Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms

Vaginitis is the inflammation of the vagina as a result of a change in the balance of normal flora affecting women of reproductive age. It is one of the most frequent reasons that women visit clinics. The objective of this study was to determine the importance of laboratory diagnosis methods in the...

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Main Authors: Hemin Muheddin Kareem, Muhammed Saed Qadir, Safa Bakr Karim, Solaf Jawhar Ali
Format: Article
Language:English
Published: Sulaimani Polytechnic University 2020-12-01
Series:Kurdistan Journal of Applied Research
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Online Access:https://kjar.spu.edu.iq/index.php/kjar/article/view/585
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author Hemin Muheddin Kareem
Muhammed Saed Qadir
Safa Bakr Karim
Solaf Jawhar Ali
author_facet Hemin Muheddin Kareem
Muhammed Saed Qadir
Safa Bakr Karim
Solaf Jawhar Ali
author_sort Hemin Muheddin Kareem
collection DOAJ
description Vaginitis is the inflammation of the vagina as a result of a change in the balance of normal flora affecting women of reproductive age. It is one of the most frequent reasons that women visit clinics. The objective of this study was to determine the importance of laboratory diagnosis methods in the treatment of the disease and to study the symptoms and risk factors associated with vaginitis among women with genital tract symptoms. Vaginal swabs were collected from 50 women attending Maternity hospital and Chwarchra dormitory camps in Sulaimani city. Samples were examined microbiologically and causative agents were isolated. All relevant clinical information such as patient demographic profiles, socioeconomic variables, risk factors and symptoms have been collected by questionnaire based study. Different species of microorganisms were isolated from vaginal samples including yeast and bacteria. Culture analysis and gram stain had shown that bacterial vaginosis was 22%, while the rate of yeast infection was 16%. The higher percentage was 62% for the normal flora (Lactobacillus). Microscopic examination of patient’s vaginal swabs revealed that 63.6% of infectious group had high level of epithelial cells (>10), while the most patients with non-infectious vaginitis had (10) or less epithelial cell in the microscopic field. The presence of epithelial cell was significantly associated with infectious vaginitis (p-value 0.04). Most patients were aged between 25-35 years. The result showed a significant association between infectious vaginosis with education level (p-value 0.02). The most common symptom present among patients with infectious vaginitis group was itching (38.5%) and smelly discharge (40%). The majority of women had history of previous infections in both infectious and non-infectious vaginitis groups. Furthermore, there was different types of vaginitis including infectious vaginitis (bacterial and yeast infection) and non-infectious vaginitis. Therefore, it is essential to perform laboratory examination for the patients to detect the causative agents of vaginitis, and ensure the most appropriate treatment can be administered. In addition, the treatment of vaginitis can be done by topical application of Lidocaine 5% ointment (as a local anesthetic) nightly for seven weeks has been shown to decrease the pain of vaginitis in women.  
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spelling doaj-art-62f0981a85144545b6f8919129bf1c1f2025-02-09T20:59:57ZengSulaimani Polytechnic UniversityKurdistan Journal of Applied Research2411-76842411-77062020-12-016310.24017/science.2020.ICHMS2020.17Characterization of Vaginitis Among Women Complaining of Genital Tract SymptomsHemin Muheddin Kareem0Muhammed Saed Qadir1Safa Bakr Karim2Solaf Jawhar Ali3Nursing Department, Technical College of Health , Sulaimani Polytechnic University , Sulaimani, IraqMedical Laboratory Department, Technical College of Health, Sulaimani Polytechnic University, Sulaimani, IraqAnesthesia Department, Technical College of Health, Sulaimani Polytechnic University, Sulaimani, IraqNursing Department, Technical College of Health , Sulaimani Polytechnic University , Sulaimani, IraqVaginitis is the inflammation of the vagina as a result of a change in the balance of normal flora affecting women of reproductive age. It is one of the most frequent reasons that women visit clinics. The objective of this study was to determine the importance of laboratory diagnosis methods in the treatment of the disease and to study the symptoms and risk factors associated with vaginitis among women with genital tract symptoms. Vaginal swabs were collected from 50 women attending Maternity hospital and Chwarchra dormitory camps in Sulaimani city. Samples were examined microbiologically and causative agents were isolated. All relevant clinical information such as patient demographic profiles, socioeconomic variables, risk factors and symptoms have been collected by questionnaire based study. Different species of microorganisms were isolated from vaginal samples including yeast and bacteria. Culture analysis and gram stain had shown that bacterial vaginosis was 22%, while the rate of yeast infection was 16%. The higher percentage was 62% for the normal flora (Lactobacillus). Microscopic examination of patient’s vaginal swabs revealed that 63.6% of infectious group had high level of epithelial cells (>10), while the most patients with non-infectious vaginitis had (10) or less epithelial cell in the microscopic field. The presence of epithelial cell was significantly associated with infectious vaginitis (p-value 0.04). Most patients were aged between 25-35 years. The result showed a significant association between infectious vaginosis with education level (p-value 0.02). The most common symptom present among patients with infectious vaginitis group was itching (38.5%) and smelly discharge (40%). The majority of women had history of previous infections in both infectious and non-infectious vaginitis groups. Furthermore, there was different types of vaginitis including infectious vaginitis (bacterial and yeast infection) and non-infectious vaginitis. Therefore, it is essential to perform laboratory examination for the patients to detect the causative agents of vaginitis, and ensure the most appropriate treatment can be administered. In addition, the treatment of vaginitis can be done by topical application of Lidocaine 5% ointment (as a local anesthetic) nightly for seven weeks has been shown to decrease the pain of vaginitis in women.   https://kjar.spu.edu.iq/index.php/kjar/article/view/585Vaginitis, diagnosis, culture symptoms, microscope examination.
spellingShingle Hemin Muheddin Kareem
Muhammed Saed Qadir
Safa Bakr Karim
Solaf Jawhar Ali
Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms
Kurdistan Journal of Applied Research
Vaginitis, diagnosis, culture symptoms, microscope examination.
title Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms
title_full Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms
title_fullStr Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms
title_full_unstemmed Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms
title_short Characterization of Vaginitis Among Women Complaining of Genital Tract Symptoms
title_sort characterization of vaginitis among women complaining of genital tract symptoms
topic Vaginitis, diagnosis, culture symptoms, microscope examination.
url https://kjar.spu.edu.iq/index.php/kjar/article/view/585
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AT solafjawharali characterizationofvaginitisamongwomencomplainingofgenitaltractsymptoms