헤모필루스 질염의 빈도

Abstract

Leukorrhea is the primary symptom of vaginitis and also one of the most annoying problem to the patients in gynecologic field. Since Gardner and Dukes reported that this fastidious organism, H. vaginalis, is the causative agent in more than 90% of cases of nonspecific bacterial vaginitis showing leukorrhea, several reports on the incidence of H.vaginalis vagin~ itis in some countries were known. However. there is no report in Korea about the H.vaginaUs vaginitis incidence, so we tried to get the incidence of H.vaginalis vaginitis as a specific disease entity among the patients complaining leukorrhea in this country. At the same time we compared this with other specific vaginitises, especially caused by trichomonas and candida species which are still known as the major offender in the female lower genital tract. li.vaginalis vaginitis and monilial vaginitis were diagnosed by culturing all the specimens on PSD BAP(5%) affording good growth to H.vaginalis and candida species too. Trichomonas vaginitis was diagnosed by wet mounting. And the identification of H.vaginalis was followed after those previous reports. The results was as follows: 1. The incidence of H.νaginalis vaginitis is 23.2% among the 479 leukorrheal patients. 2. The incidence in the age group of 30~35 is higher than any oter age groups screened. 3. H. vaginalis vaginitis is consistently found up to late fifties. 4. H.vaginalis infection rate in nonpregnant women is higher(P<0.05) than that in pregnant women, and higher(P<0.05) in early pregnant than late pregnant women