Abstract

GENITAL INFECTIONS INDICATORS OF MICROBIAL AGENTS AMONG WOMEN OF THE BAIXADA FLUMINENSE REGION, PROVINCE OF RIO DE JANEIRO, BRAZIL.

Antonio Neres Norberg*, Paulo Roberto Blanco Moreira Norberg, Paulo Cesar Ribeiro, Fabiano Guerra Sanches, Fernanda Castro Manhães, Ademir Hilário de Souza and Nicolau Maués Serra-Freire

ABSTRACT

Disorders in the physiological mechanism of the female genital tract can result in infectious processes caused by microbial elements. Such infections can cause complications such as inflammatory pelvic disease, preterm birth and conception infection, and laboratory tests can reveal the presence of these infectious agents. The aim of this research was to investigate the prevalence and dominance of microbial agents in vaginal exudates of women presenting gynaecological problems examined at outpatient clinics in the cities of the Baixada Fluminense region, Province of Rio de Janeiro, Brazil. During the years 2014 and 2015, 202 vaginal samples were collected from women with gynaecological problems. The samples were submitted to culture and direct research. Results: 83 cases of infection were diagnosed, being by Gardnerella vaginalis (45 cases), prevalence coefficient (PC) of 22.28%, 20 by Candida spp. (PC=9, 90%), and eight by Trichomonas vaginalis (PC=3, 96%). Ten cases of simultaneous infection were detected by more than one of the three agents, G. vaginalis + Candida spp. being the most incident with six cases (PC=2,97%), followed by G. vaginalis + T. vaginalis with two cases (PC=0.99%). Candida spp. + T. vaginalis, and the triple infection was detected only in one case (PC=0.50%). Conclusion: The highest casuism was registered in the age classes of more than 45 years and from 15 to 24 years, therefore these groups should draw more attention in health politics to prevent and fight this clinical condition.

Keywords: Gardnerella vaginalis; Candida spp., Trichomonas vaginalis.