A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection

Background: Many infectious and noninfectious triggers lead to inflammation of the vagina. Aim: We investigated the prevalence of causative vaginitis microorganisms in 516 pregnant and nonpregnant female volunteers. Vaginal samples were examined microscopically, cultured and tested for differen...

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Main Authors: Sherine Mohamed Shawaky, Mariam Majed Ali Al Shammari, Manal Shafik Sewelliam, Abeer Abd El Rahim Ghazal, Ahmed Noby Amer
Format: Article
Language:English
Published: AIMS Press 2022-05-01
Series:AIMS Microbiology
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/microbiol.2022014?viewType=HTML
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author Sherine Mohamed Shawaky
Mariam Majed Ali Al Shammari
Manal Shafik Sewelliam
Abeer Abd El Rahim Ghazal
Ahmed Noby Amer
author_facet Sherine Mohamed Shawaky
Mariam Majed Ali Al Shammari
Manal Shafik Sewelliam
Abeer Abd El Rahim Ghazal
Ahmed Noby Amer
author_sort Sherine Mohamed Shawaky
collection DOAJ
description Background: Many infectious and noninfectious triggers lead to inflammation of the vagina. Aim: We investigated the prevalence of causative vaginitis microorganisms in 516 pregnant and nonpregnant female volunteers. Vaginal samples were examined microscopically, cultured and tested for different pathogens. Results: Of the participants, 310 (60.1%) were pregnant, whereas 206 (39.9%) were nonpregnant. Using Amsel's criteria and Nugent's scores, bacterial vaginosis (BV) was diagnosed in 59.1%, and the prevalence of vulvovaginal candidiasis (VVC) was 50.2% in the population. Candida infections were significantly higher in nonpregnant females (p value ≤ 0.01), and 24% of females had mixed infections. The most common mixed infection was BV and Candida spp., detected in 21% of the cases. Conclusions: Bacterial vaginosis is the most common cause of vaginitis. We observed that 24% of females experienced mixed infections, and Candida albicans was the most common fungal species causing VVC. Trichomonas vaginalis prevalence was underestimated using wet mounts.
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spelling doaj.art-6b83af0c7fd84b86a251f524b85d8a212022-12-21T21:57:40ZengAIMS PressAIMS Microbiology2471-18882022-05-018216717710.3934/microbiol.2022014A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infectionSherine Mohamed Shawaky0Mariam Majed Ali Al Shammari 1Manal Shafik Sewelliam2Abeer Abd El Rahim Ghazal 3Ahmed Noby Amer41. Microbiology Department, Medical Research Institute, Alexandria University, Egypt1. Microbiology Department, Medical Research Institute, Alexandria University, Egypt2. Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt1. Microbiology Department, Medical Research Institute, Alexandria University, Egypt3. Microbiology and Immunology Department, Faculty of Pharmacy, Pharos University, Alexandria, EgyptBackground: Many infectious and noninfectious triggers lead to inflammation of the vagina. Aim: We investigated the prevalence of causative vaginitis microorganisms in 516 pregnant and nonpregnant female volunteers. Vaginal samples were examined microscopically, cultured and tested for different pathogens. Results: Of the participants, 310 (60.1%) were pregnant, whereas 206 (39.9%) were nonpregnant. Using Amsel's criteria and Nugent's scores, bacterial vaginosis (BV) was diagnosed in 59.1%, and the prevalence of vulvovaginal candidiasis (VVC) was 50.2% in the population. Candida infections were significantly higher in nonpregnant females (p value ≤ 0.01), and 24% of females had mixed infections. The most common mixed infection was BV and Candida spp., detected in 21% of the cases. Conclusions: Bacterial vaginosis is the most common cause of vaginitis. We observed that 24% of females experienced mixed infections, and Candida albicans was the most common fungal species causing VVC. Trichomonas vaginalis prevalence was underestimated using wet mounts.https://www.aimspress.com/article/doi/10.3934/microbiol.2022014?viewType=HTMLbacterial vaginosisgardnerella vaginalisamsel's criterianugent's scorescandidiasistrichomonas vaginalismixed vaginal infections
spellingShingle Sherine Mohamed Shawaky
Mariam Majed Ali Al Shammari
Manal Shafik Sewelliam
Abeer Abd El Rahim Ghazal
Ahmed Noby Amer
A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection
AIMS Microbiology
bacterial vaginosis
gardnerella vaginalis
amsel's criteria
nugent's scores
candidiasis
trichomonas vaginalis
mixed vaginal infections
title A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection
title_full A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection
title_fullStr A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection
title_full_unstemmed A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection
title_short A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection
title_sort study on vaginitis among pregnant and non pregnant females in alexandria egypt an unexpected high rate of mixed vaginal infection
topic bacterial vaginosis
gardnerella vaginalis
amsel's criteria
nugent's scores
candidiasis
trichomonas vaginalis
mixed vaginal infections
url https://www.aimspress.com/article/doi/10.3934/microbiol.2022014?viewType=HTML
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