A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection.

IF 4.1 Q3 MICROBIOLOGY AIMS Microbiology Pub Date : 2022-05-05 eCollection Date: 2022-01-01 DOI:10.3934/microbiol.2022014

Sherine Mohamed Shawaky, Mariam Majed Ali Al Shammari, Manal Shafik Sewelliam, Abeer Abd El Rahim Ghazal, Ahmed Noby Amer

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Abstract

Background: Many infectious and noninfectious triggers lead to inflammation of the vagina.

Aim: We investigated the prevalence of causative vaginitis microorganisms in 516 pregnant and nonpregnant female volunteers. Vaginal samples were examined microscopically, cultured and tested for different pathogens.

Results: Of the participants, 310 (60.1%) were pregnant, whereas 206 (39.9%) were nonpregnant. Using Amsel's criteria and Nugent's scores, bacterial vaginosis (BV) was diagnosed in 59.1%, and the prevalence of vulvovaginal candidiasis (VVC) was 50.2% in the population. Candida infections were significantly higher in nonpregnant females (p value ≤ 0.01), and 24% of females had mixed infections. The most common mixed infection was BV and Candida spp., detected in 21% of the cases.

Conclusions: Bacterial vaginosis is the most common cause of vaginitis. We observed that 24% of females experienced mixed infections, and Candida albicans was the most common fungal species causing VVC. Trichomonas vaginalis prevalence was underestimated using wet mounts.

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埃及亚历山德里亚孕妇和非孕妇阴道炎的研究:意外的高混合阴道感染率。

背景:许多传染性和非传染性诱因导致阴道炎症。目的:调查516名孕妇和非孕妇志愿者致病性阴道炎微生物的流行情况。阴道样本进行了显微镜检查、培养和不同病原体检测。结果:在参与者中，有310人(60.1%)怀孕，而206人(39.9%)未怀孕。使用Amsel标准和Nugent评分，诊断细菌性阴道病(BV)的占59.1%，外阴阴道念珠菌病(VVC)的患病率为50.2%。非妊娠女性念珠菌感染率显著高于妊娠女性(p值≤0.01)，24%为混合感染。最常见的混合感染是BV和念珠菌，在21%的病例中检测到。结论:细菌性阴道病是阴道炎最常见的病因。我们观察到24%的女性经历了混合性感染，白色念珠菌是引起VVC最常见的真菌种类。湿滴试验低估了阴道毛滴虫的患病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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