EVALUATION OF COMMON ORGANISMS CAUSING VAGINAL DISCHARGE

Shazia A Khan, Fauzia Amir, Shagufta Altaf, Raazia Tanveer

Abstract


Background: Vaginal discharge is very common problem among females. Alteration in balance
of normal vaginal organisms can cause the overgrowth of the bacteria that creates vaginal
discharge. It is common among sexually active women yet there still remain gaps in our
knowledge of this infectious disorder. Objective: To evaluate the frequency of bacterial vaginosis
(BV), vaginal candidiasis (VC), vaginal trichomoniasis and Group B streptococcus in women
complaining of vaginal discharge in our setup. Method: A total of 100 women of reproductive age
group with the complaint of vaginal discharge were included in the study. After filling proforma
patients were examined by speculum examination and two high vaginal swabs (HVS) were
collected aseptically from each patient. One swab was used for making wet mount for clue cells,
pus cells and for motility of Trichomonas vaginalis. The other swab was used to check pH and
Amine test. The growth was confirmed by Gram staining in each case. Results: Gardnerrella
vaginalis were isolated in 28%, Group B streptococcus in 5% and T. vaginolis in 4% of women.
Conclusion: Gardnerella vaginalis causing BV is the most common cause of vaginal discharge in
otherwise healthy women of reproductive age group in our setup.
Keywords: Vaginosis bacterial, Candidiasis, Trichomoniasis, Vaginal Discharge.

References


Jabeen N, Soomro U. Bacterial vaginosis. Gynaecologist,

;5:56-7.

Sahoo B, Bhandri H, Shavma M, Malhotra S, Sawhney H,

Komar B. Role of male partner in lower genitor urinary tract.

Indian J Med Res 2000;112:9–14.

Vermeulen GM, Van ZAA, Bruinse HW. Changes in vaginal

flora after 2% clindamycine vaginal cream in women at high

risk of spontaneous preterm birth. BJOG 2001;108:697–700.

Maclean BA. Benign diseases vagina, cervix and ovaries. In:

Edmonds DK, editor. DeWhursts text book of obstetrics and

gynaecology for postgraduates. 6th ed. London: Blackwell

Science; 2000.p.582-4.

Fry J. Common diseases, their nature, incidence and care. 2nd

edition. Lancaster: MTP Press; 1993.

O’ Dowd TC, West RR, Ribeiro CD, Smail JE, Munro JA.

Contribution of Gardnerella vaginalis to vaginits in general

practice. Br Med J 1986;292:1640–2.

Ledger WJ, Maif GR. A growing concern: Inability to

diagnose vulvovaginal infections correctly. Obstet Gynecol

;103:782–4.

Trollope-Kumar K, Symptoms of reproductive tract infection

– not all that they seen to be. Lancet 1999;354:1745–6.

Krohn M. Hillier S. Eschenbach D. Comparison of methods

for diagnosing bacterial vaginosis among pregnant women. J

Clin Microbial 1989;27:1266–71.

Robertson W. Mycology of vulvo vaginitis Am J Obstet

Gynecol 1988;158:989–93.

Collee JG, Duguid JP, Fraser AG, Marmion BP, Simmons a.

Laboratory strategy in the diagnosis of infective syndromes.

In: Collee JG, Fraser AG, Marmion BP, Simmons A. Mackie

and McCartney practical medical microbiology. 14th ed. New

York: Churchil Living Stone;1996.p.53–94.

Yudkin G. vaginal discharge. In: McPherson AA, editor.

Women’s problems in general practice. 2nd edition. Oxford:

Oxford University Press;1988.

Hart G. Factors associated with trichomoniasis, candidiasis

and bacterial vaginosis. Int J Sex Transmit Dis 1993;4:21–5.

Mead PB, Epidemiology of bacterial vaginosis. Am J Obst

Gynecol 1993;169:446–9.

Konje JC, Otolroin EO, Ogunniyi JO, Obisesan KA, Ladipo

OA.. The prevalence of Gardnerella vaginalis, Trichomonas

vaginalis and Candida albicans in the cytology clinic at

Ibadan, Nigeria. Afr J Med Sci 1991;20:29–34.

Gerting DM, Kapiga SH, Shao JF, Hunter DJ. Risk factors

for sexually transmitted diseases among women attending

family planning clinics in Dar-es-Salaam, Tanzania.

Genitourin Med 1997;73:39–43.

Collee JG, Duguid JP, Fraser AG, Marmion BP, Simmons A.

Laboratory strategy in the diagnosis of infective syndromes.

In: Collee JG, Fraser AG, Marmion BP, Simmons A. Mackie

and McCartney practical medical microbiology. 14th ed. New

York: Churchil Living Stone;1996.p.53–94.

Peipert JF, Montagno AB, Cooper AS, Sung CJ. Bacterial

vaginosis as a risk factor for upper genital tract infection. Am

J Obstet Gynecol 1997;177:1184–7.

Azaz S, Chaudhry A, Kareem F. Bacterial vaginosis in

patients at MH Rawalpindi. Pak Armed Forces Med J

;55(1):24–8.

Amsel R, Tottan RA, Spiegel CA, Chen KC, Eschanbach D,

Holmes KK. Nonspecific vaginitis. Diagnostic criteria and

microbial and epidemiologic associations. Am J Med

;74:14–22.

Kent HL. Epidemiology of vaginitis. Am J Obstet Gynecol

;165:1168–76.

Berg AO, Heidrich FE, Fihn SD, Bergman JJ, Robert W.

Wood RW, Stamm WE, et al. Establishing the cause of

genitor urinary symptoms in women in a family practice:

comparison of clinical examination and comprehensive

microbiology. JAMA 1984;251:620–5.

Sobel JD. Candidal vulvo-vaginitis. Clin Obstet Gynecol

;36:153–65.


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