BACTERIAL VAGINOSIS IN PATIENTS AT MH RAWALPINDI

Abstract

The objective of the study was to assess the complications caused by the bacterial vaginosis and its prevalence among the patients in gynaecology out patient department, labour and gynae ward.

It was a descriptive study carried out in Military Hospital Rawalpindi from June 2001 to May 2002. Sampling was at random. Only high risk patients of B.V. like those with pre-mature rupture of membranes, pain lower abdomen, with history of recurrent abortion, intra-uterine growth retardation without Pregnancy Induced Hypertension (PIH), diabetes and other chromosomal abnormalities were excluded. Detailed history, general physical and systemic examination (abdominal and pelvic examination) was conducted. Investigations like PH assessment, whiff test, direct microscopy, gram staining, high vaginal swab for culture and sensitivity were carried out. The study was based on obtaining samples from majority of symptomatic women during 12 months. The ratio of positives and negatives in a sample of 328 women was 1:2 approximately.

Out of 328 patients infections was diagnosed by clinical impression in 139 women i.e. 42.4%. Out of these, 10% had intermediate vaginal flora, 14.9% vaginal candidiasis, 6.2% vaginal tricomoniasis and 11.3% had bacterial vaginosis. Bacterial vaginosis was positive in 45% symptomatic and about 4% in asymptomatic population. In view of this study it is recommended that timely diagnosis and proper treatment can save community from prenatal and gynecological complications and also wealth of the nation.