The aetiological aspects of endocervicitis

Abstract

Objective: To evaluate cervical infection in patients with endocervicitis.

Full Text

Methods: 44 women with acute (1 group) endocervicitis and 89 with chronic endocervicitis (2 group) were studied. For detection of Chlamydia trachomatis, Herpes simplex type 2 and Cytomegalovirus the method of Dot-hybridization with biotin-labeled DNA probes was used. Endocervical samples were taken in each case for microbiology study for identification of bacterial agents by the usual methods.

Results: The detected infectious agents are represented in the following table.

Infection agents	1 group (%)	2 group (%)
Chlamydia trachomatis	59,1	46,1
Herpes simplex type 2	56,8	56,2
Cytomegalovirus	40,9	50,6
Bacteria (>1CT /ml.)	36,4	16,9
Micoplasma spp.	9,1	10,1
Candida albicans	18,1	19,1

Isolated infection such as Chlamydia trachomatis was found at 9,1% of the patients 1 group and 10% of the patients 2 group, HSV-2 — at 7,9% (2 group), CMV — at 4,5% (2 group). The diagnostic titers of bacterial agents such as Staphylococcus aureus, Staphylococcus epidermidis, Enterococcus spp., Escherichia coli were detected 2,2 times more frequently at the patients with acute endocervicitis — 36,4% (at 2 group — only 16,9%). Mixed infection was detected in 72,7% patients of 1 group and 78,7% - 2 group.

Conclusion: Endocervicitis are mostly associated with mixed infection (in 72,7% patients of 1 group and 78,7%) - 2 group.