Gardnerella vaginalis, en pacientes con vaginosis bacteriana, que acuden a la consulta ginecológica en el Hospital de Girón, durante el período enero - junio del 2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La vaginosis bacteriana es una infección muy frecuente en la mujer en edad reproductiva, el problema a investigar se fundamenta en la falta de un diagnóstico definitivo. En el hospital de Girón el tratamiento se basa en esquemas clínicos; de ahí la importancia de determinar la presencia de Gardnerella vaginalis como agente causal de vaginosis bacteriana en las pacientes que acuden a la Consulta Ginecológica en el Hospital de Girón, durante el período Enero-Junio 2014.
Se realizó un estudio descriptivo de identificación de la Gardnerella vaginalis en las pacientes con diagnóstico clínico de vaginosis bacteriana mediante cultivo utilizando el agar HBT, que contiene una capa inferior de agar colistina-ácido nalidíxico, con suplemento de peptonaproteosa, anfotericina B y Tween 80 al 0,0075%, que mejora el crecimiento y aumenta la beta hemólisis y se recubre con una capa superior de la misma composición agregando sangre humana al 5%; en una población de 148 mujeres entre Enero-Junio de 2014.
La prevalencia de Gardnerella vaginales fue del 29,1%. La población sujeto de estudio tenía una media de edad de 26,01 años con un desvío estándar de 5,54 años; en el 62,2% casadas, residentes en el área rural 69,6%, con QQDD como ocupación en el 48,6% de los casos. La infección por este germen fue mayor en pacientes de 20-29 años con el 38,1%; en unión libre 100%; con trabajo de QQDD con el 27,8%; residentes en el área rural 41,7%; en gestación actual 31,3%; con inicio de vida sexual a los 20 años con el 56,5% y que han tenido 2 compañeros sexuales en un 100%.
Bacterial vaginosis is a very frequent infection in women of reproductive age, the problem to investigate is based on the lack of a definitive diagnosis. In the hospital of Girón the treatment is based on clinical schemes; hence the importance of determining the presence of Gardnerella vaginalis as a causative agent of bacterial vaginosis in patients who attend the Gynecological Consultation at the Hospital de Girón, during the period January-June 2014. A descriptive study of the identification of Gardnerella vaginalis was performed in patients with a clinical diagnosis of bacterial vaginosis by culture using HBT agar, which contains a lower layer of colistin-nalidixic acid agar, with peptonaprotein supplement, amphotericin B and Tween 80 al 0.0075%, which improves growth and increases beta hemolysis and is coated with a top layer of the same composition by adding 5% human blood; in a population of 148 women between January-June 2014. The prevalence of vaginal Gardnerella was 29.1%. The population under study had a mean age of 26.01 years with a standard deviation of 5.54 years; in 62.2% married, residents in the rural area 69.6%, with QQDD as occupation in 48.6% of cases. Infection by this germ was higher in patients aged 20-29 years with 38.1%; in 100% free union; with QQDD work with 27.8%; residents in the rural area 41.7%; in current gestation 31.3%; with a beginning of sexual life at age 20 with 56.5% and who have had 2 sexual partners in 100%.
Bacterial vaginosis is a very frequent infection in women of reproductive age, the problem to investigate is based on the lack of a definitive diagnosis. In the hospital of Girón the treatment is based on clinical schemes; hence the importance of determining the presence of Gardnerella vaginalis as a causative agent of bacterial vaginosis in patients who attend the Gynecological Consultation at the Hospital de Girón, during the period January-June 2014. A descriptive study of the identification of Gardnerella vaginalis was performed in patients with a clinical diagnosis of bacterial vaginosis by culture using HBT agar, which contains a lower layer of colistin-nalidixic acid agar, with peptonaprotein supplement, amphotericin B and Tween 80 al 0.0075%, which improves growth and increases beta hemolysis and is coated with a top layer of the same composition by adding 5% human blood; in a population of 148 women between January-June 2014. The prevalence of vaginal Gardnerella was 29.1%. The population under study had a mean age of 26.01 years with a standard deviation of 5.54 years; in 62.2% married, residents in the rural area 69.6%, with QQDD as occupation in 48.6% of cases. Infection by this germ was higher in patients aged 20-29 years with 38.1%; in 100% free union; with QQDD work with 27.8%; residents in the rural area 41.7%; in current gestation 31.3%; with a beginning of sexual life at age 20 with 56.5% and who have had 2 sexual partners in 100%.
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Vaginosis bacteriana, Gardnerella vaginalis, Hospital Aida León de Rodríguez Lara, Cantón Girón, Ecuador