Vaginal Ecological Profile and Characteristic of Vaginal Infection of the Genital Tract of Pregnant Women followed at the Laboratory of the Inter-Army Medical Center Senegal

Abstract

Introduction: Female genital tract infections are a public health problem. Initial treatment of vaginal infections is most often probabilistic. The benignity of the condition and the safety of topical medications allow for immediate management, even empirical.  Hence this study, which aims to evaluate the vaginal microecological profile and vaginal infections in pregnant women followed at the laboratory of the Inter Army Medical Center. Methodology: We carried out a descriptive retrospective study over a period of 8 years, from 2012 to 2020, conducted by the laboratory of the Inter Army  Medical Center., on pregnant women. After the collection of sociodemographic data, each woman was subjected to a vaginal swab in accordance with good laboratory practices. A macroscopic and microscopic examination and culture were carried out on each sample.  Results: During the study period, 3221 pregnant women were included with an average age of 29.91years. 59.05% of these had normal vaginal cleanliness. 1634 women had type IV flora. The direct examination showed that 210 pregnant women were carriers of Gardnerella vaginalis. The prevalence of Candida albicans and Trichomonas vaginalis infections was 10.90% and 1.06%.  There was statistically significant difference of the type of flora, bacterial vaginosis in pregnant women of different age groups. Conclusion: The microecological state of the pregnant women was mostly normal. Low rates of vaginal trichomoniasis infections were found in our study. There was a significant difference between the type of flora and the incidence of bacterial vaginosis in pregnant women of different age groups.