Genital enfeksiyon şüphesi olan adölesan ve yetişkin kadınlarda enfeksiyon etkenleri
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Tarih
2005
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı bölgemizde genital enfeksiyon şüpheli adölesan ve yetişkin kadınlarda genital enfeksiyona sebep olan mikrobiyal etkenleri değerlendirmek ve genital enfeksiyon sıklığını araştırmaktır. Gereç ve Yöntem: Çalışmaya Mayıs 2004-Aralık 2004 tarihleri arasında Mustafa Kemal Ünversitesi Tıp Fakültesi Sağlık Araştırma ve Uygulama Hastanesi Kadın Hastalıkları ve Doğum Polikliniğine başvuran yaşlan 16-63 arasında değişen toplam 534 kişi dahil edildi. Adölesan grupta 112 olgu, yetişkin grubunda ise 422 olgu vardı. Sürüntü örnekleri vajinal ve endoservikal akıntıdan alındı. Çalışmada 534 vajinal akıntı örneğinin incelenmesinde; taze preparat, Gram boyama ve kültür yöntemleri kullanıldı. İzole edilen suşlar biyokimyasal testler ve API 20C AUX (bioMerieux) kiti ile tanımlandı. Bulgular: Örneklerin 128 (%23.9)'inde patojen mikroorganizma üremesi saf kültür halinde ya da vajinanın normal flora mikroorganizmalarına baskın olarak tespit edildi. Bunların %48 (62/128)'i Candida albicans, %11 (14/128)'i Candida spp., %13 (17/128)'ü Gardnerella vaginalis, %7 (9/128)'si B grubu streptokok, %7 (9/128)'si Trichomonas vaginalis, %5 (7/128)'ü Escherichia coli, %4 (5/128)'ü Staphylococcus aureus ve %4 (5/128)'ü Enterokok olarak tanımlandı. Vajinal sürüntü örneklerinin %59 (315/534)'unda normal vajinal flora üyesi mikroorganizma üremesi görülürken, örneklerin %17 (91/534)'lik bir kısmında da bakteri üremesi tespit edilemedi. Patojen mikroorganiz¬maların dağılımı incelendiğinde adölesan grupta Candida cinsi mayalar %26 (29/112), bakteriyel orjinli mikroorganizmalar ise %5 (6/112) oranında izole edilirken olguların hiçbirinde Trichomonas vaginalis'e rastlanmamıştır. Yetişkin grupta ise maya izolasyonu %11 (47/422) oranında bulunurken bakteriyel orijinli enfeksiyonların %9 (38/422) olduğu tespit edilmiştir. Adölesan gruptan farklı olarak yetişkinlerde %2 oranında da Trichomonas vaginalis varlığı saptandı. Sonuç: Adölesan grupta Candida cinsi mayaların, yetişkinlerde ise bakteriyel ajanların daha sık enfek¬siyon nedeni olduğu tespit edilmiştir.
Purpose: The aim of the study is to evaluate microbial causes of suspected genital infections in adolescent and adult group, and frequency of genital infection Hatay region in Turkey. Materials and Methods: Total 534 women in the age group of 16 to 63 were included in the study. This research was carried in the Research and Training Hospital of Medical Faculty at Mustafa Kemal University between May 2004 and December 2004. There were 112 women in adolescent group and 422 women in adult group. Swap samples were taken from the vaginal and endoservical discharge. Gram staining and culture method were used to test of 534 vaginal discharge specimens by using fresh preparation method. Isolated strains were identified by biochemical tests and API 20C AUX (bioMerieux) kit. Results: Pathogen bacteria were determined in the 128 (23.9%) samples as pure culture or dominant growth in vaginal flora. Distribution of these microorganisms as follow; 48% (62/128) Candida albicans, 11% (14/128) Candida spp, 13% (17/128) Gardnerella vaginalis, 7% (9/128) B group streptococci, 7% (9/128) Trichomonas vaginalis, 5% (7/128) Escherichia coli, 4% (5/128) Staphylococcus aureus and 4% (5/128) Enterococcus. Although 59% (315/534) of vaginal samples yielded the growth of the members of normal vaginal flora, and no growth was observed in 17% (91/534) of the samples. When the distribution of pathogen microorganisms was examined in adolescent group, 26% (29/112) were yeast-like fungi, and 5% (6/112) were bacterial agents. However, Trichomonas vaginalis was not isolated in any specimens of adolescent group. Whereas, yeast-like fungi isolation rate was %11 (47/422) and, the rate of bacterial agents was 9% (38/422) present in adult group. In contrast to the adolescents, Trichomonas vaginalis was isolated in 2% of adult women. Conclusion: It's determined that yeast-like fungi were the more prevalent responsible for infection in adolescent, whereas in adults, bacterial agents more responsible for genital infection.
Purpose: The aim of the study is to evaluate microbial causes of suspected genital infections in adolescent and adult group, and frequency of genital infection Hatay region in Turkey. Materials and Methods: Total 534 women in the age group of 16 to 63 were included in the study. This research was carried in the Research and Training Hospital of Medical Faculty at Mustafa Kemal University between May 2004 and December 2004. There were 112 women in adolescent group and 422 women in adult group. Swap samples were taken from the vaginal and endoservical discharge. Gram staining and culture method were used to test of 534 vaginal discharge specimens by using fresh preparation method. Isolated strains were identified by biochemical tests and API 20C AUX (bioMerieux) kit. Results: Pathogen bacteria were determined in the 128 (23.9%) samples as pure culture or dominant growth in vaginal flora. Distribution of these microorganisms as follow; 48% (62/128) Candida albicans, 11% (14/128) Candida spp, 13% (17/128) Gardnerella vaginalis, 7% (9/128) B group streptococci, 7% (9/128) Trichomonas vaginalis, 5% (7/128) Escherichia coli, 4% (5/128) Staphylococcus aureus and 4% (5/128) Enterococcus. Although 59% (315/534) of vaginal samples yielded the growth of the members of normal vaginal flora, and no growth was observed in 17% (91/534) of the samples. When the distribution of pathogen microorganisms was examined in adolescent group, 26% (29/112) were yeast-like fungi, and 5% (6/112) were bacterial agents. However, Trichomonas vaginalis was not isolated in any specimens of adolescent group. Whereas, yeast-like fungi isolation rate was %11 (47/422) and, the rate of bacterial agents was 9% (38/422) present in adult group. In contrast to the adolescents, Trichomonas vaginalis was isolated in 2% of adult women. Conclusion: It's determined that yeast-like fungi were the more prevalent responsible for infection in adolescent, whereas in adults, bacterial agents more responsible for genital infection.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Tıp Araştırmaları Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
2
