AN INVESTIGATION FOR VAGINAL MICROFLORA IN THE PATIENTS WITH GYNAECOLOGICAL COMPLAINTS

The study has been planned with the aim of the determination of aerobic and microaerobic vaginal microflora in the patients having various gynaecological complaints. The vaginal swap specimens obtained from sexually active premenopausal women of 86 gynaecological patients were examined bacteriologically by cultures and direct microscopy techniques. The most frequent isolate from obtained the patients was diptheroids (51.2 percent) followed by coagulase negative staphylococci (46.5 percent), Lactobacillus spp. (30.2), Staphylococcus aureus (25.6 percent), non haemolytic streptococci (16.3 percent), Neisseria spp. (9.3 percent), group B streptococci (7.0 percent), E. coli (5.8 percent), non-albicans Candida spp. (3.5 percent), enterococci (3.5 percent), Streptococcus pneumoniae (3.5 percent), Candida albicans (2.3 percent), Corynebacterium diphtheriae (1.2 percent), Gardnerella vaginalis (1.2 percent). The most frequent isolate in lactobacilli positive cultures from the cases was also diphtheroids (16.2 percent) followed by coagulase negative staphylococci (5.8 percent), Staphylococcus aureus (5.8 percent), Candida albicans (2.3 percent), non-albicans Candida spp. (2.3 percent) and enterococci (1.2 percent). In our study, the species number of growing microorganism was found higher in the cultures of vaginal lactobacillus- negative women than in the cultures of vaginal lactobacillus- positive women. In conclusion, absence of lactobacilli, a natural protector against infections, in the vaginal flora of the female with gynaecological complaints was evaluated as an indicator that the female in our region were under a risk for various urogenital infections.