埃及妇女的细菌性阴道病、外阴阴道念珠菌病、滴虫性阴道炎和需氧性阴道炎。

IF 1.7 Q3 INFECTIOUS DISEASES GERMS Pub Date : 2023-06-30 eCollection Date: 2023-06-01 DOI:10.18683/germs.2023.1376
Shahinda Rezk, Omar Alqabbasi
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引用次数: 0

摘要

简介传染性阴道炎在发展中国家很普遍。大多数女性一生中至少患一次阴道炎。由于资源有限,许多感染被误诊或未被诊断。对这些感染进行良好的诊断至关重要,这无疑有助于指导治疗和防止复发:方法:共收集了 1080 份有症状女性的阴道拭子。方法:共收集了 1080 份有症状女性的阴道拭子,并采用 Nugent 评分和 Amsel 标准来诊断细菌性阴道病(BV)。采用快速检测法鉴定阴道加德纳菌。毛滴虫性阴道炎(TV)通过显微镜检查进行诊断。外阴阴道念珠菌病(VVC)也是通过显微镜检查和传统培养方法确定的。最后,通过唐德量表结合常规培养和生化测试检测需氧性阴道炎(AV):结果:年龄与阴道感染类型之间没有统计学意义(P=0.130)。外阴阴道炎症、瘙痒和发红与 VVC 显著相关(p≤0.012)。43.8%的阴道炎为单一感染,24.2%的阴道炎为VVC。相反,参与者中很少发现 AV 和 TV,分别为 4.9% 和 0.5%。有 26.6% 的人发现 BV 和 VVC 混合感染:结论:BV 感染率最高,其次是 VVC。结论:BV 感染率最高,其次是 VVC,BV 和 VVC 混合感染现象明显,因此采用经济有效的方法进行可靠诊断对正确治疗至关重要。需氧性阴道炎的发病率较低,大多数链球菌都是从孕妇身上分离出来的。阴道毛滴虫的发病率较低可能是由于依赖于传统的诊断方法,因此需要更先进的诊断工具。
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Bacterial vaginosis, vulvovaginal candidiasis, trichomonal vaginitis and aerobic vaginitis in women from Egypt.

Introduction: Infectious vaginitis is prevalent in developing countries. Most of the females suffer from vaginal infections at least once per lifetime. Due to limited resources, many infections are misdiagnosed or undiagnosed. Good diagnosis of these infections is critically important and will definitely help to guide treatment and prevent recurrence.

Methods: A total of 1080 vaginal swabs were collected from symptomatic females. Nugent's score and Amsel's criteria were applied to diagnose bacterial vaginosis (BV). A rapid test was used to identify Gardnerella vaginalis. Trichomonal vaginitis (TV) was diagnosed through microscopic examination. Vulvovaginal candidiasis (VVC) was also identified microscopically and using conventional culture. Finally, aerobic vaginitis (AV) was detected using Donder's scale combined with conventional culture and biochemical tests.

Results: There was no statistically significant association between age and type of vaginal infection (p=0.130). Vulvovaginal inflammation, itching and redness were significantly associated with VVC (p≤0.012). BV was detected as single infection in 43.8%, followed by VVC 24.2%. On the contrary, AV and TV were scarcely detected among the participants; 4.9% and 0.5% respectively. Mixed infections between BV and VVC were noted in 26.6%.

Conclusions: BV showed the highest prevalence followed by VVC. Mixed infections between BV and VVC were evidently noted, therefore good reliable diagnosis using cost-effective methods is crucial for proper treatment. Aerobic vaginitis showed low prevalence and most of the Streptococcus spp. were isolated from pregnant females. The low prevalence of Trichomonas vaginalis may be due to the dependance on conventional methods for diagnosis, and thus more advanced diagnostic tools are required.

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来源期刊
GERMS
GERMS INFECTIOUS DISEASES-
CiteScore
2.80
自引率
5.00%
发文量
36
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