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Journals / Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi / 2000 / Cilt: 5 - Sayı: 1

Bacterial vaginosis: Prevalence, diagnosis and the factors associated with the infection

Bakteriyel vajinoz: Yaygınlığı, tanısı ve infeksiyonu etkileyen faktörler

Nuriye Nalan ŞAHİN
Pages
67–73
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The study population consisted of 410 women of whom 27.8% had 5 or more pregnancies, and overall 76.7% applied for either intrauterine device (IUD) insertion, removal or IUD follow-up.

📌 3 Key Takeaways

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Objective & Hypothesis:The frequency of bacterial vaginosis (BV) among women attending to family planning clinics in Trabzon, sensitivity and specificity of some simple methods in the diagnosis of BV were compared according to the Nugent scoring system and some factors associated with the diagnosis of BV were investigated in this study.
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Key Findings & Data:The study population consisted of 410 women of whom 27.8% had 5 or more pregnancies, and overall 76.7% applied for either intrauterine device (IUD) insertion, removal or IUD follow-up.
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Conclusion & Impact:When the relationship between the diagnosis of BV and several factors was examined, the results of the multivariate analysis indicated that current intrauterine device users were 2.83 times more likely to have BV than noriusers.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Bakteriyolojik teknikler · Bakteriyel enfeksiyonlar · Tanı teknikleri

Abstract

The frequency of bacterial vaginosis (BV) among women attending to family planning clinics in Trabzon, sensitivity and specificity of some simple methods in the diagnosis of BV were compared according to the Nugent scoring system and some factors associated with the diagnosis of BV were investigated in this study. The study population consisted of 410 women of whom 27.8% had 5 or more pregnancies, and overall 76.7% applied for either intrauterine device (IUD) insertion, removal or IUD follow-up. Among the 394 preparations appropriate for microscopic evaluation, 111 (28.2%) were diagnosed as BV according to the Nugent's scoring, system. Additionally, 40.9% of the vaginal culture results were positive for Gardnerella vaginalis. The sensitivity of criteria such as vaginal discharge, elevation of vaginal pH, identification of clue cells in the wet mount and whiff test positivity for the diagnosis of BV were found to be very low. When the relationship between the diagnosis of BV and several factors was examined, the results of the multivariate analysis indicated that current intrauterine device users were 2.83 times more likely to have BV than noriusers.

Özet

Bu çalışmada Trabzon'da aile planlaması kliniklerine.başvuran kadınlarda bakteriyel vajinoz (BV) sıklığı, BV tanısında kullanılan bazı basit yöntemlerin Nugent skorlamasına göre duyarlılık ve özgüllükleri karşılaştırılmış ve ayrıca BV infeksiyonunun ortaya çıkmasıyla ilişkili olabilecek bazı faktörler incelenmiştir. Araştırma grubundaki 410 kadının %27.8'inin 5 veya daha fazla gebeliği olmuştur ve toplam %76.7'si rahim içi araç (RİA) taktırmak, çıkarttırmak veya RİA kontrolü için başvurmuştur. Mikroskobik değerlendirmeye uygun bulunan 394 preparattan 111 (%28.2)'inde Nugent skorlamasına göre BV saptanmıştır. Ayrıca alınan örneklerin %40.9'unda Gardnerella vaginalis üremiştir. Tanı için kullanılabilecek vajinal akıntı, pH yüksekliği, taze yaymada ipucu hücresi (clue cell) saptanması ve koku testi pozitifliği gibi kriterlerin duyarlılıkları oldukça düşük bulunmuştur. BV ile ilişkili çeşitli faktörler incelendiğinde ise, çoklu analiz sonucunda RİA kullanan kadınlarda BV saptanma olasılığı, RİA kullanmayanlara göre 2.83 kat daha fazla bulunmuştur.

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Cite This Article

ŞAHİN, N. N. (2000). Bacterial vaginosis: Prevalence, diagnosis and the factors associated with the infection. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Cilt: 5 - Sayı: 1, 67–73. https://ajindex.com/articles/216870

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