Detection of Vaginosis causing by Gardnerella vaginalis among Pregnant Women attending a Khartoum State Hospitals by using conversional method

摘要

Background: Bacterial vaginosis (BV) is the most common cause of unpleasant vaginal odor and discharge in women of reproductive age. It is induced by an imbalance in naturally occurring microflora. Any change in the resident flora including reduction of lactobacilli allows for different anaerobic bacteria to gain a foothold and multiply. Nevertheless the process is multifactorial and the initial mechanism of replacement of normal lactobacillary flora by opportunistic pathogens. In pregnancy, certain complications such as preterm delivery, premature rupture of the membranes, and so on could ensue from Bacterial vaginosis. Objective: This study aimed to determine the frequency of Gardnerella vaginalis among pregnant women at Khartoum state hospitals, and to find out risk factors predisposing to the infection. Material and methods: A total of 140 of high vaginal swab were collected and examined by using wet preparation, Amsel criteria and culture method for detection of Gardnerella vaginalis from 70 pregnant women attended to Khartoum hospitals. Results: The overall prevalence of the studied Gardnerella vaginalis among pregnant women at Khartoum hospitals was as follows: Gardnerella vaginalis was isolated from 20 pregnant women (28.5%). The most frequent age group was 21-30 years (71.4%) and the most frequent group was second trimester (61.5%). Conclusion: The highest rate with Gardnerella was detected from pregnant women that came from Khartoum, followed by Omdurman. The most infections were detected in second trimester of pregnancy. The rate of Gardenerlla was found to be higher within age group 21-30 years.