Prevalence of Vulvovaginal Candidiasis and Trichomoniasis among Women of Reproductive Age in a Rural Tertiary Care Hospital in West Bengal, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction: Vaginal infections are common among women of reproductive age. Among the more frequent microorganisms are the Trichomonas vaginalis (TV) and Candida spp. Both of these sexually transmissible infections are associated with enhanced susceptibility to HIV infections and adverse health outcomes. Adequate investigation and proper treatment will reduce the risk of adverse outcomes. Aim: The aim of our study is to focus on the prevalence of T. vaginalis and Candida infection in non-pregnant women and also to verify the coexistence of these two agents and other social and demographic variables. Materials and Methods: The study was planned as a cross sectional observational study. 201 women with symptomatic vaginal discharge attending the Obstetric and Gynaecological clinic of Malda Medical College and willing to provide written informed consent, were included in the study. Three high vaginal swabs were collected following standard procedures and wet mount preparations, Pap smear, Grams staining, culture (on SDCA, cornmeal agar, candida CHROMagar), germ tube test, fermentation and assimilation of various sugars were carried out to determine the presence of TV and candida spp. Results: Candidiasis was present in 37.81% patients and 2.49% had Trichomonas vaginalis (TV). C. albicans (57.89%) was the most common species isolated, followed by Non albicans candida spp. (NAC spp., 42.11%). Among the NAC spp. C. tropicalis was the predominant isolate followed by C. glabrata. Co-infection with the two etiologic agents, TV and candida was not found. Conclusion: The high prevalence of genital tract infections warrants the implementation of constant health education, sensitization, adequate investigation and treatment, which will prevent adverse outcome of genital infections.
Authors and Affiliations
Puranjoy Saha, Tapati Mondal, Arnab Kumar Mandal, Pratip Kumar Kundu
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