medigraphic.com
ISSN 1561-3062 (Electronic)

2012, Number 4

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2012; 38 (4)

Characterization of bacterial vaginosis in Haitian women

Crespo SM, Triana CI, Fernández KE, Cabrera CN

Language: Spanish
References: 25
Page:
PDF size: 67.57 Kb.


ABSTRACT

Introduction: vaginal discharge is one of the most frequent reasons for consultation in a Gynecology and bacterial vaginosis isone of its main causes.
Objective: to characterize the bacterial vaginosis in Haitian women.
Methods: an epidemiological, observational, descriptive and transversal study was conducted at Fort Michelle Hospital inHaiti, from the first half of 2009. The universe of this study was 230 women older than 20 years with vaginal discharge. We selected a sample of 65 patients that were positive for the disease after it was applied the inclusion and exclusion criteria.
Results: 41.7 % of this study universe was positive of infection. The most common risk factors were promiscuity, early onset of sexual intercourse, none condom use and singleness. Regarding the etiology of vaginal infection, bacterial vaginosis prevailed (67.7 %), 46.1 % of the patients aged 20-30 years, 69.2 % had no marital stability, 81.5 % had their first sexual intercourse earlier than age 21, 53.8 % did not use any protection, 61.5% reported promiscuity, and 84.6 % had some form of gynecological history, with a predominance of chronic pelvic inflammation (30.8 %). 46.2 % reported various symptoms, mostly colporrhagia as an isolated symptom (24.6 %).
Conclusions: there was a high incidence of bacterial vaginosis among patients with vaginal infection and prevalence of known risk factors.


REFERENCES

  1. Braseli A, Cuevas L, Pedreira W. Pautas para el diagnóstico, tratamiento y control epidemiológico, República del Uruguay. Montevideo: MSP; 2005. p. 8.

  2. Holmes KK, Levine R, Weaver M. Effectiveness of condoms in preventing sexually transmitted infections. Bull World Health Organ. 2004;82(6):454-61.

  3. Bazarra Fernández A, Castro Iglesias Á. Vaginosis bacteriana, ¿dónde nos encontramos? Med Clin (Barc). 1998;110(6):213-4.

  4. Bermúdez E. Gardnerella vaginalis [monografía en Internet]. 2005 [citada 15 Nov 2011]. Disponible en: http://www.ctv.es/suemc/rev0299.htm

  5. Prasad JH, Abraham S, Kurz KM, George V, Lalitha MK, Renu J, et al. Reproductive tract infections among young married women in Tamil Nadu, India. Int Fam Plan Perspect. 2005;31(2):73-82.

  6. Vera LM, López N, Arámbula AL. Validez y reproducibilidad del sistema de puntuación de Nugent para el diagnóstico de vaginosis bacteriana en mujeres embarazadas. Rev Chil Obstet Ginecol. 2009;74(5):286-91.

  7. Bhalla P, Chawla R, Garg S, Singh MM, Raina U, Bhalla R, et al. Prevalence of bacterial vaginosis among women in Delhi, India. Indian J Med Res. 2007;125(2):167-72.

  8. Patel V, Weiss HA, Mabey D, West B, D'Souza S, Patil V, et al. The burden and determinants of reproductive tract infections in India: a population based study of women in Goa, India. Sex Transm Infect. 2006;82(3):243-9.

  9. Nansel TR, Riggs MA, Yu KF, Andrews WW, Schwebke JR, Klebanoff MA. The association of psychosocial stress and bacterial vaginosis in a longitudinal cohort. Am J Obstet Gynecol. 2006;194(2):381-6.

  10. Evans AL, Scally AJ, Wellard SJ, Wilson JD. Prevalence of bacterial vaginosis in lesbians and heterosexual women in a community setting. Sex Transm Infect. 2007;83(6):470-5.

  11. Ramírez Santos A, Pereiro M. Jr., Toribio J. Vulvovaginitis de repetición. Valoración diagnóstica y manejo terapéutico. Actas Dermosifiliogr. 2008;99(3):190-8.

  12. Aral SO, Fenton KA, Holmes KK. Sexually transmitted diseases in the USA: temporal trends. Sex Transm Inf. 2007;83(4):257-66.

  13. Allsworth J, Peipert JF. Prevalence of bacterial vaginosis: 2001-2004: National Health and Nutrition Examination Survey Data. Obstetrics & Gynecology. 2007;109(1):114-20.

  14. ONU. Declaración de Helsinki enmendada por la 52a Asamblea General en Edimburgo, Escocia 2000 [monografía en Internet] 2000 [citada 28 jun 2007]. Disponible en: http://www.wma.net/en/30publications/10policies/b3/

  15. Piot P, Van Dyck E, Goodfellow M, Falkow S. A taxonomic study of Gardnerella vaginalis (Haemophilus vaginalis) Gardner and Dukes 1955. Microbiology. 1980;119(2):373-96.

  16. Hamilton G, Falistocco C. Guía de Manejo de las Infecciones de Transmisión Sexual. República Argentina [sitio en Internet] 2004. [citada 2011 nov 15]. Disponible en: http://organismos.chubut.gov.ar/epidemiologia/files/2009/12/Guia-de-manejo-de-las -infecciones-de-transmision-sexual.pdf

  17. Owen MK, Clenney TL. Management of vaginitis. Am Fam Physician. 2004;70(11):2125-32.

  18. Mitchell H. Vaginal discharge-causes, diagnosis and treatment. Br Med J. 2004;328(7551):1306-8.

  19. Allsworth JE, Peipert JF. Impacto de la gravedad de la vaginosis bacteriana. Am J Obstet Gynecol 2011;205(1):113-7.

  20. Blum RW, Beuhring T, Shew ML, Bearinger LH, Sieving RE, Resnick MD. The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. Am J Public Health. 2000;90(12):1879-84.

  21. Lessa Horta R, Lessa Horta B, Tavares Pinheiro R, Morales B, Neves Strey M. Tabaco, álcool e outras drogas entre adolescentes em Pelotas, Rio Grande do Sul, Brasil: uma perspectiva de gênero. Cad Saúde Publica. 2007;23(4):775-83.

  22. Cohen CR, Plummer FA, Mizo N. Increased interleukin 10 in the endocervical secretions of women with non-ulcerative sexually transmitted diseases a mechanism for enhanced HIV. Tramissia AIDS. 2004;13(3):327-32.

  23. Cruz Lage LM, González Ferrer J, Luz Parra Alonso LE, Martínez Martínez W, Peña Rojas L, del Valle Fernández Y. Factores de riesgo en la infección vaginal. Correo Científico Médico de Holguín [serie en Internet]. 2011 [citada 2011 nov 15];15(3) :[aprox. 4 p.]. Disponible en: http://www.cocmed.sld.cu/no153/no153ori04.htm

  24. Venegas G, Boggiano G, Castro E. Prevalencia de vaginosis bacteriana en trabajadoras sexuales chilenas. Rev Panam Salud Púb. 2011;30(1):46-50.

  25. Lillo E, Lizama S, Medel J, Martínez A. Diagnóstico de vaginosis bacteriana en un consultorio de planificación familiar de la Región Metropolitana, Chile. Rev Chil Infectol. 2010;27(3):199-203.




2020     |     www.medigraphic.com