期刊
INTERNATIONAL JOURNAL OF WOMENS HEALTH
卷 14, 期 -, 页码 505-515出版社
DOVE MEDICAL PRESS LTD
DOI: 10.2147/IJWH.S349754
关键词
bacterial vaginosis; aerobic vaginitis; vulvovaginal candidiasis; trichomonal vaginitis; vaginitis
资金
- Gabonese government
- Total-Final-Elf Gabon
- Ministere des Affaires Etrangeres, France
This study investigated the etiologies of vaginal infections among outpatients in south-eastern Gabon, finding that bacterial vaginosis (BV) and aerobic vaginitis (AV) were the most common types of infections, followed by vulvovaginal candidiasis (VVC). Trichomoniasis (TV) had a low incidence. Mixed infections were common among participants.
Introduction: Discomfort in women of childbearing age associated with vaginal infections, namely bacterial vaginosis (BV), aerobic vaginitis (AV), vulvovaginal candidiasis (VVC), and trichomoniasis (TV), represent a serious and ongoing gynecological complication throughout the world. Objective: This study aimed to investigate the etiologies of vaginal infections among outpatients in south-eastern Gabon. Methodology: A cross-sectional study was designed using participants referred directly by their treating doctor for a vaginal swab. Socio-demographic data were collected using a structured questionnaire. Microscopic examinations were used for TV and BV diagnostic. All vaginal swabs were cultured for AV and VVC isolates using standard microbiology methods. Results: A total of 573 women of reproductive age participated in the study. The most common identified vaginal infections were BV (62.8%) and AV (51.1%) followed by VVC (34.1%). No significant difference was observed for each etiology compared to sociodemographic data. Streptococcus B (23.9%), Staphylococcus aureus (17.7%), Klebsiella spp. (11.6%), and E. coli (5.8%) were the bacteria most associated with AV. A high incidence of non -C. albicans Candida (NCAC) strains causing vulvovaginitis were found. The prevalence of TV (2.1%) was low. Mixed infections had been common among participants. No association was found with TV and other vaginal infections, unlike others studies. The present study identified BV 228 (83.5%) and AV 227 (83.2%) as the main cause of mixed infections. The mixed infection AV-BV 113 (41.4%) was the most represented. Conclusion: Also that simultaneous AV-BV-VVC represented 69 (25.3%) of mixed infections. Molecular analyses would be needed to identify the key species commonly associated with these vaginal infections.
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