Vajinitlerde Etiyoloji Değişiyor mu? Tek Merkez Verilerinin Paylaşımı

Vajinitler jinekoloji polikliniklerinde en sık karşılaşılan tanılardan biri olup, çoğunlukla enfeksiyöz kaynaklıdır. Çalışmamızda; jinekoloji polikliniklerine vajinal akıntı şikayeti ile başvuran hastalardan alınan vajinal sürüntü örneklerinin, mikrobiyolojik değerlendirme sonuçlarının ve etiyolojide rol alan mikroorganizmaların değerlendirilmesi amaçlanmıştır.

Anahtar Kelimeler:

Candida, Postmenopoz, Premenopoz, Vajinit

Does the Etiology Change in Vaginitis? Data Results of Samples from a Single Center

Vaginitis is one of the most common diagnoses in gynecology outpatient clinics and is mostly of infectious origin. The aim of this study was to evaluate microbiological results and microorganisms involved in etiology of the patients admitted to gynecology polyclinics with complaints of vaginal discharge. Between January-June 2019, a total of 305 vaginal swab samples taken from 290 patients who were admitted to gynecology outpatient clinics with vaginal discharge complaints were included in the study. Microscopic examination and culture results of the samples were retrospectively evaluated from clinical microbiology laboratory records. Vaginal swab cultures were cultivated on 5% sheep blood agar, Chocolate agar, MacConcey agar, Sabouraud Dextroz agar media, and gram staining and direct microscopic examinations were performed. Plates were incubated at 37°C for 48-72 hours. VITEK2Compact® (bioMeriéux, Marcy l'Etoile, France) automated system was used for identification and antibiogram of growing microorganisms. The mean age of the patients was 35.1±10.3 (18-84), the number of cultures with microorganism growth was 131 (42.9%), and 84 (64.1%) of them were Candida albicans. The patients included in the study were grouped as premenopausal and postmenopausal (<45and ≥45 years). In the premenopausal group, while microorganism growth rate was 118/131, C.albicans growth rate was 81/131, and findings related to bacterial vaginosis (25/262) were determined to be higher. In contrast, in the postmenopausal group, bacterial growth rate (10/13) was higher. In all gram-negative bacteria, no resistance to carbapenems and gentamycin were detected, while sensitivity to other antibiotics varied between 47.2-97.2%. In our study, C.albicans is the leading isolated organism among all patients. However, in the group defined as postmenopausal, bacterial agents were isolated at the highest proportion and in the premenopausal group; Candida was found to be the more common cause of vaginitis that is in consistent with the literature.

Keywords:

Candida, Postmenopause, Premenopause, Vaginitis,

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