Kasmera (Nov 2003)
Bacterial and Micotic Infections of the Lower Genital Tract in HIV Positive Female Patients
Abstract
The objetive to study is determine the more frequent pathogenic germs found in cultivations of vaginal secretion in womenwho are HIV positive.A prospective, descriptive and analytical study of 53 cases of pregnant and non-pregnan patients who were HIV positive over the period 1994-2002 was undertaken in the Obstetrics division of the University Hospital of Maracaibo (The Dr. Armando Castillo Plaza Maternity Hospital) in Maracaibo, Venezuela. All 53 patients studied were diagnosed as HIV positive. The principal age group was between 21-25 years old ( 28.30%), 35% were pregnant, 37.96% had had relations with three or more males. Their obstetric antecedents (41.50%) were II-III pregnancies and 90.56% had had anti-retroviral treatment. The most frequent finding in the cultivations of vaginal secretion was vaginal flora 26.41%, Candida albicans 20.75% and association between Candida albicans and Gardnerella vaginalis in 16.98%. Gynecological followup in HIV positve patients should be carried out in a continuos manner. Due to their inmunosupresive condition they are suceptible to present vaginal infections and relapses of the same The study and carefull treatment of vaginal secretions in womenwith infection for HIV is recommended.
