埃及亚历山大孕妇与非孕妇阴道炎研究：意外的高混合性阴道感染率
A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection.
作者信息
Shawaky Sherine Mohamed, Al Shammari Mariam Majed Ali, Sewelliam Manal Shafik, Ghazal Abeer Abd El Rahim, Amer Ahmed Noby
机构信息
Microbiology Department, Medical Research Institute, Alexandria University, Egypt.
Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt.
出版信息
AIMS Microbiol. 2022 May 5;8(2):167-177. doi: 10.3934/microbiol.2022014. eCollection 2022.
BACKGROUND
Many infectious and noninfectious triggers lead to inflammation of the vagina.
AIM
We investigated the prevalence of causative vaginitis microorganisms in 516 pregnant and nonpregnant female volunteers. Vaginal samples were examined microscopically, cultured and tested for different pathogens.
RESULTS
Of the participants, 310 (60.1%) were pregnant, whereas 206 (39.9%) were nonpregnant. Using Amsel's criteria and Nugent's scores, bacterial vaginosis (BV) was diagnosed in 59.1%, and the prevalence of vulvovaginal candidiasis (VVC) was 50.2% in the population. infections were significantly higher in nonpregnant females (p value ≤ 0.01), and 24% of females had mixed infections. The most common mixed infection was BV and spp., detected in 21% of the cases.
CONCLUSIONS
Bacterial vaginosis is the most common cause of vaginitis. We observed that 24% of females experienced mixed infections, and was the most common fungal species causing VVC. prevalence was underestimated using wet mounts.
背景
许多感染性和非感染性诱因可导致阴道炎症。
目的
我们调查了516名怀孕和未怀孕女性志愿者中引起阴道炎的微生物的流行情况。对阴道样本进行显微镜检查、培养并检测不同病原体。
结果
参与者中，310名（60.1%）为孕妇，而206名（39.9%）为非孕妇。根据阿姆塞尔标准和纽金特评分，59.1%的人被诊断为细菌性阴道病（BV），该人群中外阴阴道假丝酵母菌病（VVC）的患病率为50.2%。非孕妇的感染率显著更高（p值≤0.01），24%的女性有混合感染。最常见的混合感染是BV和 菌属，在21%的病例中检测到。
结论
细菌性阴道病是阴道炎最常见的病因。我们观察到24%的女性有混合感染，并且 是引起VVC最常见的真菌种类。使用湿片法时患病率被低估。
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