Study on types of vaginitis and association between bacterial vaginosis and urinary tract infection in pregnant women

Abstract

Introduction: Infectious vaginitis which includes bacterial vaginosis, vulvovaginal candidiasis and trichomoniasis are common disorder in women. Both vaginitis and Urinary Tract Infection during pregnancy have risk to lives of both the mother and fetus. Present study was done to assess type of vaginitis and to evaluate the risk of urinary tract infections in pregnant women with bacterial vaginosis. Methods: Cross sectional descriptive study of 230 pregnant women was done from 1^st July to 30^th December 2010. Duplicate High Vaginal Swab and urine sample were collected from each patient. Bacterial vaginosis was diagnosed using Amsels criteria. Diagnosis of urinary tract infection was made when there were at least 100,000 organisms/ml of urine. Results: Out of 230 patients, 92 were positive for infectious vaginitis. Bacterial vaginosis was the most prevalent type (27.8%) followed by vulvovaginal candidiasis (24.3%) and then trichomoniasis (0.4%). UTI was more than twice common among in pregnant women with BV than without it (p 0.05). Conclusion: Hence the prevalence of vaginitis was higher among pregnant women and women with bacterial vaginosis are at increased risk for urinary tract infections. We recommend all pregnant women during antenatal checkup should be screened for the presence of bacterial vaginosis and Urinary Tract Infection.