Clinical analysis on 385 cases of vaginal mixed infections

Objective To evaluate the vaginal microecosystem of women with mixed infections generally by detecting vaginal microbiota and genital mycoplasma in vaginal secretions in order to supply basis for clinical diagnosis and treatment.Methods 385 cases of vaginitis in Maternal and Child Health Care Hospital of Gansu Province from January to August 2011 were studied.Vaginal discharges of these cases were detected by oil immersion objective after Gram staining.Vaginal microecology was evaluated by biochemical fast test method.Meanwhile,bacteria and fungi were cultured and determined,and Ureaplasma urealyticum and Mycoplasma hominis were also detected.Results In the 385 cases of vaginitis,the numbers of single infection,mixed infection and dysbacteriosis were 90(23.4%),154(40.0%) and 141(36.6%),respectively.In the single infection cases,the number of AV,BV,VVC,MP were 20(5.2%),27(7.0%),18(4.7%) and 25(6.5%),respectively.In the mixed infections,the number of AV+BV+VVC,AV+BV+MP,AV+MP,VVC+MP and AV+TV were 18(4.7%),72(18.7%),18(4.7%),9(2.3%) and 1(0.25%),respectively.Conclusion Vaginal infection is one of the common infection diseases in gynecology department,the most reasons of which are mixed infection and microecology imbalance.To evaluate vaginal infection objectively and diagnose timely,comprehensively and effectively is the key to the treatment of vaginitis.