Cytological features of pap smear of multiparous women with mycoplasma hominis and ureaplasma urealyticum infection at outpatient clinic in medan

Abstract

Mycoplasma hominis and Ureaplasma urealyticum were commensal pathogenic- potential bacterias in the female urogenital tract and may cause of newborns death. Several studies have suggested a correlation between cervical cytology and Mycoplasma genitalium and Ureaplasma urealyticum infections. It was a cross sectional design carried out on 50 multiparous women in an outpatient clinic in Medan in 2018. The cervical cytology features observed were reactive cellular change (RCC), cannonballs, predominance of coccoid bacteria, clue cells, and large number of neutrophils. All cytology features were negative from 3 (6.0%) subjects that had Mh infection. 9 (18.0%) subjects with Uu infection showed negative result of RCC, 9 (100.0%) were positive cannonballs, 3 (33.3%) were predominance of coccoid bacteria, 1 (11.1%) were positive clue cells and 7 (77.8%) had large number of neutrophils. Cytology finding of 38 (76.6%) subjects with no infection of Mh and Uu revealed 10 (26.3%) had RCC, 28 (73.7%) were positive cannonballs, 19 (50.0%) were predominance of coccoid bacteria, 2 (5.3%) were positive clue cells and 16 (42.1%) had large number of neutrophils. Non-specific cytological features were found in Mycoplasma infection. Specific features found in Ureaplasma infection but need to be traced to the infection of other organisms in group non Mycoplasma and Ureaplasma infections.