Genital Mycoplasma and genital disorders among women of childbearing age in Franceville, South-Est Gabon.

Abstract

Objective. This study evaluated the prevalence of Ureaplasma spp. and Mycoplasma hominis and their association with genital disorders (bacterial vaginosis, aerobic vaginitis, and vulvovaginal candidiasis). Methods. The IST2 kit identified genital mycoplasmas. Nugent score and microscopic observation of neutrophils and bacteria served to diagnose bacterial vaginosis and aerobic vaginitis. Chi-square or Fisher’s exact test served for statistical analysis. Results. The prevalence of M. hominis and Ureaplasma spp. was estimated at 2% and 41%, respectively, and Ureaplasma spp./M. hominis was 32%. The prevalence of BV, VVC, and AV was de 68%, 35%, and 54%, respectively. Group B Streptococcus (P=0.006, OR=0.41, 95% CI=0.22–0.77) (P=0.002, OR=0.30, 95% CI=0.14–0.63) was not associated with M. hominis, Ureaplasma spp./M. hominis respectively. Conclusion. This study reports a high prevalence of genital mycoplasmas. VVC, AV, and BV were frequently encountered, but the association with genital mycoplasmas was not statistically significant.