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Abstract

This hospital based study was done in Kirkuk city from June to November 2021 In our study, it was aimed to investigate the frequency of M.hominis in women who use an intrauterine contraceptive device, and to compare that incidence with the incidence of Mycoplasma hominis in women who use other forms of contraception. Deep endocervical swabs were collected from 100 fertile women who attended the gynecology unit in Gynecological and Pediatric Hospital in Kirkuk city (50 of them using IUCD (cases) and 50 using other methods of contraception as barrier or hormonal as control group). For each patient three cervicovaginal samples were taken by swabs for microbiological study. The following items were included in the collection of vaginal swabs:Only a portion of the swab package had been opened. Two- The swab was gently rotated for 10 to 30 seconds after it had been carefully inserted into the vagina about two inches (5 cm) past the introitus. As soon as the swab touched the vaginal walls and moisture, it was drawn away from the skin without making contact with the skin. In accordance with standard operating procedures, the colonies that had grown on the media were harvested, purified, and identified. Smears were prepared from bacterial colonies, stained with Gram stain, and examined under a light microscope for morphological characteristics. The study revealed that 80 percent of women who have used IUCD (cases) have a positive deep cervical swab for culture, compared to 24 percent of women who have used other types of contraception such as barrier or hormonal contraception (control group). Mycoplasma hominis (52.5 percent) was the most frequently isolated bacteria from women who had used IUCD. Ureoplasma ureoliticum and E. coli were the most frequently isolated bacteria from the control group, with 33.33 percent for each and no Mycoplasma hominis isolated from control women. According to the findings of the study, 50 percent of women who used IUCD with positive culture suffered from Pelvic pain, 37.5 percent suffered from abnormal vaginal discharge, 40 percent suffered from burning, 15 percent suffered from fever, 25 percent suffered from vaginal dyspareunia and vaginal itching, and 5 percent suffered from no symptoms. The study showed that majority of women used IUCD who infected with M. hominis were used IUCD for more than 6 years (38.1%) and 9.52% in women who used IUCD less than 1 year, while 40% of women without infection were within group below 1 year.

Keywords

Mycoplama contraceptive devices Vaginitis

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How to Cite
Muhannad Abdullah Khalaf, & Mustafa Mahir Khudur. (2022). Mycoplasma hominis Detection in Females Suffering from Vaginitis Who Are Using a Contraceptive Device. Texas Journal of Medical Science, 4, 63–68. https://doi.org/10.62480/tjms.2022.vol4.pp63-68

References

  1. Subha S. Study of microbial flora of female genital tract in intrauterine contraceptive device users in a tertiary care hospital. University Journal of Pre and Paraclinical Sciences. 2017 Jan 9;2(7).
  2. Deese J, Pradhan S, Goetz H, Morrison C. Contraceptive use and the risk of sexually transmitted infection: systematic review and current perspectives. Open Access Journal of Contraception. 2018;9:91.
  3. Dutta S, Sengupta P, Izuka E, Menuba I, Jegasothy R, Nwagha U. Staphylococcal infections and infertility: mechanisms and management. Molecular and Cellular Biochemistry. 2020 Jul 20:1-6.
  4. Ricci S, De Giorgi S, Lazzeri E, Luddi A, Rossi S, Piomboni P, De Leo V, Pozzi G. Impact of asymptomatic genital tract infections on in vitro fertilization (IVF) outcome. PloS one. 2018 Nov 16;13(11):e0207684.
  5. Longdoh NA, Gregory HE, Djeumako WA, Nguedia AJ, Francois-Xavier MK, Tebit KE. The Occurrence and Antimicrobial Susceptibility Patterns of Mycoplasma hominis and Ureaplasma urealyticum in Pregnant Women in Three District Hospitals in Douala, Cameroon. Journal of Advances in Medicine and Medical Research. 2018 Nov 1:1-1.
  6. Ahmadi MH, Mirsalehian A, Bahador A. Prevalence of urogenital mycoplasmas in Iran and their effects on fertility potential: a systematic review and meta-analysis. Iranian journal of public health. 2016 Apr;45(4):409.
  7. Choi JB, Lee SJ, Lee MK, Lee SJ, Park DC, Kim HY, Lee DS, Choe HS. Prevalence and antimicrobial susceptibility of Ureaplasma spp. and Mycoplasma hominis in asymptomatic individuals in Korea. Microbial Drug Resistance. 2018 Nov 1;24(9):1391-6.
  8. Baker JM, Chase DM, Herbst-Kralovetz MM. Uterine microbiota: residents, tourists, or invaders?. Frontiers in immunology. 2018 Mar 2;9:208.
  9. Valentine-King MA, Brown MB. Antibacterial resistance in Ureaplasma species and Mycoplasma hominis isolates from urine cultures in college-aged females. Antimicrobial agents and chemotherapy. 2017 Oct 1;61(10).
  10. Hosny AE, El-Khayat W, Kashef MT, Fakhry MN. Association between preterm labor and genitourinary tract infections caused by Trichomonas vaginalis, Mycoplasma hominis, Gram-negative bacilli, and coryneforms. Journal of the Chinese Medical Association. 2017 Sep 1;80(9):575-81.
  11. Foran T, Butcher BE, Kovacs G, Bateson D, O’Connor V. Safety of insertion of the copper IUD and LNG-IUS in nulliparous women: a systematic review. The European Journal of Contraception & Reproductive Health Care. 2018 Sep 3;23(5):379-86.
  12. Morrill S, Gilbert NM, Lewis AL. Gardnerella vaginalis as a Cause of Bacterial Vaginosis: Appraisal of the Evidence From in vivo Models. Frontiers in cellular and infection microbiology. 2020 Apr 24;10:168.
  13. Levin G, Dior UP, Gilad R, Benshushan A, Shushan A, Rottenstreich A. Pelvic inflammatory disease among users and non-users of an intrauterine device. Journal of Obstetrics and Gynaecology. 2020 Feb 29:1-6.
  14. Agung D, Tualeka AR, Ardyanto D. The Correlation IUDs Use Duration and Types of IUDs with Blood Curprum (Cu) Levels in Women with IUD Contraception: A Cross-Sectional Study. Indian Journal of Public Health Research & Development. 2019;10(12):1749-53.
  15. El-sayedAbdou A, Mohamad EE, Tawfiek AM, Belbasy RE. Bacterial Infections and Biofilm Formation Associated with Intra Uterine Contraceptive Device among Females Attending Al-Glaa Teaching Hospital in Cairo. The Egyptian Journal of Hospital Medicine. 2018 Jan 1;70(5):882-90.
  16. Tualeka AR, Dwirahmadi F, Wibowo A, Sirait FA. The use of IUD, passive smoker and the risks of cervical cancer: A cross-sectional study at female workers in Surabaya City, Indonesia. Indian Journal of Public Health Research & Development. 2018;9(11)