AEROBIC VAGINITIS – TRUTH AND MYTH

S. KUKANUR¹*, A. BAJAJ^2
1Department of Microbiology, PESIMSR, Kuppam, AP, India
²Department of Microbiology, ESI Medical College, Faridabad, Haryana
* Corresponding Author : sneha.kukanur89@gmail.com

Received : 29-07-2016     Accepted : 16-08-2016     Published : 28-08-2016
Volume : 8     Issue : 9       Pages : 788 - 790
Int J Microbiol Res 8.9 (2016):788-790

Keywords : Abnormal vaginal discharge, E. coli, S. aureus, P. aeruginosa, Aerobic-vaginitis
Academic Editor : Dr Sharada T. Rajan, Kalyani Raju
Conflict of Interest : None declared
Acknowledgements/Funding : None declared
Author Contribution : None declared

Background: Vagina is a microbiological museum where most types of aerobic and anaerobic organisms are present as normal commensals but when there is imbalance in the flora, the individual experiences abnormal vaginal discharge. It’s one of worrisome problems that all females in reproductive age group come across at least once in their life. As it causes few morbid complications such as infertility, pelvic inflammatory disease, endometriosis, cuff cellulitis, urethral syndrome, pregnancy loss, preterm labour; increased risk of other STDs, it’s important to identify specific etiological agents and their sensitivity for commonly used antibiotics. Methods: Two hundred vaginal swabs from clinically suspected vaginitis cases taken were used to prepare saline wet mount, pH estimation, Gram stain, Methyl-violet stain, KOH mount and whiff/amine test. The isolates were inoculated on Blood agar, MacConkey agar and Sabouraud dextrose agar and incubated aerobically at 370C for overnight. Organisms were then identified and antibiotic sensitivity test was performed. Results: Most common cause of the symptomatic vaginal discharge was Aerobic vaginitis accounting for about 32%. Commonest organisms were E. coli, P. aeruginosa and S. aureus. Most were sensitive to Amikacin except for P. aeruginosa, which was sensitive to imipenem and colistin. Vulvo vaginal-candidiasis, bacterial-vaginosis and trichomoniasis was seen in 14.5%, 14% and 6.5% of our cases respectively. Conclusion: Diagnosis cannot be only relied on clinical approach instead, Microbiological diagnosis is most important for specific treatment to avoid the complications of vaginitis & antibiotic resistance.