Bacterial vaginosis due To Gardnerella Species and Risk Factors: A Cross-Sectional Study among Women of Reproductive Age at Mbalmayo District Hospital, Cameroon
DOI:
https://doi.org/10.55677/IJCSMR/V3I11-01/2023Keywords:
Bacterial vaginosis, Gardnerella species, women, CameroonAbstract
Objectives: Bacterial vaginosis is the most prevalent genital infection, characterized by malodorous vaginal discharge, and has arisen as a public health concern due to its link to sexually transmitted illnesses. The purpose of this cross-sectional study was to determine the prevalence of Gardnerella species’ bacterial vaginosis and the risk factors related with this infection in childbearing women at the Hospital of District of Mbalmayo.
Methodology: A questionnaire was administered before each vaginal swab sample was obtained. Gardnerella species’ bacterial vaginosis was classified as a Nugent score of 7 to 10, and the presence of clue cells.
Results The findings were as follows: 210 women were enrolled in this study. The average age was 29.42±5.15 years, with extremes ranging from 18 to 49 years. The age group with the highest representation (38.67%) was 26-33 years. The prevalence of bacterial vaginosis was 42.85% (90/210), with Gardnerella species present at 90% (81/90) and Mobiluncus species present at 3.33%. The 18-25 age group was more susceptible to Gardnerella species infections (35.80%), although the student group was the most affected (32.09%), and the difference was not statistically significant. With a prevalence of 44.44%, the single group was statistically significantly more exposed to this vaginal infection than the other groups. University-level women had a higher prevalence of Gardnerella species infection (54.32%), followed by secondary-level women (37.03%). Gardnerella species vaginosis was found in both pregnant and non-pregnant women (38.27% and 61.72%, respectively).
Conclusion: To avoid future obstetric difficulties, this infection must be effectively managed therapeutically.
References
Alcaide M, Chisembele M, Malupande E, Rodriguez V, Fischl M, Arhearth K. Une intervention bio comportementale pour diminuer les pratiques intravaginales et la vaginose bactérienne chez les femmes zambiennes infectées par le VIH. BMC Infect Dis 2017 ; 17 :338-42.https://doi .org/10.1186/s12879-017-2436-3.
Alcentor DJ. Evaluation of health disparity in bacterial vaginosis and the implication for HIV-1 acquisitio in Africa american women. Am J Reprod Immunol 2016; 76 (2):99-107.Https://doi .org/10.1111/aji.12497
Anagounou S, Ndjoumessi G, Makoutode M. Vaginose bactérienne chez la femme enceinte à Cotonou (Benin). Med Afri Noire, 1994 ; 41 :239-42.
Anane S, kaouech E, Zouari B, Belhad S, Kallel K, Chaker E. Les candidoses vulvo vaginales: facteurs de risques et particularités cliniques et mycologiques. Journal de Mycologie Médicale 2000; 20:36-41.https://doi.org/10.1016/j.mycmed.2010.01.001.
Aziz-abdul M,Mahdy M, Abdul-Ghani R,Alhilahi NA, Al-Mujahed LKA,Alabsi SA, AL-Shawish FA, Alsarari NJM, Bamashmos W, Abdulwali SJH, Karawani MA, Almikhlaf A. Bacterial vaginosis, vulvo-vaginal candidiasis and trichomonal vaginitis amoung reproductive age women seeking primary health care in Sana’a city, Yemen. BMC Infectious Diseases, 2019;22;19(1):879.https://doi.org/101186/s12879-019-4549-3.
Bamba H. Etude de la prévalence et des facteurs de risques des IST/VIH/SIDA chez les gestantes vues en consultation prénatales au centre de santé de référence de la commune II de District de Bamako : A propos de 300 cas. Thèse, Université de Bamako ; 2007, p 119.
Bohbot J. L’écosytème vaginal, ses variations physiologiques et pathologiques. Réalités Gynecol Obstet 2001; 57:31-33.
Bradshaw C, Brotman R. Making Inroads into improving treatment of bacterial vaginosis striving for long term cure. BMC Infect Dis, 2015; 15 (1):292-4.https://doi.org/ 10.1186/s12879-015-1027-4
Diagne R, Lo S, Dia M, Ndour J, Ka R, Ngom B, Cobar G, Saar H, Niang AA, Sow AI. Genital infections with gardenerella vaginalis at Fann University Hospital dakar) and Saint Louis (Senegal). Austin J Surg 2019; 6 (12): 1190.
Esber A, Turner-Norris A, Mopiwa G, Norris AH. pratiques intravaginales et prevalence des infections des voies sexuelles et reproductive chez les femmes du Malawi rural. Sex Health, 2016 ; 43 (12) : 750-55.https://doi.org/ 10.1071/SH15139
Faye-Kette A, Sylla-Koko D, Cissé A, Kacou-N’douba A, Qkoua-Koffi G, Acho Y. Aspects épidémiologiques et cliniques de la vaginose bactérienne à Abidjan. Médecine d’Afrique Noire.1992; 39:8-9.
Goffinet F, maillard F, Mihoubi N,Kayem G, Papiernik E, Cabrol D, Paul G. Bacterial vaginosis: prevalence and predictive value for premature delivery and neonatal infections in women with preterm labour and intact membranes. Eur J obstet Reprod Biol 2013; 108:146-51. https://doi.org/10.1016/s0301-2115(02)00423-2.
Guaschimo S, De Seta F, Piccoli M, Maso G, Alberico S. Aetiology of preterm labour:bacterial vaginosis. BJOG; 2006; 113 (3):43-51.http://doi.org/10.1111/j.1471-0528.2006.01122x
Guerra B, Ghi T, Quarta S. Pregnancy out come after early detection of bacterial vaginosis. Eur J Obstet Gynecol reprod Biol 2006; 128:40-5. https://doi.org/10.1016/j.ejogrb.2005.12.024
Harmanli O, Cheng G, Nyirjesy P, Chatwani A, Gaughan J. Urinary tract infections in women with bacterial vaginosis. Obstet Gynecol 2000;95 (5):710-2.http:/:doi.org/:10.1016/s0029-7844 (99)00632-8
Kechia F, Dohbit J, Kouotou E, Iwewe S, Dzoyem J, Mbopuwouo C, Moyou SR,Less B. Epidemiologic and mycological pattern of vulvo vaginal candidiasis in pregnancy in Yaoundé. Health Sci Dis ,2015; 16 (4) :32-35.
Keita A. Etude épidémiologique et Clinique de la vaginose au Centre Hospitalier Universitaire du point G. Thèse, Université de Bamako, 2009, p 84.
Kenyon C, Colebunders R, Crucitti T. The global epidemiology of bacterial vaginosis: a systematic review. AM J Obstet Gynecol 2013; 209:505-23.https://doi.org/10.1016/j.ajog.2013.05.006
Leitich H, bonder-Adler B, Brunbauer M, Kaider A, Egarter C, Husslein P. Bacterial vaginosis. Am j Obstet Gynecol 2003; 189:139-47. https://doi.org/10.1067/mob.2003.339.
Livengood C. bacterial Vaginosis: an overview for 2009. Rev Obstet Gynecol 2009 2(1):28-37.
Mogtomo M, Ngo Njiki A, Longang A. Prévalence des germes impliqués dans les infections vaginales chez les femmes camerounaises et facteurs de risqué. International Journal of Biological and Chemical Sciences, 2016, 10:255-268.https://www.ifg-dg.org
Nugent R.P., Krohn M.A., Hillier S.L. Reliability of diagnosis bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol 1991; 29:297-301.https:// doi.org/ 10.1128/jcm.29.2.297-301.1991
Nzomo J, Waiyaki P, Waihenya R. Bacterial vaginosis and correlates in women of reproductive age in Thika, Kenyta. Advances in Microbiology 2013; 3:249-254. https:// doi.org/10.4236/aim.2013.33036.
Payne K, tassongwa T, Cecile F, Ouaba J. facteurs de risque associés à la prévalence de candida albicans, Gardnerella vaginalis et trichomonas vaginalis chez les femmes de l’Hôpital de District de Dschang. Int J Microbiol 2020; 1: 13-45.https://doi.org/10.1155/2020/8841709
Tamboura D. Aspects épidémiologiques, cliniques et bactériologiques de la vaginose bactérienne chez les femmes en période d’activité génitale au CHU-YO de Ouagadougou (Burkina Faso) Thèse 2004, p 146
Tchelougou D, Karou DS, Kpotsra A, Balaka A, Assih M, Bamoke G, Katawa G, Anani K, Simpore J, De Souza C. Infections vaginales chez les femmes enceintes au Centre Hospitalier régional de Sokodé (Togo) entre 2010 et 2011. Médecine et Santé Tropicale 2013 ; 23 (1) : 49-54. https://doi.org/10.1684/mst.2013.0142.
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