title: Clinical characteristics of aerobic vaginitis and its association to vaginal candidiasis, trichomonas vaginitis and bacterial vaginosis.
abstract: OBJECTIVE
  Examine clinical characteristics of aerobic vaginitis and mixed infection for the purpose of better diagnostic accuracy and treatment efficiency.
  
  
  METHODS
  Prospective research has been conducted at Clinic for Gynecology and Obstetrics, Department for Microbiology and Pathology at Polyclinic for laboratory diagnostic and Gynecology and Obstetrics Department at Health Center Sapna. Examination included 100 examinees with the signs of vaginitis.
  anamnesis, clinical, gynecological and microbiological examination of vaginal smear.
  
  
  RESULTS
  The average age of the examinees was 32,62±2,6. Examining vaginal smears of the examinees with signs of vaginitis in 96% (N-96) different microorganisms have been isolated, while in 4% (N-4) findings were normal. AV has been found in 51% (N-51) of the examinees, Candida albicans in 17% (N-17), BV in 15% (N-15), Trichomonas vaginalis in 13% (N-13). In 21% (N-21) AV was diagnosed alone while associated with other agents in 30% (N-30). Most common causes of AV are E. coli (N-55) and E. faecalis (N-52). AV and Candida albicanis have been found in (13/30, 43%), Trichomonas vaginalis in (9/30, 30%) and BV (8/30, 26%). Vaginal secretion is in 70,05% (N-36) yellow coloured, red vagina wall is recorded in 31,13% (N-16) and pruritus in 72,54% (N-37). Increased pH value of vagina found in 94,10% (N-48). The average pH value of vaginal environment was 5,15±0,54 and in associated presence of AV and VVC, TV and BV was 5,29±0,56 which is higher value considering presence of AV alone but that is not statistically significant difference (p>0,05). Amino-odor test was positive in 29,94% (N-15) of associated infections. Lactobacilli are absent, while leukocytes are increased in 100% (N-51) of the examinees with AV.
  
  
  CONCLUSIONS
  AV is vaginal infection similar to other vaginal infections. It is important to be careful while diagnosing because the treatment of AV differentiates from treatment of other vaginitis.
authors.affiliation: Gynecology Clinic, Dr Mahira Jahic" Tuzla, Bosnia and Herzegovina.
authors.forename: Mahira
authors.initials: M
authors.lastname: Jahic
authors.affiliation: Department of Microbiolology, Polyclinic for Laboratory Diagnostics, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Mirsada
authors.initials: M
authors.lastname: Mulavdic
authors.affiliation: Department of Immunology, Polyclinic for Laboratory Diagnostics, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Jasmina
authors.initials: J
authors.lastname: Nurkic
authors.affiliation: Clinic for Cardiovascular Disease, Department of Interventional Cardiology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Elmir
authors.initials: E
authors.lastname: Jahic
authors.affiliation: Clinic for Cardiovascular Disease, Department of Interventional Cardiology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Midhat
authors.initials: M
authors.lastname: Nurkic
mesh_terms: D000328:Adult; D001420:Bacteria, Aerobic / Q000302:isolation & purification*; D017522:Bosnia and Herzegovina; D002181:Candidiasis, Vulvovaginal / Q000175:diagnosis* / Q000382:microbiology; D005193:Family Planning Services; D005260:Female; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D014247:Trichomonas Vaginitis / Q000175:diagnosis* / Q000382:microbiology; D014246:Trichomonas vaginalis / Q000302:isolation & purification*; D014621:Vagina / Q000382:microbiology / Q000473:pathology*; D014626:Vaginal Smears; D016585:Vaginosis, Bacterial / Q000175:diagnosis* / Q000382:microbiology
keywords: Aerobic vaginitis; diagnosis; vaginal infections