Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection

Background. Bacterial vaginosis is a global concern due to the increased risk of acquisition of sexually transmitted infections. Objectives. To determine the prevalence of bacterial vaginosis and bacteria causing aerobic vaginitis. Methods. A cross-sectional study was conducted among 210 patients be...

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Main Authors: Adane Bitew, Yeshiwork Abebaw, Delayehu Bekele, Amete Mihret
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Microbiology
Online Access:http://dx.doi.org/10.1155/2017/4919404
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author Adane Bitew
Yeshiwork Abebaw
Delayehu Bekele
Amete Mihret
author_facet Adane Bitew
Yeshiwork Abebaw
Delayehu Bekele
Amete Mihret
author_sort Adane Bitew
collection DOAJ
description Background. Bacterial vaginosis is a global concern due to the increased risk of acquisition of sexually transmitted infections. Objectives. To determine the prevalence of bacterial vaginosis and bacteria causing aerobic vaginitis. Methods. A cross-sectional study was conducted among 210 patients between September 2015 and July 2016 at St. Paul’s Hospital. Gram-stained vaginal swabs were examined microscopically and graded as per Nugent’s procedure. Bacteria causing aerobic vaginitis were characterized, and their antimicrobial susceptibility pattern was determined. Results. The overall prevalence of bacterial vaginosis was 48.6%. Bacterial vaginosis was significantly associated with number of pants used per day (p=0.001) and frequency of vaginal bathing (p=0.045). Of 151 bacterial isolates, 69.5% were Gram-negative and 30.5% were Gram-positive bacteria. The overall drug resistance level of Gram-positive bacteria was high against penicillin, tetracycline, and erythromycin. Cefoxitin and tobramycin were the most active drugs against Gram-positive bacteria. The overall drug resistance level of Gram-negative bacteria was high against tetracycline, ampicillin, and amoxicillin. Amikacin and tobramycin were the most active drugs against Gram-negative bacteria. Conclusions. The prevalence of bacterial vaginosis was high and was affected by individual hygiene. Routine culture of vaginal samples should be performed on patients with vaginitis and the drug susceptibility pattern of each isolate should be determined.
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spelling doaj-art-3c8aca18d4714554b708e909d6198f2c2025-02-03T01:04:01ZengWileyInternational Journal of Microbiology1687-918X1687-91982017-01-01201710.1155/2017/49194044919404Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract InfectionAdane Bitew0Yeshiwork Abebaw1Delayehu Bekele2Amete Mihret3Department of Medical Laboratory Sciences, College of Health Sciences, Addis Ababa University, P.O. Box 1176, Addis Ababa, EthiopiaClinical Laboratory, Fitche Hospital, P.O. Box 46, Oromia Administrative Region, EthiopiaDepartment of Obstetrics and Gynecology, St Paul’s Hospital Millennium Medical College, P.O. Box 1271, Addis Ababa, EthiopiaDepartment of Clinical Bacteriology and Mycology, Ethiopian Public Health Institute, P.O. Box 1242, Addis Ababa, EthiopiaBackground. Bacterial vaginosis is a global concern due to the increased risk of acquisition of sexually transmitted infections. Objectives. To determine the prevalence of bacterial vaginosis and bacteria causing aerobic vaginitis. Methods. A cross-sectional study was conducted among 210 patients between September 2015 and July 2016 at St. Paul’s Hospital. Gram-stained vaginal swabs were examined microscopically and graded as per Nugent’s procedure. Bacteria causing aerobic vaginitis were characterized, and their antimicrobial susceptibility pattern was determined. Results. The overall prevalence of bacterial vaginosis was 48.6%. Bacterial vaginosis was significantly associated with number of pants used per day (p=0.001) and frequency of vaginal bathing (p=0.045). Of 151 bacterial isolates, 69.5% were Gram-negative and 30.5% were Gram-positive bacteria. The overall drug resistance level of Gram-positive bacteria was high against penicillin, tetracycline, and erythromycin. Cefoxitin and tobramycin were the most active drugs against Gram-positive bacteria. The overall drug resistance level of Gram-negative bacteria was high against tetracycline, ampicillin, and amoxicillin. Amikacin and tobramycin were the most active drugs against Gram-negative bacteria. Conclusions. The prevalence of bacterial vaginosis was high and was affected by individual hygiene. Routine culture of vaginal samples should be performed on patients with vaginitis and the drug susceptibility pattern of each isolate should be determined.http://dx.doi.org/10.1155/2017/4919404
spellingShingle Adane Bitew
Yeshiwork Abebaw
Delayehu Bekele
Amete Mihret
Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection
International Journal of Microbiology
title Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection
title_full Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection
title_fullStr Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection
title_full_unstemmed Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection
title_short Prevalence of Bacterial Vaginosis and Associated Risk Factors among Women Complaining of Genital Tract Infection
title_sort prevalence of bacterial vaginosis and associated risk factors among women complaining of genital tract infection
url http://dx.doi.org/10.1155/2017/4919404
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