A ten years retrospective study of microbial flora in symptomatic teenagers

Introduction:

Vaginitis is a common disease that affects many women, mainly in reproductive age. The purpose of this study was to investigate the correlation of the findings of vaginal inflammation (trichomonas, fungi, bacteria) in Papanicolaou test with the existence or absence of vulvovaginitis symptomatology in patients.

Material and methods:

Vaginal fluid cultures were obtained from women showing symptoms of vaginal hypersecretion, burning, pruritus and dyspareunia. The collection took place from 1/1/2005 to 30/12/2015 in the Family Planning Centre, in the Universal General Hospital of Alexandroupolis.

Results:

During this period material was obtained from 1450 teenage women aged 16 – 19. Among these, vaginal flora was found in 65.6%, while in 1.2% there was no growth. In 14 women (1.96%), double growth of microbe was observed. In the remaining 250 (33.33%) just one germ was isolated, namely: 123 (49.2%) candida albicans, 26 (10.4%) candida non albicans, 21 (8.4%) str. Agalactiae, 18 (7.2%) enterococcus faecalis, 15 (6%) candida glabrata, 15 (6%) E. coli, 7 (2.8%) ureoplasma ureolyticum, 5 (2%) trichomonas vaginalis. The following microbes were isolated less frequently (8%): candida famata, candida spp, candida sphaerica, candida tropicals, citrobacter freundii, staphylococcus haemolyticus, staph aureus, klebsiella pneumoniae, klebsiella oxytoca.

Conclusions:

The majority of women are sensitized regarding the vaginitis, as is seen by the large sample of patients in a limited time. It is also shown that the most frequent germ involved in vaginitis is coming from candida family as candida albicans and candida glabrata accounted for 55.2% of the isolates.