PROSPECTIVE STUDY ON THE MICROBIOLOGICAL PROFILE OF VAGINOSIS AMONG WOMEN OF REPRODUCTIVE AGE GROUP

Deepthy. U.V; B.J Deepthy; Gogi suresh; Lt. Col. Valson H

Volume : VI, Issue : IX, September - 2016

PROSPECTIVE STUDY ON THE MICROBIOLOGICAL PROFILE OF VAGINOSIS AMONG WOMEN OF REPRODUCTIVE AGE GROUP

Deepthy. U. V, B. J Deepthy, Gogi Suresh, Lt. Col. Valson H

Abstract :

Introduction: Symptomatic vaginal discharge is the most frequent symptom in women of reproductive age group. Owing to social stigma majority of affected women hesitate to seek medical consultation. Symptomatic vaginal discharge is caused by inflammation due to infection of the vaginal mucosa.Aims and objectives: The aims of the present study was to identify vaginosis among women of reproductive age group and to detect the prevalence of bacterial, parasitic and fungal causes of vaginosis and also to rule out Candidal infection in women.Materials and methods: This was a descriptive type of observational study, conducted in sexually active women of reproductive age group (18–48years) attending the OPD of Obstetrics and Gynecology Department of DM WIMS Hospital, MEPPADI, WAYANAD, over a period of 3months (October 2015 – January 2016). Vaginal specimens were collected from patients with symptomatic vaginitis. Wet mount examination was done to identify motile T.vaginalis, and Gram staining for finding out budding yeast cells. All vaginal specimens were cultured for aerobic bacterial isolates using standard microbiological Diagnostic methods .Antimicrobial Susceptibility was performed using disc diffusion technique as per the standard by Kirby–Bauer method. The results were analyzed using spss… version.Results: A total of 100 samples were collected from women with complaints of vaginitis. Out of the 100 cases studies 49 cases showed significant vaginal infections. Out of the 49 cases only 31 cases had Bacterial vaginosis and 18 cases had vaginal Candidiasis .The proportion of vaginal infection was higher in non–pregnant than pregnant women. The bacterial isolated identified were Streptococcs pyogenes(10, 32.3%) Staphylococcus aureus (8, 25.8%), and E.coli (8, 25.8%) Klebsiella (3, 9.7%) proteus vulgaris (2, 6.4%). Out of the 18 candidal isolates 11 were candida albicans, 3 were candida tropicalis and 4 isolates could not speciated.Conclusion: The common bacterial etiology of vaginosis was identified as Streptococcus Pyogenes which is followed by S. aureus and E. coli. The fungal etiology was identified as Candidiasis. Out of 100 Women with symptomatic vaginal discharge Significant growth was obtained in 49% of cases. 31 percent patient had Bacterial Vaginosis 19% Patients had Vaginal Candidiasis. Significant growth was obtained in 18–28 age group (47%) it is followed by age group 29–38years (44%).