Infectious etiology of vaginal discharge in women attended at the clinical
DOI:
https://doi.org/10.17533/udea.hm.323250Keywords:
vaginal discharge, bacterial vaginosis, vulvovaginal candidiasis, trichomoniasisAbstract
Objective: To determine the infectious etiology of vaginal discharge in women treated at VID Clinical Laboratory (LCVID) in Medellín.
Materials and Methods: This is a retrospective study, in which LCVID database was consulted from January 2014 to December 2015 to determine which infectious agents were identified in women who had direct examination and Gram in vaginal discharge. For this study, the Laboratory followed a standardized protocol to establish the objective of this research project.
Results: A total of 4,738 records of women who received care during the consulted period was analyzed. Data were stratified according to age ranges, based on risk factors for the entities studied in our protocol: women from 16 to 25, 26 to 35, 36 to 45, 46 to 55 and over 56 years of age. From the total of samples processed, 39 cases (0.83%) were diagnosed with vaginal trichomoniasis (TV), 2009 cases (42.4%) were diagnosed with vulvovaginal candidiasis (VVC), 1343 cases (28.3%) were diagnosed with Bacterial vaginosis (BV), and no infectious etiology was found in 1357 cases (28.4%).
Conclusions: Even though this is a retrospective and descriptive study, the size of the sample shows it as a robust study for analysis purposes. It is important to note that Trichomonas vaginalis was not an important agent, but Candida spp. ranked first, followed by bacterial vaginosis.
Downloads
References
Botero J, Díaz F. Flujo vaginal en: Botero J, Henao G, Londoño J. Texto integrado de Obstetricia y Ginecología. 8 ed. Medellin: CIB. 2.008. 70-742.
CDC,MMWR. Sexually transmitted diseases treatment guidelines, 2010/Vol 59/No.RR-12: 56-61
Holmes KK, Stamm W, Sobel JD. Lower geni-tal tract infection syndroms in women en: Holmes KK, Sparling PF, Stamm W, Piot P, Wasserheit JN, Corey L et al Sexually Transmitted Diseases. 4th ed. NY: McGraw Hill;2008: 987-1016.
Spear G, Sikaroodi M, Zariffard M, Landay A, French A. Comparison of the diversity of the vaginal mi-crobiota in HIV infected and HIV uninfected women with or without bacterial vaginosis J Infect Dis.2008;198:1131-1140.
Hay P, Patel S, Daniels D. UK National Guideline for the Management of Bacterial Vaginosis.BASHH. 2012; 1-15
de FigueiredoLeite S, de Amorim M, Calabria W, de FigueiredoLeite T, de Oliveira V, Alves-Ferreira J, et al.
Clinical and microbiological profile of women with bacterial vaginosis. Rev Bra Ginecol Obstet. 2010; 32:82-87
Amsel R, Totten P, Spiegel C, Chen K, Es-chenbach D, Holmes K. Nonspecific vaginitis. Diag-nostic criteria and microbial and epidemiologic associa-tions. Am J Med. 1983; 74:14-22.
McCormack W. Vulvovaginitis and Cervicitis in: Man-dell G, Bennett J, Dolin R. Principles and practice of Infec-tious Disease. 7th ed. Philadelphia:ELSEVIER SAUNDERS; 2010. p. 1495-1509.
Linda O, Eckert. Acute Vulvovaginitis: New England Journal of Medicine. 2006; 355:1244-1252.
White D, Robertson C. UK National Guideline on the Management of Vulvovaginal Candidiasis; 2.007
Sherrard J, Ison C, Moody J, Wainwright E, Wil-son J, Sullivan A. United Kingdom National Guideline on the Management of Trichomonas vaginalis. Int J STD AIDS. 2014; 1-14.
Estrada S, Ospina S. Enfoque de la paciente con flu-jo vaginal infeccioso, en: Betancur J, Correa AL, Estrada S, Orozco B. Manual de VIH/Sida y otras infecciones de trans-misión sexual. Medellin: CIB; 2007. p. 209-20.
Sherrard J, Donders G, White D, Jensen JS.European (IUSTI/WHO) Guideline on the Management of Vaginal Discharge. Int J STD AIDS. 2011;22(8):421-9.
Workowski K, Bolan G. Sexually Transmitted Disea-ses Treatment Guidelines, MMWR Recomm Rep. 2015; 64 (3): 69-75.
Sherrard J, Donders G, White D. European (IUSTI/WHO) Guideline on the Management of Vaginal Dischar-ge.International Journal of STD & AIDS 2011; 22: 421–42916. Medina R, Rechkemmer A, Garcia-Hjarles M.Prevalencia de vaginitis y vaginosis bacteriana en pacien-tes con flujo vaginal anormal en el Hospital Nacional Ar-zobispo Loayza. Rev Med Hered. 1999; 10: 144-150.
Ortiz C, Ley M, Llorente C, Almanza C. Vaginosis bacteriana en mujeres con leucorrea. Rev Cubana Obstet. 2000; 26: 74-81.
Di Bartolomeo S, Rodríguez M, Sauka D, De Torres R.Prevalencia de microorganismos asociados a secreción genital femenina, Argentina. Revista de Saúde Pública. 2002; 36: 545-552.
Alemán LD, Almanza CA, Fernández O. Diag-nóstico y prevalencia de infecciones vaginales. Rev Cuba-na Obstet. 2010; 36: 62-75
Salas N, Ramírez J, Ruiz B, Torres E, Jaramillo L, Gomez-Marin J. Prevalencia de microorganismos asociados a infecciones vaginales en 230 mujeres gestan-tes y no gestantes sintomáticas del centro de salud de la Milagrosa en el municipio de Armenia (Colombia). Rev Cubana Obstet Ginecol.2009; 60: 133-142
Cutie M, Almaguer J, Álvarez M. Vaginosis en edades tempranas. Rev Cubana Obstet Ginecol. 1999; 25: 174-180.
Gallardo J, Valdés S, Diaz M, Romay C. Compor-tamiento de la enfermedades de trasmisión sexual en pacientes con sepsis ginecológica. Rev Cubana Obstet Ginecol. 2000; 26: 10-14.
Canto de Cetina T, Polanco L, Fernández V, Cupul G. Prevalencia de vaginosis bacteriana en un grupo de mujeres de una clínica de planificación familiar. Gac Méd Méx. 2002;138:25-30.