Cytolytic Vaginosis in Reproductive-age Sudanese Women, Wad Medani, Gezira State, Sudan, 2023

  • د.عبد العظيم Department of Histopathology and Cytopathology, Faculty of Medical Laboratory Sciences, University of Gezira, Sudan
  • Esraa Elshaikh Eltayeb Osman Department of Histopathology and Cytopathology, Faculty of Medical Laboratory Sciences, University of Gezira, Sudan
  • Mohamed Siddig M. Elbashir Department of Histopathology and Cytopathology, Faculty of Medical Laboratory Sciences, University of Gezira, Sudan
  • Yasmin Elsamani Elwasila Department of Histopathology and Cytopathology, Faculty of Medical Laboratory Sciences, University of Gezira, Sudan
  • Mohamed Elsanousi Mohamed Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gezira, Gezira, Sudan
  • Elhadi Ibrahim Miskeen Department of Obstetrics and Gynecology, University of Bisha, Bisha, Saudi Arabia
  • Mai Abdulrahman Mohammed Masri Department of Zoology, Faculty of Science, University of Khartoum, Khartoum, Sudan
  • Bakri Yousif M. Nour Department of Medical Parasitology, Faculty of Medical Laboratory Sciences, University of Gezira, Gezira, Sudan
DOI: https://doi.org/10.52981/smlj.v12i1.3130

الملخص

Introduction: Cytolytic vaginosis is a condition that defined by the presence of a large number of lactobacilli, along with cytolysis of the intermediate cells of the vaginal epithelium.

Aims: The study aimed to investigate the occurrence of cytolytic vaginosis (CV)   in cervical smears of Sudanese females at reproductive age attended to Wad Medani Obstetrics and Gynecology Teaching Hospital and some private clinics.

Methods: A total of 134 cervical Papanicolaou PAP smears were collected from Sudanese married women during the period from February 2020 to January 2023. Collected PAP smears were evaluated according to the 2014 Bethesda System for Reporting Cervical Cytology.

Result: Out of the 134 cervical smears, 78  ) 58.2%) had normal growth of lactobacilli, 36 (26.8%) had lactobacillus overgrowth, and 20 (14.9%) classified as cytolytic vaginosis. 50% the participants with CV were in the age group 26-36 years, 60% belonged to rural communities and vaginal discharge was the main complaint in 60% of them.  And all CV smears were negative for intraepithelial lesions or malignancy (NILM).

Conclusion: The study highlights the importance of accurately diagnosing vaginal discharge, with a specific focus on considering Cytolytic Vaginosis (CV) as a potential cause. CV is an important player in cervical infection or microbial dysbiosis. Women with vaginal discharges should undergo a routine cervical screening examinations.

 

Key words:

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منشور
2024-10-26
إصدار
مجلد 12 عدد 1 (2024): SUDAN MEDICAL LABORATORY JOURNAL
القسم
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