Diagnosis of bacterial vaginosis in pregnants

详细

Objective: The aim of the research is the investigation of the microbiological characteristics of bacterial vaginosis (BV) in pregnant women.

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Methods: In this work the results of examination of 94 pregnants with BV are presented.

Results: Abundant milky homogeneous vaginal discharges with the characteristic odor of spoiling fish have been noted in 86,2% women with BV, moderate - in 13,8%. During vaginal examination there were no any inflammatory changes in vagina of most women. Hyperemia have been noted in 16,4% patients, pruritus - in 18%, disuria in 8,6% cases. A vaginal pH of women with BV was greater than 4,5 (4,5-7,1) and amine test was positive in 100% cases. An 14,8% cases an amine test was determined (+), in 40,8% - (++) in 44,4 - (+++). The signs of BV revealed clue cells by vaginal microscopia - in 100% patients, absence of leukocytes massive quantity of microorganisms with predominance of Bacteroides species, Mobiluncus species, Gardnerella vaginalis and absence of Lactobacillius.

The cultural examination of patients with BV have showed the growth of 6-8 types of microorganisms with predominance of obligate anaerobic bacteria in a very high titer (10¹⁰ -10¹¹ COE/ml). There were no lactobacillius in 59% women with BV, in 41% - their titres were very low.

Conclusion: So, the most correct diagnosis of BV in pregnants must be based on the comparison of microbiological, microscopia results and clinical data.