Abstract
Background: Cervico-vaginal infection is one of the most common problems in clinical medicine. This study aimed to the most common causes of cervical-vaginal infections among Sudanese women complaining of vaginal discharge. Method: Cross-sectional hospital based study that had carried out on one hundred non-pregnant women complaining of vaginal discharge attended at gynecology department – Khartoum teaching hospital. All subjects had signed informed consent. Smear from all collected samples were prepared and stained with Papanicolaou Stain for cytological evaluation. Descriptive and analytical statistics (chi – square test) were applied using SPSS (Version 20). Results: The result showed that the majority of subjects were from central and northern of Sudan. The mean age of women was (29) The most common microorganisms seen were bacilli bacteria (49%), followed by candida (18%), Actinomycesisraelii, Leptothrix spp. and Gardnerellavaginalis were (2%), (2%), and (1%) respectively. Statistically no significant association between infection and age group, circumcision, geographical location, and occupation, p value of all these variables was above than significant level 0.05. Conclusion: The most prevalent infections were bacterial vaginosis and candida albicans. This is consistent with the results of many studies although other studies reported different results.
Highlights
MethodologyCervico-vaginal infections are one of the most common problems in clinical medicine
This study aimed to show the causes of cervico-vaginal infections among Sudanese women with vaginal discharge concerning their age, place of residence, and circumcision using Pap smear
This study has shown that most cervico-vaginal infections were attributable to bacterial vaginosis (54%) and vaginal candidiasis (18%).These findings to some extentis in agreement witha previous study in which the prevalence of bacterial vaginosis and vaginal candidiasis among women with vaginal discharge was (40%) and (25%) respectively [12]
Summary
Cervico-vaginal infections are one of the most common problems in clinical medicine. The diagnosis of vaginal discharge is based on a History, Physical examination, and a few simple diagnostic tests [1]. The Pap test is easy to perform, and relatively inexpensive, as well as large number of women can examined by Pap –smear annually [8] This technique can become an important tool and the easiest method for detection of cervico-vaginal infections, especially, in developing countries [4,9]. This study aimed to show the causes of cervico-vaginal infections among Sudanese women with vaginal discharge concerning their age, place of residence, and circumcision using Pap smear. Concerning the geographical location, 47women were from Northern, 41from Central, 8from Eastern, 2 from Western and 2 from Southern Sudan as described in Table 1.The most common type of infection was bacterial vaginosis (54%) followed by candida infection which represented18% of the studied cases while the remaining 28%had non-infected vaginal discharge (figure 1).
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