Incidence and Etiology of Infectious Vaginitis in Guatemalan Women
DOI:
https://doi.org/10.54495/Rev.Cientifica.EdicionEspecial2009.181Keywords:
Incidence, Etiology, Infectious VaginitisAbstract
Vaginitis is the pathological process that most frequently affects women of reproductive age and may be responsible, in some cases, for complications and serious consequences for women's health. In Guatemala, there is no precise knowledge of the frequency of these processes, nor of the agents that cause it, which is why this investigation was carried out.
A prospective study was conducted in 594 patients who attended the Pap smear clinic of the Asociación Pro Bienestar de la Familia (APROFAM) in Guatemala City, who were evaluated clinically and through laboratory tests to determine the presence of pathogenic microorganisms.
Using simple laboratory methodology and strict case definitions, 305 patients (51.3%) were determined to have vaginitis. Bacterial vaginosis was the main cause of vaginitis in 33% of cases (196 patients), other conditions included nonspecific vaginitis in 11.8% (70 patients) vaginitis due to Candida sp. In 4.2% (25 patients) and Trichomonas vaginalis vaginitis in 2.4% (14 patients). The present work establishes an important basis for the management of patients with vaginitis and points out the importance of bacterial vaginosis in our environment.
Finally, the sensitivity, specificity and predictive values of the Papanicolaou test for the diagnosis of vaginitis were also determined, taking into account its wide use for the early diagnosis of cervical cancer.
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