Lower Genito Urinary Infection in Gynecological Practice.in Baghdad Area

F. Al- Joubori, Sabiha

	Lower Genito Urinary Infection in Gynecological Practice.in Baghdad Area
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 18, Issue 2, 2005, Pages 165-172
Author
Sabiha F. Al- Joubori
Abstract
Abstract Aim of study: The clinical and laboratory features of lower genitourinary tract infection in association with predisposing factors were studied, Patient and Methods: the study population include 422 women attending to gynecological clinic in hospital as well as 126 women visit private doctor's offices on the other hand 70 male partner were examined .The women range in age from 14 -44 years (mean 21.8 years), Diagnosis of causative factor depend on the history , clinical examination and laboratory investigation . The laboratory sample includes ,high vaginal swabs ,cervix, vaginal discharge and urethral discharge. Results: The result of laboratory investigation showed positive culture in31.6% of the patient in the hospital and 76.1% positive results for Gram stain. In private clinic patient, 61.5 % has positive culture and 76.2 %gave gram stain positive. Bacterial infection was the most common causative agent in which gonococcal infection represent 32.9%among hospital patient fallowed by Gard.Vaginalis represent 15.8 %, Streptococci and E. coli represent 6.8 respectively Staph aureus isolated from 2.7 % of the patient Klebsiella spp represent 2.1 % and proteus represent O.7 %. The isolate from privet clinic cases showed N. gonorrhea represent the highest risk represent 35.4 % fallowed by Gard. Vaginalis and streptococci represent 13.5 % respectively klebsiella 4.1 % E. coli and proteus represent 1.1 % respectively .On the other hand candidiasis caused infection to 26.7 % of the hospital patient and infect 16.7 % of the private clinic patients Trichomonasis seen in 11.5 % private clinic patient and 5.5 % of the hospital patients. According to the site of infection high vaginal specimen represent high risk of infection 61.6 % of the total positive among hospital patient. Cervix represents 14.4 % and vaginal represent 12.3 %. In private clinic high vaginal represent 37, 5% vaginal represent 22.9 % and cervix 18.8 %. Urethritis in male partner classified as gonococcal and non gonococcal such as other Bacterial infection as well as candida and parasitic infection. Male partner considered the main source of sexual infection with other factors Conclusion: The conclusion recommended that male partner should be examined at 3- months intervals until disease – free, condom should be used for at least 6 months to prevent re –infection. On the other hand the entire partner should be educated about the importance of healthy sexual behavior. Key words: Lower genitourinary infection
Keywords
Lower genitourinary infection

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