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• W108078631 abstract "In a study of 2224 adult women from the cytology clinic of the University College Hospital, Ibadan, Nigeria, the prevalence of 'specific vaginal infection' (i.e. Gardnerella vaginalis, Trichomonas vaginalis and Candida albicans) was 14.5%. For individual organisms, the rates were 9.76% for G. vaginalis, 2.52% for T. vaginalis and 2.20% for C. albicans. About half of the patients were asymptomatic while others were referred from other clinics with vaginal discharge, cervical erosion, post-coital bleeding, intermenstrual bleeding and various other symptoms and signs. The infections were almost uniformly distributed in all age groups studied. Increasing promiscuity either as a result of increased mobility of husbands (due to economic depression) or increased use of contraception by older women was thought to be responsible for the persistence of these infections in those aged 45 years and above. In addition, Gardnerella vaginalis, Trichomonas vaginalis and Candida albicans infections can also be easily diagnosed from cervical cytology, by identification either of the organism or of characteristic cytological cellular changes.Between October 1, 1986-April 30, 1989, laboratory staff at the University College Hospital in Ibadan, Nigeria tested the cervical smears of 2224 women (20 years old). 50.3% of the women underwent a smear for routine reasons and 49.7% did due to indications such as cervical erosion, cervicitis, vaginal discharge, postcoital bleeding, and intermenstrual bleeding. 14.5% of the smears revealed specific vaginal infections. Overall prevalence for Gardnerella vaginalis was 9.76%, 2.52% for Trichomonas vaginalis, and 2.2% for Candida albicans. The staff detected G. vaginalis in 63.4% of the 322 women who had a vaginal infection. 17.4% had syphilis and 15.2% candidiasis. 30.44 year old women comprised the largest group of women (46.8%) with these sexually transmitted diseases (STDs). Yet there was a sizable percentage of women 45 years old with an STD (22.1%), especially the uneducated women. This could be due to the economic necessity of husbands leaving wives to find work and who consequently have several sexual partners. It may also be a result of increased contraceptive use among older women which fosters multiple sexual relationships. 43.13% of women with a vaginal infection had a discharge. 24.51% of all women who presented with vaginal discharge tested positive for G. vaginalis while only 8.86% of the asymptomatic controls did. All women with abnormal smears other than those with cervical intraepithelial neoplasia were treated with oral metronidazole and vaginal clotrimazole. Only 8.9% of the women still had abnormal smears after 3 months. In conclusion, the researchers believed that cervical cytology, both identification of the organism or of characteristics cellular changes, can easily diagnose these 3 STDs." @default.
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• W108078631 title "The prevalence of Gardnerella vaginalis, Trichomonas vaginalis and Candida albicans in the cytology clinic at Ibadan, Nigeria." @default.
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