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Search Results: 1 - 10 of 3031 matches for " bacterial vaginosis "
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Bacterial Vaginosis and Correlates in Women of Reproductive Age in Thika, Kenya  [PDF]
J. Nzomo, P. Waiyaki, R. Waihenya
Advances in Microbiology (AiM) , 2013, DOI: 10.4236/aim.2013.33036

Background: Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge among women of childbearing age which is associated with STI/HIV and adverse birth outcomes. The Main objective of this study was to determine the prevalence and correlates of BV among women of reproductive age in Thika. Methods: Between July 2010 and February 2011, 193 women of reproductive age (18 - 49 years) were enrolled from family planning and ante-natal clinics in Thika District Hospital, Kenya. The study was descriptive cross sectional in which organisms were identified from vaginal specimens using culture, biochemical testing and Nugent score method. Statistical analyses included conventional descriptive statistics and multivariable analysis using regression. Results: Of one hundred and ninety three specimens, 9.3% were Mobiluncus isolates, 23.0% Bacteriodes species and 67.7% Gardnerella vaginalis. Among the study participants, 77.7% had non-classical BV with a score of 7 - 8 while 22.3% classical BV with a score of 9 - 10 indicating complete depletion of Lactobacillus species. Whiff test was positive for 89.1% (74) of the 83 patients with BV. Though, 32.5% of women with BV had a vaginal pH of more than 4.5, only 66.0% of women fulfilling the criteria of BV had a characteristic discharge. Conclusions: In this population, the prevalence of BV was relatively high when compared with other community settings. BV was associated with condom use and multiple sexual partners. Further research is needed to understand their role in BV and the socioeconomic context surrounding the condition in Kenya.

Guidelines for the treatment of bacterial vaginosis: focus on tinidazole
Laura J Dickey, Michael D Nailor, Jack D Sobel
Therapeutics and Clinical Risk Management , 2009, DOI: http://dx.doi.org/10.2147/TCRM.S3777
Abstract: idelines for the treatment of bacterial vaginosis: focus on tinidazole Review (5223) Total Article Views Authors: Laura J Dickey, Michael D Nailor, Jack D Sobel Published Date June 2009 Volume 2009:5 Pages 485 - 489 DOI: http://dx.doi.org/10.2147/TCRM.S3777 Laura J Dickey1, Michael D Nailor2,3, Jack D Sobel4 1Department of Pharmacy Services, Detroit Receiving Hospital, Detroit, MI, USA; 2University of Connecticut, School of Pharmacy, Storrs, CT, USA; 3Hartford Hospital, Department of Pharmacy, Hartford, CT, USA; 4Wayne State University, School of Medicine, Detroit, MI, USA Abstract: Bacterial vaginosis (BV) is a complex vaginal infection most commonly associated with women of child-bearing age. Risk factors for BV are numerous. There are currently multiple clinical and laboratory tests for diagnosis of BV, including the most commonly used diagnostic methods: Amsel’s criteria or Nugent’s Gram stain scale. The mainstay of BV therapy is metronidazole, but tinidazole as well as a few other agents have also been used successfully. Tinidazole is the second nitroimidazole antiprotozoal agent and a structural derivative of metronidazole. With a favorable pharmacokinetic profile and reduced side effects, tinidazole is an alternative agent for BV treatment. There are minimal head-to-head comparative data to establish tinidazole’s superiority to metronidazole or other therapeutic agents. Available data suggest tinidazole has a role in special populations particularly for refractory or relapsing BV.
Diagnóstico de vaginosis bacteriana en un consultorio de planificación familiar de la Región Metropolitana, Chile
Lillo G,Eduardo; Lizama I,Sandra; Medel C,Jorge; Martínez T,M. Angélica;
Revista chilena de infectología , 2010, DOI: 10.4067/S0716-10182010000300002
Abstract: in order to determine the prevalence of bacterial vaginosis (bv) among women attending a family health center and to evaluate the accuracy of amsel's diagnostic procedure relative to nugent scoring for diagnosing this condition, we obtained vaginal specimens from 100 women under 50 years attending a fpc from april to november of 2006. women were enrolled consecutively on a schedule basis and were not selected by symptoms of genital infection. vb was diagnosed in 32%> women, without significant differences by age (p = 0,114). 87.5%> women declared one sexual partner in the last 6 months. the amsel's method had a sensitivity of 62.1%>, and a specificity of 92.3%>, with positive and negative predictive values of 81.8%> and 83.3%> respectively, being the presence of clue cells the most accurate parameter. nevertheless, the lack of microscopes in the clinical practice limits the use of the amsel's criteria. in conclusion, vb is a prevalent infection in the study population, being not associated with age or sexual activity. diagnosis should be performed by the nugent method.
Vaginosis bacteriana: aspectos colposcópicos
Mota Suárez,ángel Rafael; Di Pietrantonio Valera,Katiusca Josefina; Mota Suárez,Alexander José;
Revista de Obstetricia y Ginecología de Venezuela , 2008,
Abstract: objective: to determine through of amsel?s criteria, the presence of bacterial vaginosis in patients and to define the colposcopic aspects most frequent of this pathology. method: a descriptive and transverse study was carried out on 65 women with bacterial vaginosis in the period 2003 - 2004, using colposcopic evaluation. setting: department of obstetrics and gynecology, university hospital "antonio patricio de alcalá", cumaná, sucre, venezuela. results: to demonstrate that to the colposcopic evaluation of bacterial vaginosis the most frequent was colpitis red diffuse points, with vascular standard; simple capillary and the lugol tests irregular mahogany with 82 % (p< 0,05), statistically significantl conclusion: colposcopic aspect of bacterial vaginosis with a vascular standard of simple capillary was colpitis red diffuse points and lugol test irregular mahogany.
Vaginosis bacteriana en mujeres con leucorrea
Ortiz Rodríguez,Cecilia; Ley Ng,Mirta; Llorente Acebo,Carmen; Almanza Martínez,Caridad;
Revista Cubana de Obstetricia y Ginecolog?-a , 2000,
Abstract: 300 vaginal exudates from patients that attended the gynecology department for suffering from leukorrhea were studied. 50.3% of the studied samples were positive. candida sp. was the most isolated microorganism, accounting for 22,3%; followed by bacterial vaginosis (bv), l9,7%; and mycoplasma hominis, 4,7%. bv was more frequently diagnosed in the group aged 20-35. the homogeneous white grayish leukorrhea was the most frequent clinical manifestatoin in those cases with bv. candida sp. and trichomonas vaginalis were the microorganisms that associated the most with bv.
Etiología de la infección cérvico vaginal en pacientes del Hospital Juárez de México
Flores-Paz,Rocío; Rivera-Sánchez,Roberto; García-Jíménez,Elvia; Arriaga-Alba,Myriam;
Salud Pública de México , 2003, DOI: 10.1590/S0036-36342003001100016
Abstract: objective: to identify the etiologic agents of cervicovaginal infection in order to establish an accurate diagnosis and proper treatment. material and methods: from january 1995 to december 1999, bacteriological studies were done in cervical discharge specimens from 6 811 patients aged 13 to 65 years, seen at hospital juarez in mexico city. all patients had leucorrhea, pruritus, hyperemia, and abdominal pain. statistical significance was assessed using the chi-squared test. results: the frequencies of infectious agents were as follows: g. vaginalis, 22.65%, candida spp, 19.13%, c. albicans, 7.8%, t. vaginalis, 1.5%, streptococcus group d, 11.78%, streptococcus b hemolytic, 4.59%, e. coli, 13.46%, and klebsiella spp, 2.0%. less frequent enterobacteria were: citrobacter spp, enterobacter spp, pseudomonas spp, m. morganii, and p. mirabilis. almost 3% of patients presented anaerobic species, which were always associated with g. vaginalis. neisseria spp and n. weaveri were isolated in 0.15% each; n. gonorrhoeae was not isolated in any of the patients. comparative data showed that streptococcus b hemolytic and e. coli increased markedly in the past two years (p<0.001 for the latter). conclusions: the diversity of etiologic agents requires performing bacteriological cultures of cervical and vaginal discharge to all symptomatic patients.
Comparsion of the Effect of Lactobacillus Acidophilus Suppository and Metronidazol Vaginal Tablet on Bacterial Vaginosis
Hamideh Jafarzadeh,Reihaneh Ivanbagha,Davood Hasanzadeh,Mohamad Hossein Sorush Barhaghi
Hayat Journal of Faculty of Nursing & Midwifery , 2011,
Abstract: Background & Aim: Bacterial vaginosis is characterized by an imbalance in vaginal natural discharges due to an overgrowth of anaerobic bacteria as well as a concomitant decrease in the number of lactobacilli and increase in vaginal PH to more than 4.5. Bacterial vaginosis increases the risk of pelvic inflamatory disease, postoperative infection following hysterectomy, cervix abnormal cytology and preterm birth. Microbial resistance and a growing tendency to move toward "natural therapies" have led to increase interests in non-antibiotic treatments for bacterial vaginosis. This study aimed to compare the effects of Lactobacillus acidophilus suppository and Metronidazol vaginal tablet on treatment of bacterial vaginosis. Methods & Materials: In a double-blind, paralled randomized clinical trial, 40 out of 300 participants were included in the study from an out-patient private gynaecology clinic in Tabriz, Iran. The participants were randomly allocated to two treatment groups of Lactobacilli suppository and Metronidazol vaginal tablet. Results: The cure rate for the Metronidazol group and the Lactobacilli supository group were 100 and 75 per cents, respectively. Conclusion: According to the results of this study, Metronidazol was more effective in treatment of bacterial vaginosis than the Lactobacilli suppository. A combination of these medications are suggested for resistant to treatment cases.
The Professional Medical Journal , 2004,
Abstract: Objective: To determine the frequency of bacterial vaginosis inpatients presenting with vaginal discharge in Gynaecological outpatient department. Place and Duration ofStudy: From July 2001 to April 2002 in the Gynaecological clinic of Unit-II at Services Hospital. Subject andMethods: Five hundred patients with vaginal discharge were selected for study. They were evaluated usingclinical composite criteria, whiff test, pH metry and microscopy for clue cells on wet mount. Bacterial vaginosiswas diagnosed if any three of the four characters were present Results: The overall frequency of bacterialvaginosis was 27%, 70% had coital frequency of more than twice a week and 40.7% had history of abortions.Conclusion: Bacterial vaginosis was the commonest cause of vaginal discharge in women attending theGynaecological clinic.
Anaerobes in bacterial vaginosis
Aggarwal A,Devi P,Jain R
Indian Journal of Medical Microbiology , 2003,
Abstract: Four hundred high vaginal swabs were taken from patients attending gynaecology and obstetrics department of Govt. medical college, Amritsar. The patients were divided into four groups i.e. women in pregnancy (Group I), in labour/post partum (Group II), with abnormal vaginal discharge or bacterial vaginosis (Group III) and asymptomatic women as control (Group IV). Anaerobic culture of vaginal swabs revealed that out of 400 cases, 212(53%) were culture positive. Maximum isolation of anaerobes was in group III (84%) followed by group II (56%), group I (36%) and control group (15%). Gram positive anaerobes (69.2%) out numbered gram negatives (30.8%). Among various isolates Peptostreptococcus spp. and Bacteroides spp. were predominant.
Vaginosis bacteriana en mujeres con leucorrea Bacterial vaginosis in women with leukorrhea
Cecilia Ortiz Rodríguez,Mirta Ley Ng,Carmen Llorente Acebo,Caridad Almanza Martínez
Revista Cubana de Obstetricia y Ginecolog?-a , 2000,
Abstract: Se estudiaron 300 exudados vaginales procedentes de pacientes que acudieron a la consulta de ginecología por presentar leucorrea. Se obtuvo el 50,3 % de positividad en las muestras estudiadas. Candida sp. fue el microorganismo más aislado con el 22,3 %, seguido de vaginosis bacteriana (VB) 19,7 % y Mycoplasma hominis 4,7 %. La VB fue diagnosticada con mayor frecuencia en el grupo de 20 a 35 a os de edad. La leucorrea blanco grisácea homogénea fue la manifestación clínica más frecuente en los casos con VB y la Candida sp. y Trichomonas vaginalis fueron los microorganismos que más se asociaron con la VB. 300 vaginal exudates from patients that attended the gynecology department for suffering from leukorrhea were studied. 50.3% of the studied samples were positive. Candida sp. was the most isolated microorganism, accounting for 22,3%; followed by bacterial vaginosis (BV), l9,7%; and Mycoplasma hominis, 4,7%. BV was more frequently diagnosed in the group aged 20-35. The homogeneous white grayish leukorrhea was the most frequent clinical manifestatoin in those cases with BV. Candida sp. and Trichomonas vaginalis were the microorganisms that associated the most with BV.
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