Bacterial Isolates Associated with Pelvic Inflammatory Diseases among Women of Reproductive Age in Babylon Province

Abstract

Background: Pelvic inflammatory disease (PID) is a common infection and inflammation of the reproductive tract that is lining (endometritis) and fallopian tubes (salpingitis), is a recurrent condition among young women .PID and its complications, such as infertility, ectopic pregnancy, and chronic pelvic pain, are preventable by screening asymptomatic patients for sexually transmitted infections (STIs). This study aimed at identifying the microorganisms isolated, as well as the evaluation of frequency distribution for Chlamydia trachomatis, Neisseria gonorrhea, and others aerobic and anaerobic bacteria which may be associated with PID. Materials and Methods: Endocervical swabs totalling 43 were aseptically collected from women of reproductive age with pelvic inflammatory disease (PID), attending in two hospitals of Babylon Province: Province: Babylon Maternity and Pediatrics Hospital, and Al-Mahaweel General Hospital; as well as the samples taken from private clinics, during the period from January to October 2018. Results: Out of the 43 samples analysed, 30 women (69.7%) yielded pure cultures of bacterial isolates, among these 30 women, 22 (73.3%) had mixed cultures while no bacterial growths were recorded from the remaining 30.3 % samples. Organisms encountered were Escherichia coli the most encountered frequency (37.2%) followed by Staphylococcus aureus with (27.9%). Enterococcus faecalis (23.2%), Gardnerella vaginalis (16.2%), and Candida spp (11.6%) were less common, while Chlamydia trachomatis, Klebsiella pneumonia, and Neisseria gonorrhoe had the lowest occurrence frequency of  (6.9%) , (6.9 %), and (3.2 %). Conclusions: Pelvic inflammatory disease is a major health problem in developing countries of the world; the micro-organisms frequently responsible for acute PID were genital tract Escherichia coli. Thus, measures should be taken regarding early diagnosis in order to provide treatment before the complications develop of PID.

Keywords: Acute pelvic inflammatory disease (PID), Female patient, Clinical presentation, Microbial isolates.