title: Bacterial vaginosis presence in sexually active women in Tuzla Canton area.
abstract: The goal of our research was to determine the presence of bacterial vaginosis in sexually active women in Tuzla Canton area. Diagnosis determination for bacterial vaginosis was conducted on the basis of three out of four internationally accepted criteria according to Amsel and isolation and identification of Gardnerella vaginalis (G. vaginalis) by standard microbiological procedures. Bacterial vaginosis was diagnosed in 20,5 % (41/200) women who asked for gynaecologist's help due to their personal discomfort, since significantly higher percentage of diagnosed bacterial vaginosis of 48,80% (41/84) was determined in women with personal discomfort typical for this disease. All relevant factors, according to available literature, for genesis of bacterial vaginosis were processed in this research. In respect to the obtained outputs, bacterial vaginosis is significantly more frequent occurrence in women who are not married, since the number of sexual partners, the time of the first sexual intercourse, the use of intrauterine contraceptive device and smoking do not cause the genesis of bacterial vaginosis. According to Nugent, an increased vaginal discharge with unpleasant odour after sexual discourse, its pH>4,5, a positive amino odour test, an occurrence of clue cells in a direct microscopic concoction of vaginal discharge and assessment of the state of vaginal flora for bacterial vaginosis are significantly more frequent occurrences in women with individual discomforts. It was proved that G. vaginalis is a dominant micro organism in 95% of women with clinical signs of vaginosis although it was isolated from vaginal discharge in 40 to 50% of healthy women. In our research, G. vaginalis was isolated in 63,41% of examined women with all signs of bacterial vaginosis, in 36,59% of examined women with one or more clinical signs of bacterial vaginosis and in 2,58% of examined women of control group without clinical signs.
authors.affiliation: Department for Microbiology, Polyclinic for Laboratory Diagnostics, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Fatima
authors.initials: F
authors.lastname: Numanović
authors.forename: Mirsada
authors.initials: M
authors.lastname: Hukić
authors.forename: Merima
authors.initials: M
authors.lastname: Gegić
authors.forename: Mahmud
authors.initials: M
authors.lastname: Nukić
authors.forename: Zineta
authors.initials: Z
authors.lastname: Delibegović
authors.forename: Selma
authors.initials: S
authors.lastname: Pasić
authors.forename: Elsada
authors.initials: E
authors.lastname: Cicko
mesh_terms: D000328:Adult; D017522:Bosnia and Herzegovina / Q000453:epidemiology; D005260:Female; D006194:Gardnerella vaginalis / Q000302:isolation & purification / Q000472:pathogenicity; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D012725:Sexual Behavior; D016585:Vaginosis, Bacterial / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D055815:Young Adult