Prevalence of bacterial infection and their sensitivity in patients undergoing an infertility eval

Abstract

Background: Infection with sexually transmitted diseases is broad and includes bacterial, viral and protozoa infection. Large number of infected people goes untreated because of symptomatic or unrecognized infections.Patients and methods: Forty five patients was complaining from infertility (primary or secondary), consulting Kammal El-Sammari Hospital for infertility from May - 2008 to February - 2009. Control group consisted of twenty fertile women that consulting private clinic for checking. Four swabs were taken from each woman in two groups. Two swabs were taken from posterior fornix of the vagina (High vaginal swab) and the last two were taken from endocervical canal. First swab (vagina and cervix) was examined directly under light microscope (wet mount) and stained by Gram stain. The other swab was cultured on Blood and Chocolate agar.Results: The patients group consisted from forty-five female patients, their aged ranged from (22-45 years), (X= 32.9). Direct examination (wet mount) and Gram staining of high vaginal swab showed significant increased in leukocyte (pus cells) and epithelial cells in infertile group than normal one. The isolated bacteria from culture of high vaginal swab were Streptococcus agalactiae (group B streptococci) which was significantly increased than fertile group. This bacteria was sensitive to Cephaloxtin and Cephotaxime and resistant to PenicillinConclusions: The isolated bacteria from culture of high vaginal swab were Streptococcus agalactiae (group B streptococci). This bacteria was sensitive to Cephaloxtin and Cephotaxime and resistant to Penicillin .