginitis.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Bacteria
/
Vaginal Smears
/
Female
/
Humans
/
Incidence
/
Prospective Studies
/
Bacterial Typing Techniques
/
Adolescent
/
Vaginosis, Bacterial
/
Adult
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Ceylon Med J
Year:
1994
Type:
Article
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