Cases Of Vaginitis Research Articles

Genital-oral transmission of Candida lusitaniae.

Candida lusitaniae is a vaginal commensal. Cases of vaginitis, vulvovaginitis and recurrent vulvovaginitis caused by this yeast are very rare. In the oral cavity, C. lusitaniae causes stomatitis in immunocompromised patients. We describe a case of stomatitis and angular cheilitis caused by C. lusitaniae in a female patient with type 2 diabetes. The infection was most likely transmitted following genital-oral intercourse with the patient's girlfriend, who was affected by C. lusitaniae vulvovaginitis.

Evaluation of antifungal activity of lactic acid bacteria from locally sourced yoghurts on isolates of <i>Candida Albicans</i> from cases of vaginitis

Evaluation of antifungal activity of lactic acid bacteria from locally sourced yoghurts on isolates of <i>Candida Albicans</i> from cases of vaginitis

Identification of gynecological pathologies by applying classification algorithms: Results of a local study

Purpose: Vaginal infections are prevalent causes of gynecological consultations. This study introduces and evaluates the efficacy of four Machine Learning algorithms in detecting vaginitis cases in southern Mexico. Methods: Utilizing Simple Perceptron, Naïve Bayes, CART, and AdaBoost, we conducted classification experiments to identify four vaginitis subtypes (gardnerella, candidiasis, trichomoniasis, and chlamydia) in 600 patient cases. Results: The outcomes are promising, with a majority achieving 100% accuracy in vaginitis identification. Conclusion: The successful implementation and high accuracy of these algorithms demonstrate their potential as valuable diagnostic tools for vaginal infections, particularly in southern Mexico. It is crucial in a region where health technology adoption lags behind, and intelligent software support is limited in gynecological diagnoses.

Evaluating the Antimicrobial Efficacy of Apple Cider Vinegar on Bacteria and Fungi Isolated from Vaginitis

Vaginitis is a prevalent medical illness that affects a substantial proportion of women, mostly attributed to the excessive proliferation of bacteria and fungi. The objective of this study was to assess the antimicrobial effectiveness of Apple Cider Vinegar against bacteria and fungi that were obtained from cases of vaginitis. 50 vaginal swabs were collected from vaginitis patients at private clinics in Kirkuk City, Iraq (10 pregnant women and 40 non-pregnant women). The research included the isolation and identification of bacterial and fungal isolates. All isolates performed the Minimum Inhibitory Concentration and disc diffusion techniques tests. Different concentrations of apple cider vinegar (20%, 30%, 40%, 50% and 100%) were tested against the isolates and Standard antibiotic drugs were used as positive controls. The results of 50 patients were examined, showing that 22 (44%) had bacterial vaginitis and 39 (78%) had fungal vaginitis. Vaginitis was more prevalent in pregnant women compared with non-pregnant. Staphylococcus aureus recorded 14 (24.9%) out of the 54 bacterial isolates, followed by Echerichia coli, Group B- Streptococcus, Klebsiella pneumoniae, Staphylococcus epidermidis and Pseudomonas aeruginosa respectively. whereas Candida albicans recorded 30 (61.2%) out of the 49 fungal isolates, followed by Candida tropicalis and Candida parapsilosis, respectively. The findings showed a range of sensitivity to apple cider vinegar among the isolated samples. The efficacy of apple cider vinegar was found to be greater against fungal isolates compared to bacterial isolates, with a higher effectiveness observed against gram-negative bacteria in comparison to gram-positive bacteria. The highest MIC values were found for Gram-positive bacteria, which recorded 125 (µg/mL), followed by Gram-negative bacteria, 62.5 μg/ml. While the lowest MIC values for the isolated fungi were (31.25 μg/ml). A comparison to traditional antimicrobial drugs has highlighted ACV's potential as an alternative treatment for vaginitis. According to these findings, ACV may be an effective treatment choice for vaginitis.

Detection of Aerobic Vaginitis and Antibiogram of its Implicating Bacteria among Women with Suspected Cases of Vaginitis in Obstetrics and Gynecology Clinics, Ahmadu Bello Teaching Hospital, Shika, Zaria-Nigeria

Aerobic vaginitis (AV) is a condition caused by aerobic bacteria, posing significant risks to women's health, particularly during pregnancy. Misdiagnosis and treatment challenges stem from widespread multidrug-resistant bacteria. This study aimed to diagnose aerobic vaginitis (AV) and assess antibiotic susceptibility patterns of the implicated bacteria in vaginitis among women attending Ahmadu Bello University Teaching Hospital's Obstetrics and Gynecology Clinics in Zaria, Nigeria. A total of 100 high vaginal swab (HVS) samples were collected and subjected to bacterial isolation, identification, and antibiotic susceptibility testing using cultural and biochemical methods, and the agar disc diffusion method, respectively. Results indicated 23% positivity for AV, with the highest prevalence observed in the 41-50 age group (50.0%) and the lowest in the 21-30 age group (7.3%), revealing a significant association between age and AV (p<0.05). While third-trimester pregnant women displayed a higher AV rate (32.0%) than those in their second trimester (0%), no significant association was found between gestational periods and AV (p>0.05). Symptomatically, painful intercourse correlated with a 28.0% AV rate, while vaginal itching showed an 18.5% rate, though lacking a symptom-AV relationship (p>0.05). Notably, condom use during sexual intercourse exhibited a higher AV rate (63.6%) than non-users (18.0%). AV prevalence was notably higher among women with a history of miscarriage (62.5%) compared to those without (15.5%), showing a significant association between risk factors and AV (p<0.05). Klebsiella species (47.8%) and Escherichia coli (30.4%) were the primary AV-associated bacteria, with Klebsiella spp. showing high resistance to Ceftriaxone and Ampicillin (100%). These findings underscore the importance of accurate AV diagnosis to avert adverse outcomes like miscarriage and postpartum complications and highlight the need to reconsider Ceftriaxone and Ampicillin usage in AV treatment.

An immersive simulation strategy to teach canine vaginal cytology: A multi-centre study.

Vaginal cytology (VC) is an essential technique for monitoring the bitch's estrus cycle. Currently, animal-free teaching methodologies have not been investigated for VC. Hence, this study aimed to evaluate an immersive simulation with a VC model and augmented reality tools. Students (n = 219) from four universities were enrolled, having learning stations with models for practising VC that provided immediate feedback on the technique. Augmented reality tools comprised QR codes that endorsed students to short videos of owners' avatars reporting the clinical reproductive story of the simulated animals and slides with QR codes leading to microscopy slide navigation videos. Proestrus, estrus, diestrus, anestrus and vaginitis were identified in the learning stations. The students' perceptions were evaluated through questionnaires assessing satisfaction, motivation, confidence, impact on learning and diagnostic accuracy. Before the immersive simulation, students had no experience with VC, being afraid of doing a VC with a live dog. Almost all the students considered practicing VC as essential and 94% reported that repeating the procedure (>2 times) was the most important parameter for learning. The simulation activity lasted ≈3 h and significantly improved the confidence of students, being less afraid of doing a VC in a live animal. Slide navigation videos improved the diagnostic accuracy of the estrus cycle stage, and students diagnosed the estrus and vaginitis cases more accurately. The immersive simulation strategy allowed repeated practice in a safe, motivated and standardized environment, being appraised by students as an essential strategy for learning VC.

Using Artificial Neural Network to Predict Predisposing to Vulvovaginal Candidiasis among Vaginitis Cases

Background: Vulvovaginal candidiasis (VVC) is a common fungal infection caused by Candida species in the female genital tract. Objectives: This study attempts to predict predisposition to VVC related to risk factors and clinical symptoms among vaginitis cases using the artificial neural network (ANN) model. Methods: This cross-sectional study was performed on 250 women referred to gynecology clinics in Birjand, Iran. A questionnaire was used to record participants' demographic information. Swabs were used for wet mounts and culture. Candida species were identified by morphological and physiological methods. The performance of the optimal neural network model was assessed by the sensitivity, specificity, and accuracy area under the ROC curve (AUC). Descriptive statistics were used for the statistical description of data, and chi-square test, t-test, and ANN analysis using SPSS application tools (Statistical Product and Service Solutions) version 22 software at 0.05 significant level. Results: The prevalence of vulvovaginal candidiasis was 41.0%, and Candida albicans was the most frequently identified species (55.9%). The descriptive statistics (chi-square test and t-test) revealed no significant difference between the frequencies of Candida infection with demographic factors and clinical presentations. However, factors such as abortion history, number of sexual intercourse, dyspareunia, education, natural vaginal delivery (NVD), and lower abdominal pain included in our ANN model had significant differences (P < 0.05). Conclusions: The result of the ANN model revealed that using demographic factors and clinical symptoms can predict VVC infection. Therefore, this model can identify the effect of the clinical presentations and symptoms of infection.

Evaluation of Vaginal Microbiome to Estimate Vaginal Health in Gynecology Patients Presenting With Vaginitis [ID: 1381290

INTRODUCTION: Approximately 50% of vaginitis cases are misdiagnosed because of human error with the current diagnostic method of light microscopy wet mount. Untreated vaginitis may lead to complications of increased risk of sexually transmitted infections or preterm birth. Use of artificial intelligence (AI) and immunofluorescence scanning microscopy can aid in determining the health of the vaginal microbiome. METHODS: Institutional review board approval was obtained for the study. Participants who fit the inclusion and exclusion criteria were consented for participation. Patient demographic information was de-identified and recorded. Three swabs from each patient were collected: one for traditional wet-mount diagnosis, and two for DayZ Vaginal Health Assessment Assay analysis. The targets of interest recorded were clue cells, yeast pseudohyphae, and trichomonads. The evaluation compared wet-mount findings to the automated AI algorithm results. RESULTS: In preliminary data analysis of 58 patient samples, AI had an accuracy of 95% in finding trichomonads, 91% in candida, and 90% in clue cells. The AI detected trichomonads on one sample that was missed by the expert reader, detected pseudohyphae on three samples that were undetected by the expert reader, and detected clue cells in 17 samples that were undetected by the expert reader. These data are preliminary as the sample collection and data analysis are ongoing. CONCLUSION: The assay has shown superior ability to diagnose wet-prep findings compared to standard wet-mount evaluation. This new technology could provide a reliable source to determine a quick and accurate diagnosis for patients with symptomatic or asymptomatic vaginitis.

Identification and pattern of antifungal susceptibility of Candida species isolated from cases of vaginitis in a tertiary care hospital in India.

Vulvovaginal candidiasis (VVC) is one of the most frequent reasons for gynecological consultations. Candida albicans is responsible in the majority of cases. Lately, VVC caused by non-albicans Candida spp. (NAC), which are resistant to routinely used antifungals, is on the rise. This study was designed to determine the prevalence of Candida in patients suffering from vaginitis and to assess the predisposing factors along with identification of Candida species and evaluation of their susceptibility profile. High vaginal swabs were collected from 225 women. Sample processing consisted of Gram stain and culture onto Sabouraud's dextrose agar and HiChrom Candida Differential agar. Isolates were identified and speciated using VITEK2 Compact System. Susceptibility testing was done using VITEK2 AST-Y S08 cards and disc diffusion. Candida spp. were isolated from 94 (41.8%) of the cases. C. albicans was the predominant species (71.6%) followed by other NAC spp. (28.4%). Pregnancy and diabetes were the most frequently implicated risk factors (67.1% and 44.4%). High resistance was observed in NAC spp. as opposed to C. albicans to all antifungal agents tested. Empirical therapy with routinely used antifungals can be initiated for C. albicans. In the case of NAC spp., identification should be followed by susceptibility testing.

Vaginitis Caused by Saccharomyces Cerevisiae: Case Report

Saccharomyces cerevisiae is a commensal yeast of the digestive tract and not pathogen, used widely in agro-alimentary and pharmaceutical industry basically in the probiotics. Infections caused by this yeasts are rare and uncommon not only in immunocompromised hosts. However, they are some cases of vaginitis, Urinary infection and fungemia have been reported. We describe the case of an adult female with vulvovaginal infection due to S. cerevisiae.

AEROBIC VAGINITIS (AV): DISEASE BURDEN, BACTERIOLOGICAL PROFILE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN IN WESTERN MAHARASHTRA

Vaginitis is a very common and recurrent infection in reproductive age group especially worrisome in pregnant females. If it is misdiagnosed, left untreated or wrongly treated can lead to serious complications. With this background present study was conducted to determine the prevalence, bacteriological profile and antimicrobial susceptibility of the pathogens causing aerobic vaginitis. Study was conducted over a period of 1year in which 241 vaginal swabs were processed for aerobic culture and gram stain. The organisms were identified and antimicrobial susceptibility was performed by Vitek 2 compact system. Out of 241 samples processed 37(15.4%) showed bacterial growth. S. aureus (40.5%), GBS (13.5%), E. coli (13.5%) and K. pneumoniae (13.5%) were the common pathogens isolated. Gram positive organisms showed highest sensitivity to Vancomycin and Linezolid. All gramnegative bacteria were sensitive to Imipenem and Meropenem. This study recommends the laboratory-based diagnosis of each clinically suspected case of vaginitis for appropriate management of patient. Addition of antibacterial agent in traditional empirical antifungal therapy for vaginitis is need of hour

Comparison of Diagnostic Methods for Detection of Trichomonas vaginalis in Prediagnosed Vaginitis Cases and Its Association with Various Pathogens

Parasitological diagnostic methods such as direct microscopy, staining examination and culturemethodsare frequently used in the diagnosis ofTrichomonasvaginalis(T. vaginalis).Though, nowadays, new diagnostic methods, especially DNA-based methods, are developing, enabling the simultaneous recognition of different pathogens.In our study,weevaluatedwhetherthe choice of multiplex polymerase chain reaction (PCR), in whichT. vaginalisand different pathogens can be detected,is be an alternativeto classical methods and to evaluate the possible coexistence of pathogens. In our study, swab samples taken during routine examination of 100 female patients who presented to Manisa Celal Bayar University and Manisa City Hospital Outpatient Clinics Obstetrics and Gynecology were evaluated.The presence ofT. vaginaliswas investigated in these samples by direct microscopy, Giemsa stain and culture.BesidesT. vaginalis, other possible agents were also investigated by real-time multiplex PCR method. At least one agent was detected in 85 (85%) of the 100 patient samples included in our study.T. vaginalis positivity was detected in 6 (6%)of thesamples by parasitological diagnosis methods and in 10 (10%)of thesamples by multiplex PCR.Additionally,with real-time multiplex PCR,Chlamydia trachomatisin 4 (4%),Neisseria gonorrhoeaein 3 (3%),Ureaplasma urealyticum/parvumin 68 (68%),Gardnerella vaginalisin 68 (68%) andHerpes simplex virus1/2 in 1 (1%) of thesamplepositivity was found.Mycoplasma genitalium, another agent examinedbymultiplex PCR, was not found positive inany sample.The Kappa value of theculture thatis a parasitological test and multiplex PCR forT. vaginalisshowed moderate agreement with 59.5%. It has been concluded that usingreal-time multiplex PCR method, which hashigh specificity and sensitivity, in addition to microscopy and culture methods in the diagnosis ofT. vaginalis, could contribute to the correct and effective treatment by detecting multiple infections.

Biofilm Producing Enterococcus Isolates from Vaginal Microbiota

Background: Enterococcus is an important cause of infection in the hospital as well as in the community. Methods: A prospective study was done in Medical College, Kolkata for a period of 2 years (from January 2018 to December 2019). After obtaining clearance from the Institutional Ethics Committee, Enterococcus isolates from cases of vaginitis were included in the study. Identification of Enterococcus species was done by Gram stain and conventional biochemical tests along with automated identification by VITEK 2 Compact. These isolates were tested for antimicrobial susceptibility to different antibiotics by Kirby Bauer disc diffusion method and minimum inhibitory concentration (MIC) by VITEK 2 Compact. Interpretation of susceptibility was done according to the Clinical and Laboratory Standards Institute (CLSI) 2017 guidelines. Biofilm detection for Enterococcus species was done. Results: During the period of 2 years, 39 isolates of Enterococcus spp. were obtained from vaginitis cases. Among these, 27 were Enterococcus faecalis and 12 Enterococcus faecium. All isolates were highly susceptible to vancomycin, teicoplanin, and linezolid. Biofilm was detected in eight isolates of which five were strong biofilm producer and three moderate biofilm producers. Conclusion: Biofilm production is an important virulence factor in Enterococcus isolates from vaginitis.

Inflammatory vaginitis in women on long-term rituximab treatment for autoimmune disorders

BackgroundConsequences of long-term B cell depletion with rituximab are not well understood. We describe inflammatory vaginitis as a potential side effect of long-term rituximab treatment, distinct from previously described vulvovaginal pyoderma gangrenosum.MethodsWe performed a retrospective analysis of women treated with rituximab for more than 1 year to determine the prevalence and clinical characteristics of vaginitis cases. We conducted a case–control analysis with up to 3 controls for each vaginitis case.ResultsWe identified sixteen inflammatory vaginitis cases. Women with vaginitis were age 23–68 (median 42), primarily being treated for ANCA-associated vasculitis (11/16; 69%). Most reported copious vaginal discharge (100%) and pain with sex (75%). All women with return of circulating B-cells to > 10 cells/mL had complete (5/9) or significant (4/9) improvement in symptoms. In case–control analysis there was no significant difference in length of B-cell depletion, immune parameters, creatinine levels, and history of neutropenia.ConclusionInflammatory vaginitis is a potential side effect of prolonged continuous B cell depletion with rituximab. More studies are needed to characterize the incidence and etiology of vaginitis among women on long term rituximab therapy and establish a causal relationship.

Cervical Rhabdomyosarcoma with Prolapse in a Young Girl

Rhabdomyosarcomas are malignant skeletal muscle tumours. They are rare in adults, but account for about 50% of soft tissue sarcomas in children. Most frequent sites include head and neck (35%), followed by the genitourinary tract (25%), extremities and trunk, and cervix is one of the least common sites in the genitourinary tract. We report the case of a 13-year-old girl who was evaluated for excessive discharge per vaginum and was symptomatically treated and later diagnosed as a case of cervical RMS. She developed excess bleeding per vaginum associated with prolapse of the mass for which an emergency excision had to be done. Then, she completed her chemotherapy and is disease free till date. We report this case due to its unusual presentation. She was initially treated as a case of vaginitis and diagnosis was missed. Once she was diagnosed as having cervical RMS and on chemotherapy, she developed prolapse of the mass with bleeding, which is also an unusual presentation. So cases of excessive discharge per vaginum not responding to treatment should have a detailed pelvic examination to rule out any mass lesions.

VULVOVAGINAITIS CANDIDIASIS;

Introduction: Vulvovaginitis candidiasis is one of the common problemsencountered by females and accounts for one third of vaginitis cases. Objective: To studythe efficacy of oral treatment with fluconazole in vulvovaginits candidiasis. Study Design:Descriptive case series. Setting: This study was conducted in the Department of Gynaecology,Lahore General Hospital, Lahore and Shalamar Hospital Lahore. Duration with Dates: Sixmonths from October 2009 to March 2010. Subjects and Methods: One hundred and twentyfive patients fulfilling the inclusion criteria were selected for this study. Demographic historyregarding name, age and parity, etc. were taken. Patients received fluconazole 150mg aftertaking smear for microscopy and culture carried out in Lahore General Hospital laboratoryand then Shalamar Hospital laboratory. All patients were reevaluated after 2 weeks for clinicaland mycological cure by taking the history and repeating smear for microscopy and culture.Results: The mean age of the patients was 31.4+ 6.4 years. The mean duration of marriage ofthe patients was 8.7+6.2 years. There were 11 (8.8%) patients of 0 parity, 63 (50.4%) patientsof parity range of 1-2, 41 (32.8%) patients had parity range of 3-4 and 10 (8%) patients had 5-6parity range. 99 (79.2%) patients had clinical cure. There was good efficacy of 79.2% and 26.8%patients failed to show the response. Conclusion: From this study fluconazole 150mg is provedto be safe and effective for the treatment of volvovaginitis candidiasis but therapy of vaginitisshould be individualized, taking into consideration severity of disease, history of vaginitis, andpatient preference.

English

Introduction: Vulvovaginitis candidiasis is one of the common problemsencountered by females and accounts for one third of vaginitis cases. Objective: To studythe efficacy of oral treatment with fluconazole in vulvovaginits candidiasis. Study Design:Descriptive case series. Setting: This study was conducted in the Department of Gynaecology,Lahore General Hospital, Lahore and Shalamar Hospital Lahore. Duration with Dates: Sixmonths from October 2009 to March 2010. Subjects and Methods: One hundred and twentyfive patients fulfilling the inclusion criteria were selected for this study. Demographic historyregarding name, age and parity, etc. were taken. Patients received fluconazole 150mg aftertaking smear for microscopy and culture carried out in Lahore General Hospital laboratoryand then Shalamar Hospital laboratory. All patients were reevaluated after 2 weeks for clinicaland mycological cure by taking the history and repeating smear for microscopy and culture.Results: The mean age of the patients was 31.4+ 6.4 years. The mean duration of marriage ofthe patients was 8.7+6.2 years. There were 11 (8.8%) patients of 0 parity, 63 (50.4%) patientsof parity range of 1-2, 41 (32.8%) patients had parity range of 3-4 and 10 (8%) patients had 5-6parity range. 99 (79.2%) patients had clinical cure. There was good efficacy of 79.2% and 26.8%patients failed to show the response. Conclusion: From this study fluconazole 150mg is provedto be safe and effective for the treatment of volvovaginitis candidiasis but therapy of vaginitisshould be individualized, taking into consideration severity of disease, history of vaginitis, andpatient preference.

Antibacterial susceptibility patterns of Klebsiella pneumoniae isolates from vaginitis cases of pregnant women in Baghdad city

There are large numbers of microorganisms, the vast majority of which are bacterial species, are known to colonize and form complex communities, or microbiota, at various sites within and on the human body. Bacterial vaginosis (BV) is the most prevalent lower genital tract infection in women of reproductive age throughout the world. The purpose of this study was to detect Klebsiella pneumoniae bacterium as a causative agent of bacterial vaginosis of pregnant women and its antibacterial pattern in Baghdad city. A cross sectional study to assess the incidence and the antibacterial susceptibility patterns of Klebsiella pneumoniae isolates in pregnant women who were presented at many hospitals of Obstetrics and Gynecology in Baghdad city during 2012. A total of 450 vaginal swabs from pregnant women (in first three months of pregnancy) with history of fever, vaginal discharge and other clinical symptoms were investigated , by using different bacterial cultures to identified and diagnose the bacterial isolates. The frequency of 128 bacterial isolates were diagnosed Staphylococcus epidermidis 50 (39.06%), Escherichia coli 29 (22.6%), Klebsiella pneumoniae19 (14.8%), Streptococcus spp.14 (10.9%), Lactobacillus spp.8 (6.2%), Citrobacter freundii 6 (4.6%), and Serratia spp.2 (1.5%). The antibacterial susceptibility patterns of Klebsiella pneumoniae only Ciprofloxacin showed 100% sensitivity in-vitro. While Clarithromycin, Amoxicillin, Pipracin, Streptomycin, Trimethoprim, Cefotaxime, Azitreonam, Augmentin and Gentamicin showed varied sensitivity / resistance responses. These findings suggest an increasing of resistance to the antibacterial agents that commonly used for vaginitis and the rate at which bacteria become resistant to antibacterial agents are of public health concern. This calls for routine bacteriological culture and sensitivity test in the management of bacterial vaginitis. Further, the provisions of adequate health care that keeping the women vagina healthy and maintain human public health.

Susceptibility and molecular characterization of Candida species from patients with vulvovaginitis.

Vulvovaginal candidiasis affects women of reproductive age, which represents approximately 15–25% of vaginitis cases. The present study aimed to isolate and characterize yeast from the patients irrespective of the presentation of clinical symptoms. The isolates were subjected to in vitro susceptibility profile and characterization by molecular markers, which intended to assess the distribution of species. A total of 40 isolates were obtained and identified through the CHROMagar, API20aux and by ITS and D1/D2 regions sequencing of DNAr gene. Candida albicans strains were genotyped by the ABC system and the isolates were divided into two genotypic groups. The identity of the C. albicans, C. glabrata, C. guilliermondii, C. kefyr and Saccharomyces cerevisiae isolates was confirmed by the multilocus analysis. The strains of Candida, isolated from patients with complications, were found to be resistant to nystatin but sensitive to fluconazole, amphotericin B and ketoconazole, as observed by in vitro sensitivity profile. The isolates from asymptomatic patients, i.e., the colonized group, showed a dose-dependent sensitivity to the anti-fungal agents, fluconazole and amphotericin B. However, the isolates of C. albicans that belong to distinct genotypic groups showed the same in vitro susceptibility profile.

Prevalence of Vulvovaginitis in Sexually Active Women from Riverside Communities in Brazilian Amazonia

Aims: Analyze the prevalence of vulvovaginitis in sexually active adult women, residents of riverside communities in Brazilian Amazonia, receiving health services through the “Luz na Amazonia” program in 2013 and 2014. Study Design: Population based cross-sectional and evaluative study. Place and Duration of Study: “Luz na Amazonia” Program and Laboratory of Clinical and Environmental Mycology from the Federal University of Para (UFPA), between January 2013 and December 2014. Short Communication Vilaca et al.; IJTDH, 15(1): 1-8, 2016; Article no.IJTDH.22816 2 Methodology: The analytical cross-sectional study was made with bacterioscopy and fresh examination of vaginal secretion and the results were statistically analyzed with software BioEstat 5.0. Results: The prevalence of vulvovaginitis was 78,57%, and the prevalence of bacterial vaginosis, genital infection by Candida spp and vaginitis caused by Trichomonas vaginalis was 66,07%, 28,57% and 8,92%, respectively. Statistically significant association was found between the signs, symptoms and vulvovaginitis. Conclusion: Due to the necessities of this population and the high prevalence of vulvovaginitis found, becomes evident the importance of projects which aim the prevention and promotion of health education for women from these communities to be encouraged to seek medical exams more often, in order to minimize the cases of vaginitis and vaginosis in these communities.