PREVALENCE OF COMMON TYPES OF VAGINAL INFECTIONS AMONG WOMEN ATTENDING GYNAECOLOGY CLINICS IN EGYPT
DOI:
https://doi.org/10.31674/mjmr.2019.v03i01.006Abstract
The aim of exploratory study was; to assess the common types of vaginal infection. Four hundred women had abnormal vaginal discharge attending Gynecology Clinics at Elmainal University Hospital were recruited. Data were collected through an interviewing questionnaire schedule, physical and vaginal examination, laboratory investigation, and follow up sheet. The study results indicated that the mean age of the sample was 31.44 ± 6.14 years old, 42.5% of the sample were not educated, 54.3%were lives in urban, 95% were married, 82% were house wives, Ninety percent of them had regular menses, the mean interval of menstruation were 27.67 ± 4.16 days, the mean duration of menstruation were 4.9±1.97days, 76.9% of the sample were multigravida. While 72.2% of them multiparous. Thirty nine point four of the sample had history of chronic illness. 36.7% only of the sample used cotton underwear.39.6% of the sample used vaginal douche. Vaginal swabs were examined including wet preparation, Whiff test and gram stain using a scoring system. Also 5-Bromo 4-Chloro-Indolyl-α-D-N- Acetylneuraminic Acid in a spot test was applied to a sample of the study. Gram stain done for women complaining of vaginal discharge revealed that 40.9% were found suffering from Vulvovaginal candidiasis, 10.2% from bacterial Vaginosis, 6% from Trichomonas vaginalis, 17.1% having an intermediate stage between the normal vaginal flora and Bacterial vaginosis as graded by the gram stain scoring system and 2.1% women were suffering from co- infection. The BCIN Spot Test confirmed the diagnosis of 60% of cases diagnosed by gram stain scoring system and further evaluation of the test is recommended in a larger scale study which was not easy to fulfill as the test was too costly. More over 94.9% of the Vaginosis cases were positive by Amesl`s Criteria.
Keywords:
Vaginal Infection, Prevalence, Gram Stain, Spot TestDownloads
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