Clinical characteristics of aerobic vaginitis and its mixed infectious / 中华妇产科杂志

ABSTRACT

Objective To investigate clinical characteristics of aerobic vaginitis AV) and its mixed infections for diagnosis efficiently. Methods From April 2008 to December 2008, 516 patients with vaginitis treated in Tianjin Medical University General Hospital were enrolled in this study. AV, bacterial vaginosis (BV) , vulvovaginal candidiasis (VVC), trichemonal vaginitis (TV) , and cytolytic vaginosis (CV) were diagnosed based on symptoms, sign and vaginal discharge examination. Results Among 516cases, AV cases were found in 14. 7% (76/516), and AV was common vaginal infection. AV mixed infections was diagnosed in 58% (44/76), including mixed with BV (45%, 20/44), mixed with VVC (30% , 13/44) , and mixed with TV (25% , 11/44). Those common symptom of AV were yellow vaginal discharge (63%, 20/32), more vaginal discharge (44%, 14/32). Vaginal pH value was usually more than 4. 5 (84% , 27/32). Vaginal cleanliness mainly was grade Ⅲ - V (88% , 28/32). Six cases with enterococcus faecium and 4 cases with streptococci were frequently isolated. The symptom and sign of mixed AV infection was atypical. Conclusions Aerobic vaginitis is a common lower vaginal infection and easily mixed with other pathogens, especially with BV, VVC or TV. When patients were diagnosed with AV or other vaginal infection, it should be mentioned whether those patients have mixed vaginal infection or AV.