The Microbiological Study of Bacterial Vaginosis in Women with Recurrent Spontaneous Abortion in Babylon Province

Abstract

The presents study included investigation of bacterial vaginosis in women with recurrent abortion , 56 sample that are collected andthe identification of bacterial vaginosis by Amsels criteria, thin homogenous discharge represented (88%), with specificity of 13%, then the second sensitive parameter was clue cell which was 82% with specificity 18% and third sensitive parameter was pH which was 79% with specificity 22% while the lowest sensitive test, was the swiff test which was 55% with high specific parameter 45%. But the most specific parameter was the clue cell test, with (81%), When a combination (in series) was done among pH measurement, Swiff test, clue cells and thin homogenous discharge, this results in increasing specificity to become 24%, and sensitivity was 76%.

 50 sample with recurrent abortion women 50(89.28%) While the percentage with non growth was 6(10.71%) and its divided according to age group, the age group 26-36 years was represented 51.78% and followed by 15-25year (28.57%) and then 37-57year 17.85% and finally ≥ 48 year 1.78% 

Identification of isolates of bacterial vaginosis in recurrent abortion women by VITEK, shown identified only one isolate from Gram negative bacteria E.coli and its percentage was reached to 29 (58%) While, the isolates of Gram positive bacteria, the Staphylococcus haemolyticus isolate percentage was 18%(9) While, Staphylococcus hominis and Staphylococcus lentus isolates had been reached to 8% (4) for both isolate, Whereas each isolate (Enterococcus faecalis, Staphylococcus pseudintermedius, Streptococcus pluranimalium and Staphylococcus saprophyticus) were recorded 1 (2%)

     the highest percentage of abortion was recorded in 3^rd abortion and reached to 27 (54%), followed by 4^th abortion  was reached to 14 (28%) Whereas, 5^th abortion  was 4 (8%) While, 6^th abortion was reached to 3(6%) and  lowest percentage of abortion was recorded in 7^th abortion and was reached to 2 (4%)