Prevalencia de vaginosis y vaginitis en mujeres de 18 a 45 años que acuden a consulta externa de la Clínica Humanitaria Fundación Pablo Jaramillo Crespo

Abstract

With the purpose of determining the prevalence of bacterial vaginosis caused by Gardnerella vaginalis and of vaginitis caused by Candida albicans and Trichomona vaginalis in women that attend medical appointments at Clínica Humanitaria Fundación Pablo Jaramillo Crespo, and at the same time evaluate the diagnosis usefulness of Amsel and cols. criteria, vaginal secretion samples of 150 women aged 18 to 45 were taken between March and May of 2013. The women participants must fulfill inclusion and exclusion criteria prior sampling. It was detected that the prevalence of Gardnerella vaginalis caused bacterial vaginosis was 16,7%, followed by Candida albicans caused; with a prevalence of 14% a women aged 21 to 30. Regarding Trichomona vaginalis, the identified prevalence corresponded to 2% in women between 31 to 40 years of age. The most frequently encountered clinical manifestation was leucorrhea, accompanied by leucorrhea, offensive odor, vulvar itching, burning, and pelvic pain. Amsel and cols. which includes the presence of clue cells and amines tests, constituted the best individual parameters. Conversely, leucorrhea and pH > 4.5 are not parameters which individually help to diagnose bacterial vaginosis. There are other combinations of two criteria with high diagnostic value such as: clue cells with amine test, and amine test with pH.