Vaginal Pathogenic Microorganism Testing Analysis

Part1.15601cases of vaginal discharge test results analysis[Objective] Through the analysis of testing results of15601cases of vaginal discharge, to understand the distribution of pathogenic bacteria, to improve the understanding of vaginitis, for clinical diagnosis, treatment, prognosis evaluation.[Methods] Selection in January2013-June2013in the second affiliated hospital of kunming medical university, Suspected vaginitis patients and needed surgery,15601cases of patients,analyzes all inspectors pathogen detection, vaginitis patients age distribution and the distribution of cleanliness.[Results]1.(1) Hydrogen peroxide is positive with15231cases, vaginal microecological97.51%of inspectors are abnormal.Vaginal examination detection of pathogenic bacteria54.78%.did not check out the pathogenic bacteria is45.22%.In patients with vaginitis, pure infection accounted for69.72%, mixed infection (30.28%)(2) Simple bacterial infection in the highest detection rate.Mixed infection were detected19kinds, among them with double the most, accounting for69.05%of the mixed infection. BV+mixed bacteria most, accounting for22.30%.In BV infection, mixed infection percentage is the largest.2. Different age paragraph detection of vaginal infections, vaginal infections mainly concentrated in the age of21-30(19.54%) and31-40(19.04%).3.(1) The purity of the pure infection and mixed infection distribution, cleanliness of III degrees of inspectors in the pure infection accounted for55.18%(5010/9079), mixed infection was12.84%(1166/9079), cleanliness of IV degrees of inspectors in the pure infection accounted for27.26%(901/3305), mixed infection was43.03%.(2) Degree of cleanliness Ⅱ inspectors, there are still48cases to check the pathogen, accounted for1.49%(48/3217);Ⅲ degrees-Ⅳ inspectors, there are still3885cases did not check out the pathogenic bacteria,accounted for31.37%(3385/12384).[Conclusion]1. Higher incidence of vaginitis in women, mixed infection sort is more, in BV infections, the proportion of mixed infection is bigger, BV found in clinical work should be paid attention to when the presence of merging other pathogen infection, to recurrent infection, cured patients should also pay attention to whether there is a variety of pathogenic bacteria mixed infection.2. Vaginitis mainly occurs in women of childbearing age, therefore, should strengthen the inspection of the ages women vaginal discharge, correctly determine the type of the infection of pathogens and infection.3. Cleanliness Ⅱ degrees still have pathogen detection, cleanliness Ⅲ-Ⅳ degrees when there are pathogenic bacteria of vaginal discharge is found, cleanliness cannot judge the standard of vaginal infections, as one of the only as evaluation index of the degree of infection.Cleanliness abnormal leucorrhea normal but did not check out the specific pathogen, considering there are other pathogen infection. Patr2.800cases of vaginal and cervical secretion mycoplasma, chlamydia test results analysis[Objective] By analyzing800routine vaginal and cervical secretion mycoplasma, chlamydia inspectors pathogen detection, further understand the distribution of pathogenic bacteria, for clinical diagnosis, treatment plan is determined, the prognosis evaluation[Methods] Selected in July2013to January2013in the second affiliated hospital of kunming medical university, with abnormal leucorrhea, pruritus vulvae, sexual intercourse, the abdominal pain, vaginal infection is suspected patients need of uterine cavity operation line, and the cervical treatment before the operation, routine examination of800cases of patients with vaginal smears, and cervical secretions mycoplasma chlamydia, check and record all complaints of the inspectors.1. Analysis of mycoplasma and chlamydia infection status.2. Analysis of cleanliness Ⅱ degrees of pathogen detection.3. Analysis of cleanliness for Ⅲ-Ⅳ degrees, but has not been detected pathogens leucorrhea conventional detection of mycoplasma, chlamydia.4. Analysis of pathogen detection or not relationship with the presence of clinical manifestations.[Result]1Discharge check out pathogenic bacteria in624patients, pathogen detection rate was78.00%(624/800), higher than in the first part of pathogen detection rate of54.78%2.Mycoplasma positive rate was52.50%, CT positive rate is only0.50%.4cases of mixed infection chlamydia positie.In mycoplasma positive inspectors, mycoplasma exist alone with116cases, accounting for27.62%, mycoplasma mixed with other pathogenic bacteria of304cases, accounting for72.38%.Mixed infection of mycoplasma and other bacterial pathogens, mixed with mixed bacteria detection rate is highest, accounting for51.64%. followed by and the proportion of mixed vaginitis is higher, at37.17%.In mycoplasma positive inspectors. UU had the highest detection rate was85.24%, the lowest rate of Mh,1.90%,12.86%detection rate of UU+Mh. 3.Cleanliness II degrees with190cases, including98cases of inspectors check out pathogenic bacteria accounted for51.58%.Detection of pathogenic bacteria have AV, BV and mycoplasma, with mycoplasma detection rate is highest, accounting for43.16%(82/98).4In800cases of inspectors, cleanliness Ⅲ degrees-Ⅳ degrees with610cases, including191cases of inspectors leucorrhea routine inspection found no pathogenic bacteria accounted for31.31%(191/610).Through the statistics of the191cases of inspectors mycoplasma, chlamydia test results found that there were107cases of mycoplasma positive, mycoplasma positive rate was56.02%in this part of the inspectors, another84inspectors leucorrhea routine and mycoplasma, chlamydia were negative5Vaginal pathogenic bacteria detection and vaginitis clinical presentation (68.88%), vaginal discharge is not detected pathogens have vaginitis clinical manifestations accounted for29.67%.In the pathogen but have vaginitis vaginal discharge is found in the clinical manifestations of the inspectors had37cases of mycoplasma positive, mycoplasma in this part of the inspectors in the positive rate was45.68%.[Conclusion]1. Mycoplasma detection rate is higher, the cleanliness inspectors can also be detected in the second, so to have the symptoms of vaginitis vaginal examination was found that pathogen should be checked when mycoplasma.2Mycoplasma more mixed with other pathogens, especially and bacterial form double infection, and multiple infection, mixed infection, therefore, in the clinical encountered in the vaginal examination revealed the complex bacteria infection, or a variety of pathogenic bacteria mixed infection, should consider whether the merger mycoplasma infection.3. Cleanliness normal detection of pathogenic bacteria, should be comprehensive analysis of vaginal results and clinical manifestations of judgment whether to need treatment4. The clinically asymptomatic pathogen carriers.With vaginal infection clinical manifestations, but didn’t find pathogen vaginal examination, should consider possible mycoplasma or the possibility of other pathogen infection, should further check, clear the cause of the infection, treatment again.