细菌性阴道病：尼日利亚一家三级医院中育龄非孕妇女的患病率及相关危险因素。

Bacterial vaginosis: Prevalence and associated risk factors among non-pregnant women of reproductive age attending a Nigerian tertiary hospital.

作者信息

Abdullateef Rasheedat M, Ijaiya Munirdeen A, Abayomi Fadeyi, Adeniran Abiodun S, Idris Haruna

机构信息

Obstetrics & Gynaecology Department, Federal Medical Centre, Bida, Nigeria.

Obstetrics & Gynaecology Department, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.

出版信息

Malawi Med J. 2017 Dec;29(4):290-293. doi: 10.4314/mmj.v29i4.2.

DOI:10.4314/mmj.v29i4.2

PMID:29963282

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6019544/

Abstract

AIM

To determine the prevalence and risk factors associated with bacterial vaginosis (BV) among non-pregnant women of reproductive age group.

METHODS

A cross-sectional study among non-pregnant asymptomatic women aged 19 to 45 years, attending the gynaecological clinic at University of Ilorin Teaching Hospital, Ilorin, Nigeria. Participants were counselled and an informed consent was obtained. This was followed by vaginal swabs for microscopy, culture and sensitivity. Diagnosis of BV was by Nugent's criteria. Data analysis was by Statistical Package for Social Sciences (SPSS) version 20.0. Chi-square and Yates corrected chi-square were calculated, and p value <0.05 was significant.

RESULTS

Among the 212 participants, prevalence of BV was 40.1%; it was common among women aged 25-34 years (50; 58.8%), the married (77; 90.6%) and those with tertiary education (39; 45.9%). The risk factors for BV were common among women with laboratory evidence of the infection, however statistically significant risk factors were the use of intrauterine device (OR 1.61, 95%CI 0.543-4.759; p0.020) and previous voluntary termination of pregnancy (OR 1.04, 95%CI 0.600-1.808; p0.047).

CONCLUSION

There was high prevalence of bacterial vaginosis in the study population. Universal screening and treatment of cases may assist in lowering the associated morbidity.

摘要

目的

确定育龄非妊娠妇女中细菌性阴道病（BV）的患病率及相关危险因素。

方法

在尼日利亚伊洛林大学教学医院妇科门诊对19至45岁的非妊娠无症状妇女进行一项横断面研究。对参与者进行咨询并获得知情同意。随后采集阴道拭子进行显微镜检查、培养及药敏试验。根据 Nugent 标准诊断 BV。采用社会科学统计软件包（SPSS）20.0版进行数据分析。计算卡方检验和 Yates 校正卡方检验，p值<0.05具有统计学意义。

结果

在212名参与者中，BV患病率为40.1%；在25 - 34岁的女性中较为常见（50例；58.8%），已婚女性（77例；90.6%）以及受过高等教育的女性（39例；45.9%）中也较为常见。BV的危险因素在有感染实验室证据的女性中较为常见，然而具有统计学意义的危险因素是使用宫内节育器（OR 1.61，95%CI 0.543 - 4.759；p = 0.020）和既往自愿终止妊娠（OR 1.04，95%CI 0.600 - 1.808；p = 0.047）。