Sakru Nermin, Inceboz Tonay, Inceboz Umit, Zeren Isil, Karakus Melahat, Kirca Uzeyir
Department of Microbiology and Clinical Microbiology, Trakya University Medical School Hospital, Edirne, Turkey.
Saudi Med J. 2006 Feb;27(2):215-8.
To evaluate the relationship between vaginal douching and vaginal infections among women in early pregnancy.
We conducted this study in the Department of Gynecology and Obstetrics, Family Planning Center, Dr. E. Hayri Ustundag Hospital, Izmir, Turkey, between March 2003 and December 2004. We examined the vaginal swabs of 129 women, asking for termination of pregnancy in a family-planning center as both wet-preparations and cultures for vaginal microorganisms, and recorded the informations on women's vaginal douching habit.
Among 129 women examined, 80 had at least one type of vaginal microorganisms. Of 67 vaginal douche users, 48 (71.6%) had at least one type of vaginal organisms, whereas of 62 nonusers, only 32 (51.6%) had microorganism, although age, educational status, coital frequency, age at the first intercourse were not statistically different between the vaginal douche-users and non-users. Especially, Group B Streptococcus (GBS), Enterococcus spp. and Candida spp. were found more frequent in vaginal douche-user women.
We found that vaginal douching tends pregnant women to genital tract the incidence of vaginal infections, especially those caused by Enterococcus spp. and GBS. As such infections may render such women to high risk in terms of perinatal mortality and morbidity, it would be appropriate to discourage vaginal douching in pregnant women.
评估孕早期女性阴道灌洗与阴道感染之间的关系。
2003年3月至2004年12月期间，我们在土耳其伊兹密尔E. Hayri Ustundag博士医院计划生育中心妇产科进行了这项研究。我们检查了129名要求在计划生育中心终止妊娠的女性的阴道拭子，同时进行阴道微生物的湿片检查和培养，并记录了这些女性的阴道灌洗习惯信息。
在接受检查的129名女性中，80人至少有一种阴道微生物。在67名阴道灌洗使用者中，48人（71.6%）至少有一种阴道微生物，而在62名非使用者中，只有32人（51.6%）有微生物，尽管阴道灌洗使用者和非使用者在年龄、教育程度、性交频率、首次性交年龄方面没有统计学差异。特别是，B族链球菌（GBS）、肠球菌属和念珠菌属在阴道灌洗使用者中更为常见。
我们发现阴道灌洗会使孕妇生殖道发生阴道感染的几率增加，尤其是由肠球菌属和GBS引起的感染。由于此类感染可能使这些女性在围产期死亡率和发病率方面面临高风险，因此不鼓励孕妇进行阴道灌洗是合适的。
