DOI: 10.36347/sjams.2015.v03i09.045

Pages: 3367-3372

In Bacterial Vaginosis, the normal lactobacilli dominated flora is replaced by a mixed predominantly anaerobic flora. There is an increase in the obligatory facultative anaerobes like Gardnerella vaginalis, Bacteroides, Peptostreptococcus, Mobiluncus and Mycoplasma hominis. Of all the microorganisms stated, Gardnerella vaginalis predominates. A total of 127 samples were collected from the patients attending Gynaecology OPD complaining of vaginal discharge, Vulvar irritation that is in the age group of 20-50 years. Two High Vaginal swabs were collected from each patient from posterior fornix. One swab was used for Direct Gram staining and other swab inoculated on Macconkey Agar, Columbia blood Agar and Sabourads dextrose Agar and incubated at 370c. Gardnerella vaginalis was identified by biochemical tests. Antibiotic sensitivity testing was done. Gardnerella vaginalis most common pathogenic organism isolated about 28.3%. Gardnerella vaginalis was most common in the age group of 26-30 years (26.7%), followed by 16-20 years (24.4%) and 21-25 years (21.2%). the antibiotic susceptibility of Gardnerella vaginalis revealed that the organism is most sensitive to Metronidazole (94.4%), followed by clindamycin (86.1%), Ampicillin (69.4%), gentamicin (58.3%), ciprofloxacin (47.2%) and Co-trimaxozle (33.3%). Women are less likely to seek treatment for the morbidity and thus are more likely to acquire other serious STI’s. In view of this it is suggested that women attending antenatal and gynecology clinics or family planning clinic should be screened and treated for BV cases to reduce risk of other STI.