Diagnosis of non-viral lower genital infections in patients from the infant and adolescent gynecology clinic

Abstract

Introduction: non-viral lower genital infections are one of the most frequent reasons for medical consultation in Gynecology. Youth is a vulnerable period for the development of this type of infections. The microbiological diagnosis by the various existing techniques guarantees to determine the specific etiology causing the genital infection.
Objective: to characterize non-viral lower genital infections in young females from the infantile and juvenile Gynecology Clinic.
Methods: a prospective longitudinal descriptive research was carried out in the Microbiology Laboratory of the "Mariana Grajales" Hospital from January to December 2019. The sample consisted of 91 patients who met the inclusion requirements. Their diagnosis was made according to the algorithm established in the reproductive tract infection section.
Results: vulvovaginitis was present in 41.8% of patients, Candida spp. was isolated in 63.2% of young women with vulvovaginitis, Ureaplasma spp. was diagnosed in 22% of cases, pathogenic bacteria were not isolated in 76.9% of patients and in the polymerase chain reaction diagnostic kit the most detected microorganism was Mycoplasma genitalium in 16.5% of cases.
Conclusions: vulvovaginitis due to Candida spp. was the most frequent clinical presentation of non-viral lower genital infections among young women. Ureaplasma spp. was the most frequently detected microorganism using the Myco Well D One commercial kit. No pathogenic bacteria were isolated in the majority of patients. The most detected microorganism by polymerase chain reaction was Mycoplasma genitalium.