Prevalence of Cervico-vaginal Infections in Relationship with Some Factors In Pap Smear Sampling

Document Type : Original Article

Authors

1 B.Sc student of Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

2 Associate Professor, Development of child and family, Education Development Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

3 Associate Professor, Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.

4 M.Sc student of Biostatistics, Faculty of health, Ahvaz Jundishahpur University of Medical Sciences, Ahvaz, Iran

5 Associate Professor, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.

Abstract

Introduction: Cervicovaginal infections are the most common problems in clinical medicine and a major cause of illness in women of reproductive age. Pap smear is a reliable technique and easiest method to evaluate and diagnose of cervicovaginal infections. The study aimed to determine the frequency of genital infections in pap smear samples at Sayyad Shirazi Hospital of Medical Center in Gorgan, Iran.
Methods: In this cross-sectional descriptive research, consensus sampling is used on all 1010 cytology (Pap smear) sheets of women which had referred to the central teaching hospital (Shahid Sayyad Shirazi) in 2012. The data collected by two part checklist of demographic and pap smear information. Data were analyzed by using descriptive and analytical statistical test. P-values less than 0.05 were considered statistically significant.
Results: 14.15% Candida albicans and 3.6% Trichomoniasis infections reported while 535 women (52.9%) were from rural and 475 women (47.1%) were from urban area. There was no infection in 431 women (80.7%). The lowest infection rate was in women with mechanical contraceptive method. There was significant relationship between infection and age(p>0.05). Infection is more frequent on sexually active women (P=0.007)
Conclusions: It seems that sexual health education for Sexually active women can be effective in preventing infection.
 

Keywords

References

  1. Parhizgar S, Moshfe AA. Prevalence of cervicovaginal infections among the Pap smears of women, Yasuj, 1999-2000. Armaghane-danesh. 2002. 7(28): 37-47 [Persian].
  2. Makvandi S, Zargar Shoushtari Sh. The Relationship of Cervicovaginal Infections in Pap smear Samples with some Factors in Ahvaz, Iran; an Epidemiological Study. Jundishapur Journal of Chronic Disease Care. 2012; 1(1): 55-61 [Persian].
  3. Muñoz N, Bosch FX, de Sanjosé S, Herrero R, Castellsagué X, Shah KV, Snijders PJ, Meijer CJ.Epidemiologic classification of human papillomavirus types associated with cervical cancer . N Engl J Med. 2003 Feb 6;348(6):518-27.
  4. Roberts L, Passmore JA, Mlisana K, Williamson C, Little F, Bebell LM, Walzl G, Abrahams MR, Woodman Z, Abdool Karim Q, Abdool Karim SS. Genital tract inflammation during early HIV-1 infection predicts higher plasma viral load set point in women. J Infect Dis. 2012 Jan 15;205(2):194-203.
  5. Murta EF, Souza MA, Araújo Júnior E, Adad SJ. Incidence of Gardnerella vaginalis, Candida sp and human papilloma virus in cytological smears. Sao Paulo Med J. 2000; 118(4):105-8.
  6. Vijaya Mn D, Umashankar K, Sudha, Nagure AG, Kavitha G. Prevalence of the trichomonas vaginalis infection in a tertiary care hospital in rural bangalore, southern India. J Clin Diagn Res. 2013 Jul; 7(7):1401-3.
  7. Adad SJ, de Lima RV, Sawan ZT, Silva ML, de Souza MA, Saldanha JC, Falco VA, da Cunha AH, Murta EF. Frequency of Trichomonas vaginalis, Candida sp and Gardnerella vaginalis in cervical-vaginal smears in four different decades. Sao Paulo Medical Journal. 2001;119(6):200–205
  8. Sobhan A, Afshar Moghadam N, Faghihi M. Comparative evaluation of frequency infectious pathogenesis in cervicovaginal smears with reactive and non-reactive changes. Jornal Of Isfahan Medical School. 2002. 20 (66):48-51 [Persian]
  9. Mirza Khani K, Shorab N. Cervical cancer, screening and Pap smear. Sokhan Gostar publication, Mashhad,2004 [Persian]
  10. World Health Organization. Geneva, Switzerland: WHO; 2001. Global prevalence and incidence of selected curable sexually transmitted infections.
  11. Murta EF, Silva AO, Silva EA, Adad SJ. Frequency of infectious agents for vaginitis in non- and hysterectomized women. Arch Gynecol Obstet. Arch Gynecol Obstet. 2005; 273(3):152-6.
  12. Dai Q, Hu L, Jiang Y, Shi H, Liu J, Zhou W, Shen C, Yang H. An epidemiological survey of bacterial vaginosis, vulvovaginal candidiasis and trichomoniasis in the Tibetan area of Sichuan Province, China. .Eur J Obstet Gynecol Reprod Biol. 2010;150(2):207-209.
  13. - Hedayati Hayede. Prevalence of and sensitivity to nystatin and clotrimazole vaginal candidate in Birjand city in 1993. Mashhad University of Medical Sciences, School of Nursing and Midwifery [Persian]
  14. Khadivi R, Ganji F, Taheri Sh, Sadegi M, Shahrani M. The evaluation of Papanicolaou (Pap) smear processing in the health centers of Shahrekord in 2005. Shahrekord University of Medical Sciences Journal 2007;9(1): 16- 22 [Persian].
  15. Moasheri N, Hedayati H, Miri MR, Ali Abadi N. An epidemiological study on histological Pap smear results in Birjand Imam Reza Hospital during two consecutive years. Ofogh-e-danesh, Journal of Gonabad University of Medical Sciences And Health Services 2004;10(2): 19-16 [Persian].
  16. González Pedraza Avilés A, Ortiz Zaragoza C, Topete Barrera L, Mota Vázquez R, Ponce Rosas R. Is the Papanicolaou smear useful as aid for diagnosing some sexually transmitted infections?]. Aten Primaria. 2001 Mar 15;27(4):222-6.
  17. Kassem HH, Majoud OA. Trichomoniasis among women with vaginal discharge in Benghazi city, Libya. J Egypt Soc Parasitol. 2006;36(3):1007–16.
  18. Selvitopu A, Ozcelik S, Degerli S. The incidence of Trichomonas vaginalis in vaginal specimens from gynecologic patients. Turkiye Parazitol Derg. 2006;30(3):175–7.
  19. Mahafzah AM, Al-Ramahi MQ, Asa’d AM, El-Khateeb MS. Prevalence of sexually transmitted infections among sexually active Jordanian females. Sex Transm Dis. 2008;35(6):607–10.

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