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需氧菌性细菌性阴道炎与与巨细胞病毒相关的物种与流产有关。

Aerobic Bacterial Vaginosis and Species Associated with Cytomegalovirus in Abortion.

机构信息

College of Sciences, University of Misan, Amarah, Iraq.

出版信息

Arch Razi Inst. 2022 Aug 31;77(4):1447-1452. doi: 10.22092/ARI.2022.357615.2068. eCollection 2022 Aug.

Abstract

Abortion is a common complication in the life cycle of pregnancy. Based on the American College of Obstetricians and Gynecologists, spontaneous abortion is defined as the expulsion of an embryo or the extraction of a fetus at the age of 20-22 weeks of pregnancy. This study aimed to investigate the relationship between socioeconomic factors and bacterial vaginosis (BV) in women having an abortion. As a secondary aim, it attempted to detect common bacteria that cause vaginosis associated with miscarriage and are related to Cytomegalovirus (CMV) and species (spp.). A total of 113 high vaginal swabs were taken from women having an abortion. Some variables that have been investigated in this study include age, education, and infection. After the vaginal discharge collection, the smear was prepared. Afterward, one or two drops of normal saline solution were put on the prepared smear with a cover slip, and then, they were examined under a microscope. Gram stain kits (Hi-media, India), were used to differentiate between the shapes of bacterial isolates. The wet mount technique was then utilized for the detection of and aerobic BV. All the samples were used for smear gram staining and were cultured on blood agar, chocolate agar, as well as MacConkey agar. Biochemical examinations performed on suspicious cultures included the Urease test, Oxidase test, Coagulase test, and Catalase test. In the present study, the participants' age ranged from 14 to 45 years. Women aged 24-34 years had a high rate of miscarriage, determined at 48 (42.5%), which was considered a high incidence rate. The results showed that 28.6% of the studied population experienced abortion once and 71.4% of them experienced it twice due to aerobic BV. The recorded data also revealed that 50% of the studied population, who were infected with CMV or , experienced abortion once and the other 50% experienced it twice. From 102 samples infected with spp., 45.17% experienced abortion once and 42.2% experienced it twice.

摘要

堕胎是妊娠生命周期中的常见并发症。根据美国妇产科医师学会的定义,自然流产是指在妊娠 20-22 周时胚胎或胎儿被排出。本研究旨在探讨社会经济因素与堕胎妇女细菌性阴道病(BV)之间的关系。作为次要目的,它试图检测与流产相关的常见导致细菌性阴道病的细菌,这些细菌与巨细胞病毒(CMV)和 种(spp.)有关。共从堕胎妇女中采集了 113 例阴道拭子。本研究调查了一些变量,包括年龄、教育程度和感染情况。采集阴道分泌物后,制备涂片。然后,在制备好的涂片上滴加一到两滴生理盐水,盖上盖玻片,在显微镜下检查。使用 Hi-media(印度)的革兰氏染色试剂盒来区分细菌分离物的形状。然后使用湿片技术检测 和需氧性 BV。所有样本均用于涂片革兰氏染色,并在血琼脂、巧克力琼脂和麦康凯琼脂上培养。对可疑培养物进行了生化检查,包括尿素酶试验、氧化酶试验、凝固酶试验和过氧化氢酶试验。在本研究中,参与者的年龄范围为 14 至 45 岁。24-34 岁的女性流产率较高,为 48 例(42.5%),被认为是高发率。结果表明,28.6%的研究人群曾因需氧性 BV 而发生过一次流产,71.4%的研究人群曾发生过两次流产。记录的数据还显示,50%的感染 CMV 或 的研究人群曾发生过一次流产,另外 50%的人曾发生过两次流产。在感染 spp.的 102 个样本中,45.17%的人曾发生过一次流产,42.2%的人曾发生过两次流产。

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