Introduction Bacterial vaginosis (BV) is the most common cause of vaginal discharge in women of reproductive age throughout the world. In Morocco, the women consulting for vaginal discharge are systematically treated by the syndromic approach. This study’s goal is to investigate this infection in Moroccan women presenting a recurrent discharge even after treatment.
Methods Retrospective study carried out by detailed analysis of case records in the STIs laboratory in the National Institute of Hygiene for a period of 4 years, between January 2010 and December 2015. 2402 female’s patients presenting a vaginal discharge were received in the laboratory for the vaginal fluid collections and analysis. Among these women, 305 were pregnant. Cultures were performed for fungal microorganisms. BV diagnosis was based on the presence of clue cells, pH >4.5, and absence of Lactobacilli. Trichomonas vaginalis (TV) identification was performed by culture and by the wet preparation microscopy.
Results All Women received are married and sexually active. The median of age was 34 years (18–50 years). Among the 2402 women registered, 17.7% had BV, 42% had Candida and 4.4% had TV infection. Among the 305 pregnant women, 6.5% had BV, 38.7% had Candida and 1% had TV infection. No infection with Neisseria gonorrhoeae was found in all the women received. In most of cases, strong vaginal discharges with a fishy smell were linked to BV.
Conclusion Our results revealed that the infection due to the candida is the most common cause of the vaginal discharge followed by BV and the TV in both pregnant and sexually active women. In Morocco, even if the BV is not the first aetiology that causes vaginal discharge but due of the complications that a recurrent BV infection can cause in women especially pregnant women, its management must be effective in gynecologic and obstetric services and also in the campaigns against STIs and HIV that are regularly conducted at the national level.
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