Prevalence of aerobic bacterial vaginosis among Intrauterine Contraceptive Device users women in Hilla city

Abstract

Intra uterine device (IUD) is the most popular method of contraception among Iraqi women. It is one of the very effective contraceptive methods with very small failure rate. Infection has been the main problem that faces women using IUD all over the world. The aim of this study is to explore the Prevalence of bacterial vaginosis among Intrauterine Device users women in Hilla . A study sample included fifty vaginal swabs taken from women IUD users suffering from vaginosis, who admitted to Babylon hospital for maternity and pediatrics in Babylon province, Iraq during the period from November 2012 to April 2013. These women were randomly selected, interviewed, then cervical swabs were collected and cultured for aerobic bacteria. The results showed that the total number of positive cultures was 32(64%) . The positive cultures predominant among women age between 20-40 years . The first group of isolated organisms was the Escherichia coli (16%), followed by Staphylococcus aurous and Klebsiella pneumoniae (12%) , then Bacillus subtilis., Proteus mirabilis., Actinomycetes israelii. is 10% , 8% , 6% respectively. The percent of pathogenic swabs decrease with increasing duration of use. The most frequently reported symptom was the presence of abnormal vaginal discharge . When examined for the effects of 5 different antibiotic on bacterial isolated present a variable degree of sensitivety by bacterial isolates .It ranged between 100% to Impenem & Ertapenem and 0% to Penicillin .