Prevalence of bacterial vaginosis in sexually active females in Chhattisgarh Institute of Medical Sciences, Bilaspur, Chhattisgarh
Keywords:Bacterial vaginosis, Sexually active females, Intrauterine contraceptive device, STD
Background: To know the prevalence of bacterial vaginosis (BV) in sexually active females presenting with the complaints of Vaginal discharge to the outpatient department. BV also called as non-specific vaginitis, develops when the normally predominant peroxides producing lactobacillus species in the vagina are replaced by mixed predominantly anaerobic flora consisting of Gardinerella vaginalis, Mycoplasm hominis, Mobilunceus species, Bacteroids species, Prevotela Species, Peptostreptococcus Species, Fusobacterium Species and Porphyromonus Species.
Methods: Three hundred females attending the OPD with the complaints of vaginal discharge were studied. Diagnosis of BV were made according to Amsle’s clinical criteria and Nugent's criteria for evaluating Gram stain vaginal smear. The results were compared with the data available from the previous studies.
Results: Out of 300 patients 122 (40.66%) were suffering from BV. 90 (73.33%) patients were having pH between 5-6.9. Among pregnant women 9.83% found positive. IUCD users 19 (29.68%) are found suffering from BV. Out of 33 VDRL positive patients 19 (57.51%) were positive with BV.
Conclusions: The prevalence of BV is on higher side of the available data. There is an association between IUCD use and occurrence of BV.
Georgijevic A, Cjukic-Ivancevic S, Bujko M. bacterial vaginosis, Epidemiology and risk factorship Arh Celok Lek. 2000;128:29-33.
Andrea J. Ries. Treatment of Vaginal Infection: Candidiasis, Bacterial Vaginosis and Trichomoniasis. Am Pharma Assoc. 1997;37:567-9.
Jessica L. Thomson, Robort J. Anderson, Sheldon M. Gelbart, et al. Simplified Gramstain interpretive method for diagnosis of bacterial vaginosis. Am J Obstet gynecol. 1992;167:16-9.
Hillier SL. Diagnostic Microbiology of bacterial vaginosis.Am J Obstet gynecol. 1993;169:455-9.
Mc gregor JA, French Jl. Bacterial vaginosis in pregnancy. Ostet gynecil survo.2000;55:57-79.
Amsel R, Totten PA, spiegal CA, et al non-specific vaginitis. Am J med. 1983;74-22.
George Lauri, riduan J. bacterial vaginosis and HIV infection. Sextraansm infect. 2000;76:3-4.
Levett PN. Aetiology of vaginal infections in pregnant and non-pregnant women in Barbados. West Ind Med J. 1999;44:96-8.
Ankirshaia AS, Murav'eva VV, Akopian TE, et al. Evaluation of sensitivity and specificity of methods of rapid diagnosis in bacterial vagonsis. Klim Lab diagn.1997;7:41-5.
Sanchez SE, Koutsky LA, Sanchez J, et al. Rapid and inexpensive approaches to managing abnormal vaginal discharge or lower abdominal pain: an evaluation in women attending gynecology and family planning clinics in Peru. Sex trans infect. 1998;1:85-94.
Mahadani JW, Dekate RR, shrikhade AV. Cyto diagnosis of discharge per vainum. Ind Pathol Microbial. 1998;41:403-11.
Paxton I.A. Sewankambo N, Gray R et al. Asymptomatic non-ulcerative genital tract infection in rural Ugandan population. Sex transm infect. 1998;74:421-5.
Fonck K, Kidula N, jaoko W et al. Validity of the Vaginal Discharge algorithm among pregnant and non-pregnant women in Narobi, Kenya. Sex transm infect. 2000;76:33-8.
Warren D, Klin RS, Sobel J, Kieke B, Brown W, Schuman P. A multicenter study of Bacterial Vaginosis in women with or at risk for Human immunodeficiency Virus infection. Infect Dis Obstet Gynecol. 2001;9:133-41.
Kaur KH, Puri KJ, Madan PS, Anita M, Bajaj K. Prevelence of Bacterial Vaginosis in sexually active females. J Obstet Gynecol Ind. 2003;53:178-80.
Puri KJPS, Harkiran K, Anita M, Bajaj Kiran. Evaluation of relationship between vaginal pH value and type of vaginal discharge among sexually active women age group 20-40 years. J Obstel Gynecol Ind. 2003;53:274-5.
William, Andrews, Hauth RS, Cliver SP, Conner MG. Association of asymptomatic bacterial vaginosis with endometrial microbial colonization and plasma cell endometritis in non-pregnant women. American Journal of Obstetrics and Gynecology. 2006;195:1611-6.
Bhalla P, Chawla R, Gang S, Singh MM, Raina U, Bhalla R. Prevalence of Bacterial Vaginosis among women in Delhi, India. Indian J Med Res. 2007;125:167-72.
Madhivanan P, Krupp K, Chandrasekaran V, Karat C, Arun A. Prevelence and correlation of Bacterial Vaginosis among young women of reproductive age in Mysore India. Indian Journal of Medical Microbiology. 2008;26:132-7.
Baisley K, Changalucha J, Weiss HA. Bacterial Vaginosis in female facility workers in north western Tanzania: prevalence and risk factors. Sex tragnsm infect. 2009;85:370-5.