Volume 10, Issue 1 (2025)                   SJMR 2025, 10(1): 41-46 | Back to browse issues page

Ethics code: IR.ALZAHRA.REC.1402.033


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Hosseini Z S, mohammadi P, Attaran B, Gity S, Hantoushzadeh S. Diagnosis of aerobic vaginitis in pregnant women. SJMR 2025; 10 (1) : 7
URL: http://saremjrm.com/article-1-355-en.html
1- Iran, Tehran, Alzahra University, Faculty of Biological Sciences, Department of Microbiology
2- Iran, Tehran, Alzahra University, Faculty of Biological Sciences, Department of MicrobiologyIran, Tehran, Research Center for Applied Microbiology and Microbial Biotechnology , p.mohammadi@alzahra.ac.ir
3- Iran, Tehran, Alzahra University, Faculty of Biological Sciences, Department of MicrobiologyIran, Tehran, Applied Microbiology and Microbial Biotechnology Research Center
4- - Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Sciences, Tehran, Iran.
5- Vali Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (115 Views)
Background: Aerobic vaginitis (AV) is a type of genital infection, which affects women's health. Aerobic vaginitis was first identified as a cause of genital infection in 2002. The most common bacteria associated with aerobic vaginitis in previous studies were Enterococcus faecalis, Escherichia coli, Staphylococcus aureus and coagulase-negative Staphylococci.
Materials and Methods: A total of 30 pregnant women with aerobic vaginitis and 30 healthy pregnant women were included in this study based on the inclusion and exclusion criteria. Initially, the clinical characteristics of the subjects, including the presence of yellow or green discharge, itching and burning, and pH were recorded, and then vaginal discharge samples were taken. A range of discharges were prepared for Whiff test and microscopic examination. AV was diagnosed using the Donders classification method and Dong's modified diagnosis. The degree of lactobacilli and the number of toxic leukocytes were determined by light microscopy. AV is defined as a score of 4 or more. Mild aerobic vaginitis is defined as a score of 4-5, moderate aerobic vaginitis as a score of 6-7, and severe aerobic vaginitis as a score of 8-10.
Results: The results of the prevalence of aerobic vaginitis in 30 patients showed that 54% of the patients had mild AV, and 46% had moderate AV. No patients showed a severe form of the disease. The whiff test results were negative for all patients. This indicated that the patients did not have bacterial vaginosis. The highest pH of the vaginal discharge of the examined individuals was 8 and the lowest was 5. This is while the pH of the discharge of healthy individuals is less than 4.5. Among the patients with AV, 48% had yellow discharge, 40% had white-yellow mixed discharge, and only 12% had green discharge.
Conclusion: Screening all pregnant women for infections such as aerobic vaginitis, bacterial vaginosis, and candidiasis vaginitis has a significant impact on reducing adverse pregnancy outcomes. It is possible to confirm aerobic vaginitis using laboratory tests. Further research should be conducted to identify all bacteria involved in AV.

 
Article number: 7
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Article Type: Original Research | Subject: Women Diseases
Received: 2025/05/14 | Accepted: 2025/06/15 | Published: 2025/07/29

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