[Microecological investigation of vaginal microflora in women with varying degree gynecologic symptoms in clinics].
OBJECTIVE
To investigate the microecological status of vaginal microflora in the women with different vaginal symptoms.


METHODS
From March 2006 to October 2007, 6982 cases with varying degree vaginal symptoms including pruritus, increaseed leucorrhea, the leucorrhea having unusual smell, in the gynecology outpatient department were studied. The vagina secretions were examined in terms of the pH value, the hydrogen peroxide test, and Gram dyeing inspection of vaginal bacteria and microecology appraisal for colony's density, the multiplicity, the superiority fungus, and the inflammatory response.


RESULTS
Among 6982 patients, normal vaginal microecology was identified in 750 (10.74%, 750/6982); abnormal microecology was found in 6232 (89.26%, 6232/6982); bacterial vaginosis (BV) was detected in 729 (10.44%, 729/6982); vulvovaginal candidiasis (VVC) was in 1527 (21.87%, 1527/6982). Ninety five patients (1.36%, 95/6982) were with both BV and VVC. Abnormal bacteria colonies were found in 1229 (17.60%, 1229/6982), and others were found in 2652 (37.98%, 2652/6982).


CONCLUSIONS
The vaginal microecology in the women with different vaginal symptoms can be either normal or abnormal. Microecology clinical evaluation system can assess the vaginal microecosystem.
Xiao
Bing-bing
BB
Gynecology, Peking University First Hospital, Bejiing 100034, China.
Liu
Zhao-hui
ZH
Liao
Qin-ping
QP
D002175:Candida / Q000302:isolation & purification / Q000502:physiology; D002181:Candidiasis, Vulvovaginal / Q000382:microbiology*; D005069:Evaluation Studies as Topic; D005260:Female; D006090:Gram-Negative Bacteria / Q000302:isolation & purification / Q000502:physiology; D006094:Gram-Positive Bacteria / Q000302:isolation & purification / Q000502:physiology; D006801:Humans; D006861:Hydrogen Peroxide / Q000378:metabolism; D006863:Hydrogen-Ion Concentration; D007778:Lactobacillus / Q000302:isolation & purification / Q000502:physiology; D012307:Risk Factors; D014621:Vagina / Q000378:metabolism / Q000382:microbiology*; D019522:Vaginal Discharge / Q000382:microbiology; D016585:Vaginosis, Bacterial / Q000382:microbiology*
D006861:Hydrogen Peroxide