تشخيص واژنيوز باكتريال در ارتباط با گارد نرلا در مراجعين به كلينيك تخصصي زنان در بروجن ، 1379

Diagnosis of gardenella associated vaginosis in Borujen womenʹs outpatient clinic, 2000

Bacterial vaginosis is common, and involves, bacterial as well as fungal and protozoal agents. Gardenella vaginalis is an organism often suggested as playing a major role in bacterial vaginosis. The current cross-sectional study was carried out on 227 women with vaginal discharge referred to the womenʹs outpatient clinic in Borujen from Apr. to Oct. 2000 in order to determine the frequency of cases and to evaluate the diagnostic criteria for the infection. A questionnaire including some general and clinical information was completed for all cases. The minimum diagnostic criteria sufficient for the identification of bacterial vaginosis included the clinical symptoms, presence of clue cells in the Gram staining of vaginal discharge, homogeneity of secretions with a pH > 4.5 and a positive reaction to amin (Whiff) test. Bacterial culture and isolation of G. vaginalis were implemented using conventional differential tests on a selective bacterial medium as recommended by Ison et al. 43 out of a total of 227 cases (18.9%) were found to have bacterial vaginosis. All the women with bacterial vaginosis were married and the majority of (69.9%) belonged to 20-39 age group. G.vaginalis was successfully isolated from 76.7% of bacterial cultures. All positive samples revealed clue cells, 90.7% had a pH>4.5, 81.4% were positive for amin test and 67.4% had a homogenous secretion. We did not find a significant relation between IUD application and incidence of Gardenella associated vaginosis. Since all women with vaginosis due to G. vaginalis were married, a conclusion can be made on a relation between sexual activity and occurrence of the infection.