Vulvovajinal Enfeksiyon Tanı Yöntemlerinin Karşılaştırılması ve Predispozan Faktörlerin Etkilerinin İncelenmesi
Yükleniyor...
Dosyalar
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Vulvovajinal enfeksiyonlara sebep olan en önemli mikrobiyal etkenler Candida türleri, Trichomonas vaginalis,Gardnerella vaginalis, enterobakteriler, stafilokoklar, enterokoklar ve B grubu streptokoklardır. Bu çalışmanın amacıvulvovajinal enfeksiyonların tanısında kullanılan yöntemleri karşılaştırarak, enfeksiyon prevalansını ve predispozanfaktörlerin etkilerini belirlemektir.Gereç ve Yöntemler: Bu çalışmaya yaşları 18-60 arasında değişen 300 kadın hasta dahil edildi. T. vaginalis, bakteriyelvajinoz ve Candida türleri tanıları için direkt bakı, Gram ve Giemsa boya, kültür yöntemleri kullanıldı.Bulgular: Hastaların %35,3’ünde bakteriyel vajinoz, %28,3’ünde T. vaginalis, %28’inde Candida türleri saptandı.Bakteriyel vajinoz için Gram boya yöntemi referans test olarak alındığında direkt bakının duyarlılığı %72,6, T.vaginalis için direkt bakı yöntemi referans test olarak alındığında Gram boyanın duyarlılığı %95,3; Giemsa boyanınduyarlılığı %68,2, Candida türleri için kültür yöntemi referans test olarak alındığında direkt bakının duyarlılığı %42,9;Gram boyanın duyarlılığı %60,7 olarak belirlenmiştir. Özgüllükleri ise tüm yöntemler için %100 olarak bulundu. C.albicans en fazla saptanan Candida türüydü. Korunma yöntemi kullanmamanın T. vaginalis enfeksiyonu için riskfaktörü olduğu belirlendi.Sonuç: Vulvovajinal enfeksiyonların tanısında tanı yöntemlerinin duyarlılık ve özgüllükleri dikkate alındığında, hiçbirtestin tek başına yeterli olmadığını düşünmekteyiz. Hastaya ait epidemiyolojik ve klinik bulguların yanı sıra, direktbakı, Gram boya ve kültür yöntemlerinin bir arada uygulanmasının daha güvenilir sonuç vereceği kanısındayız.
Aim: The most important microbial factors that are caused vulvovaginal infections, are Candida species, Trichomonas vaginalis, Gardnerella vaginalis, enterobacteria, staphylococci, enterococci and group B streptococci. The aim of this study is to determine the prevalence of the infection and the effects of predisposing factors by comparing the methods used in the diagnosis of vulvovaginal infections. Material and Methods: A total of 300 female patients between the ages of 18-60 were included in this study. For the diagnosis of T. vaginalis, bacterial vaginosis and Candida species, direct examination, Gram and Giemsa stain, culture methods were used. Results: Bacterial vaginosis was found in 35.3%, T.vaginalis in 28.3%, Candida spp. in 28%. Gram stain method was taken as the reference test for the bacterial vaginosis sensitivity of direct examination was found 72.6%. Direct examination method was taken as the reference test for the T. vaginalis sensitivity of Gram stain was found 95.3% and Giemsa stain 68.2%. Culture method was taken as the reference test for the Candida species sensitivity of direct examination was found 42.9% and Gram stain 60.7%; specificity was found to be 100% for all methods. C.albicans was found the most common type of Candida. It was determined that not using prevention method was a risk factor for T. vaginalis infection. Conclusion: We think that none of the tests are sufficient alone in the diagnosis of vulvovaginal infections when the sensitivity and specificity of the methods are considered. In order to get more reliable results, direct examination, culture and Gram staining should be applied, addition to patient’s clinical condition and epidemiology.
Aim: The most important microbial factors that are caused vulvovaginal infections, are Candida species, Trichomonas vaginalis, Gardnerella vaginalis, enterobacteria, staphylococci, enterococci and group B streptococci. The aim of this study is to determine the prevalence of the infection and the effects of predisposing factors by comparing the methods used in the diagnosis of vulvovaginal infections. Material and Methods: A total of 300 female patients between the ages of 18-60 were included in this study. For the diagnosis of T. vaginalis, bacterial vaginosis and Candida species, direct examination, Gram and Giemsa stain, culture methods were used. Results: Bacterial vaginosis was found in 35.3%, T.vaginalis in 28.3%, Candida spp. in 28%. Gram stain method was taken as the reference test for the bacterial vaginosis sensitivity of direct examination was found 72.6%. Direct examination method was taken as the reference test for the T. vaginalis sensitivity of Gram stain was found 95.3% and Giemsa stain 68.2%. Culture method was taken as the reference test for the Candida species sensitivity of direct examination was found 42.9% and Gram stain 60.7%; specificity was found to be 100% for all methods. C.albicans was found the most common type of Candida. It was determined that not using prevention method was a risk factor for T. vaginalis infection. Conclusion: We think that none of the tests are sufficient alone in the diagnosis of vulvovaginal infections when the sensitivity and specificity of the methods are considered. In order to get more reliable results, direct examination, culture and Gram staining should be applied, addition to patient’s clinical condition and epidemiology.
Açıklama
Anahtar Kelimeler
[No Keywords]
Kaynak
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
1
