Int. J. Biosci.12( 3), 265-279, March 2018
Vulvovaginitis is one of the commonest reproductive tract infections in women worldwide. There are three types of infectious vaginitis including, bacterial vaginosis, valvovaginal candidiasis, and trichomoniasis. The present study aimed to characterize the causative agents of vulvovaginitis among women attending Soran Obstetrics and Gynecology hospital. Host -related and some behavioral risk factors which proposed as predisposing factors for this disease were also investigated. A pair of high vaginal swabs was collected from 97 vulvovaginitis women aged 18-52 years. Trichomoniasis was detected by wet and stained smears. Candidiasis was identified by direct examination and culturing on both Sabouraud dextrose agar and Chromagar medium. Bacterial infection was confirmed by Nugent scoring method after Gram staining. The present results showed that 85 (87.6%) cases were positive for etiologic agents and 12(12.3%) with nonpathogenic agents. Among the positive patients, the commonest organisms was bacteria 45%, followed by Candida species 15%, Trichomniasis as 7%, and mixed infection with these three agents in 33%. Moreover, infection with non- albicans Candida like C. galabrata, C. krusei, and C.dubliensis were also detected. Pregnant women showed high percentage of infection with trichomoniasis and candidiasis .Women that used IUD as contraceptive methods, as well as those of non- contraceptive users were more susceptible to bacterial infection than the other. High percentage of women was infected with the etiological agents that responsible for vulvovaginitis particularly with bacteria. Routine culturing of vaginal discharge must be performed for these patients; also antibiotics susceptibility of bacterial isolates should be determined. In addition, comprehensive healthcare education plan is needed to manage the disease.
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