Article
Prevalence and risk factors for bacterial vaginosis and other vulvovaginitis in a population of sexually active adolescents from Salvador, Bahia, Brazil.
Registro en:
MASCARENHAS, R. E. M. et al. Prevalence and risk factors for bacterial vaginosis and other vulvovaginitis in a population of sexually active adolescents from Salvador, Bahia, Brazil. Infectious Diseases Obstetrics Gynecology, p. 1-6, 2012.
1098-0997
10.1155/2012/378640
Autor
Mascarenhas, Rita Elizabeth Moreira
Machado, Márcia Sacramento Cunha
Costa e Silva, Bruno Fernando Borges da
Pimentel, Rodrigo Fernandes Weyll
Ferreira, Tatiana Teixeira
Leon, Fernanda Maria Silva
Grassi, Maria Fernanda Rios
Resumen
Bacterial vaginosis, trichomoniasis, and genital candidiasis are considered the main etiologies of vulvovaginitis. Few studies
estimate the prevalence of vulvovaginitis among adolescents, especially in Brazil. This study aimed to determine the prevalence
and main risk factors associated with bacterial vaginosis and genital infection by C. albicans and Trichomonas vaginalis among a
group of adolescents from Salvador, Bahia, Brazil. One hundred sexually active adolescents followed at an adolescent gynecology
clinic were included. Endocervical and vaginal samples were obtained during gynecological examination. Nugent criteria were
applied for the diagnosis of bacterial vaginosis. For Candida albicans and Trichomonas vaginalis detection, culture in Sabouraud
agar plates and Papanicolaou cytology were used, respectively. The mean age of participants was 16.6 ± 1.6 years. The prevalence
of bacterial vaginosis was 20% (95% CI 12–28) and of genital infection by Candida was 22% (95% CI 14–30). Vaginal cytology
detected Trichomonas vaginalis in one patient. Alcohol, tobacco, and illegal drug use (P = 0.02) and multiple lifetime partners
were statistically related to bacterial vaginosis (P = 0.01). The prevalence of bacterial vaginosis and genital candidiasis was similar
to other studies carried out among adolescents worldwide.