Microbial Spectrum Of Pelvic Inflamatory Diseases In Nguru, Nigeria

Abstract

Pelvic inflammatory diseases, a leading gynecological problem worldwide, are associated with socio-economic and psychological costs. A retrospective study of 1350 high vaginal swabs analyzed between Jan-Dec. 2005, showed that 845 (62.8%) were positive for 9 microorganisms by culture/or wet preparation. Microbial growth was found in 645 (76.3%) cases. Polymicrobial growth was found in 90 (10.7%), fungal growth in 110 (13.0%)\rcases, and 3(0.4%) yielded anaerobic growth. Staphylococcus aureus accounted for 355 (42.0%) cases, followed by Escherichia coli 190 (22.5%), Trichomonas vaginalis 100 (11.8%) Candida spp and Neisseria gonorrhoeae 70 (8.3) and the least, Pseudomonas spp 5 (0.6%) Microbial-associated infection was prominent in the group 21-30 years old (46.6%) and 31-40 (23.9%) years respectively. Antibiotic susceptibility pattern showed that mean\rsusceptibility greater than 50% were recorded with ofloxacin 80%, ceftazidime 80%, rifampicin 81.9% compared to mean susceptibility less that 50% recorded with trimethoprim-sulthamethoxazole 34.7%, and ampicillin 26.1%. In conclusion, the reported microbial-associated infection in PID with a prevalence of 62.8% is of public health importance. Early diagnosis of causative agents and prompt institution of chemotherapeutic agents will help to\rprevent clinical complications that are expensive to treat. Keywords : pelvic inflammatory diseases, microorganisms, antibiotic susceptibility. African Journal of Clinical and Experimental Microbiology Vol. 9 (3) 2008: pp. 157-165