Prevalence of micro-organisms associated with vaginal infections in 230 symptomatic expectant and non-expectant women at La Milagrosa health center in Armenia, Colombia
DOI:
https://doi.org/10.18597/rcog.338Keywords:
Gardnerella, candidiasis, trichmoniasis, vaginitis, vaginal discharge, bacterial vaginosisAbstract
Objective: determining the prevalence of infectious agents responsible for vaginal infections in symptomatic women at La Milagrosa primary health center in Armenia (Quindío, Colombia), between November and December 2007 and January 2008.
Materials and methods: a a cross sectional study was carried out on 230 patients who consulted for vaginal discharge and symptoms. A sample of vaginal discharge was obtained from each patient. Each sample was analysed for pH, amines test, identification of clue cells containing bacteria as an indicator for Gardnerella infection, Trichomonas vaginalis and the presence of hifae or yeasts. All samples were also cultured on blood agar, Sabouraud and Mac Conckey media and Gram stained. The data was organised on an Excel spreadsheet and analysed using Epi Info software (version 6).
Results: Gardnerella had the highest infectious agent prevalence (39%), followed by Candida spp (6.5%) and Trichomonas vaginalis (5.7%).
Conclusions: symptomatic patients with vaginal fluid presented a higher prevalence of bacterial vaginosis.
Author Biographies
Natalia Salas
Juan Felipe Ramírez
Bayron Ruiz
M.D. Grupo de Estudio en Parasitología Molecular (GEPAMOL). Centro de Investigaciones Biomédicas, Universidad del Quindío. Armenia (Colombia).
Elizabeth Torres
Luis Nevio Jaramillo
Jorge Enrique Gómez-Marín
References
Spence D, Mellville C. Vaginal discharge. BMJ 2007; 335:1147-51.
Hay P. National guideline for the management of bacterial vaginosis. Clinical Effectiveness Group. British Association for Sexual Health and HIV. 2006. Visitado 2009 Abr 3. Disponible en: http://www.guideline.gov/summary/summary.aspx?doc_id=11602
Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK. Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med 1983;74:14-22.
Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol 1991;29:297-301.
Ferrer J. Vaginal candidosis: epidemiological and etiological factors. Int J Gynaecol Obstet 2000;71:S21-7.
Schwebke JR, Burgess D. Trichomoniasis. Clin Microbiol Rev 2004;17:794-803.
Monterrosa-Castro A, Blaquicet-Anaya L, Cantillo-Cabarcas J, Muñoz-Marrugo L, Valverde-Farre A. Gardnerella vaginalis in reports of cervico-vaginal cytology. Gac Med Mex 1996;132:119-25.
Diaz F, Vasquez ME, Escobar S, Galeano A, Londono M, Pelaez M, et al. Vaginitis due to Gardnerella vaginalis in a university medical service. Acta Med Colomb 1985;10:197-203.
Duarte HG, Romero JA, Schmalbach JE. Association between the cervico-vaginal inflammatory cytology and the intraepithelial cervical lesion in patients from a sexual and reproductive health clinic in Bogotá, Colombia 1999-2003. Rev Salud Pública (Bogotá) 2004;6:253-69.
Vargas CI, Galindo BL, Martínez JE. Vaginitis y cervicitis en planificación familiar. Rev Colomb Obstet Ginecol 1991;42:223-6.
Gamboa EM, Vera LM, Castro M, Camacho L. Infecciones vaginales, condición relevante en el centro de reclusión de mujeres de Bucaramanga. Visitado 2009 Abr 3. Disponible en: http://www.javeriana.edu.co/fcea/convocatorias/memorias_1congreso_sp/carteles/217w.pdf
Ardila J, Gómez J, Angel E. Concordancia entre el diagnóstico clínico y paraclínico de las cervico-vaginitis más frecuentes. Rev Colomb Obstet Ginecol 1996; 47:247-51.
Alvis N, Mattar S, Garcia J, Conde E, Diaz A. Sexually transmitted infection in a high-risk group from Montería, Colombia. Rev Salud Publica (Bogota). 2007;9:86-96.
Tolosa JE, Chaithongwongwatthana S, Daly S, Maw WW, Gaitán H, Lumbiganon P, et al. The International Infections in Pregnancy (IIP) study: variations in the prevalence of bacterial vaginosis and distribution of morphotypes in vaginal smears among pregnant women. Am J Obstet Gynecol 2006;195:1198-204.
Ozturk CE, Ozdemir I, Yavuz T, Kaya D, Behcet M. Etiologic agents of cervicovaginitis in Turkish women. Saudi Med J 2006;27:1503-7.
García PJ, Chavez S, Feringa B, Chiappe M, Li W, Jansen KU, et al. Reproductive tract infections in rural women from the highlands, jungle, and coastal regions of Peru. Bull World Health Organ 2004;82:483-92.
Flores-Paz R, Rivera-Sánchez R, García-Jiménez E, Arriaga-Alba M. Etiología de la infección cérvico vaginal en pacientes del Hospital Juárez de México. Salud Publica Mex 2003;45:S694-7.
Behets FM, Desormeaux J, Joseph D, Adrien M, Coicou G, Dallabetta G, et al. Control of sexually transmitted diseases in Haiti: results and implications of a baseline study among pregnant women living in cite Soleil Shantytowns. J Infect Dis 1995;172:764-71.
Medina R, Rechkemmer A, Garcia-Hjarles M. Prevalencia de vaginitis y vaginosis bacteriana en pacientes con flujo vaginal anormal en el Hospital Nacional Arzobispo Loayza. Rev Med Hered 1999; 10:144-50.
How to Cite
Downloads
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Revista Colombiana de Obstetricia y Ginecología
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
