Bacterial Vaginosis and Vulovvaginal Candidiasis Among Women Complaining Genital Tract Infections at St. Paul Hospital Millennium Medical College and Family Guidance Association of Ethiopian Model Clinic, Addis Ababa, Ethiopia, 2016
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Date
2016-10
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Addis Ababa University
Abstract
Background: Bacterial vaginosis and vulvovaginal candidiasis are major health problems
associated with gynecologic complications
Objective: To determine the prevalence bacterial vaginosis and vulovvaginal candidiasis among
women complaining genital tract infection at SPHMMC and FGAEMC Addis Ababa, Ethiopia.
Methods: A health facility based cross sectional study was conducted from February,2016 to
July, 2016. Demographic variables were collected using a structured questionnaire. Two vaginal
swab specimens were collected from each participant. For diagnosis of bacterial vaginosis ,gram
stain Nugent score was used. All fungal and bacterial pathogens were isolated and characterized
by employing conventional techniques. Antimicrobial susceptibility profile of bacterial isolates
was Performed using disc diffusion technique as per the standard Kirby-Bauer method. The
results were analyzed using SPSS version 20.
Result: The overall vaginal infection was 70% .The overall prevalence of bacterial vagnosis was
102(48.6%).Bacterial vaginosis was statistically significant associated with odor (p=0.007),
frequency vaginal bathing (p=0.045) and frequency of changing of pants (p=0.01). The overall
prevalence of vulvovaginal candiasis was 87(41.4%).Vulvovaginal candidiasis was statistically
significantly associated with illiterate patients (p=0.021), number of life time male sex partner
(p=0.037), number of sex partner in the last 12 months (p=0.001) and with previous bacterial
vaginosis (p= 0.004). A total 151 bacterial isolates were recovered, of which 105(69.5%) of the
isolates were gram negative and 46 (30.5%) isolates were gram positive bacteria. The overall
drug resistance rates of gram negative bacterial isolates ranged from 14.3% to Amikacin 77.3%
to Tetracycline. The overall drug resistance rates of gram positive bacterial isolates ranged from
0% to vancomycin and 67.4% to penicillin.
Conclusion and recommendation: Both bacterial vaginosis and vulvovaginal candidiasis was
high and hence many such types of studies are recommended to be conducted across the country.
Keywords: Bacterial Vaginosis and Fungi isolate
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Keywords
Bacterial Vaginosis and Fungi isolate