A retrospective analysis of isolates from patients with vaginitis in a private Greek obstetric/gynecological hospital (2003-2006).

BACKGROUND: Vaginitis is a common cause of complaints in women in various parts of the world. Through our literature search, we identified noteworthy differences in the etiology of vaginitis based on the geographic location. This study was conducted to describe microbial etiology in a population of symptomatic women with vaginitis in Greece. MATERIAL/
METHODS: Data for pathogens isolated from cultures of vaginal fluid specimens or identified with microscopy testing of such specimens of women with symptomatic vaginitis who were examined at "Lito" Private Obstetric/Gynecological Hospital, Athens, Greece, during the period 1/2003-12/2006 were analyzed retrospectively.
RESULTS: During this period, 1632 women were examined. The mean age of the patients was 28 years, ranging from 18 to 57 years. Three hundred and eighty five from 1632 cultures/tests contributed no pathogen, whereas 1247/1632 cultures/tests were positive. Of the isolates, in which twelve species were identified, 504 (40.4%) were Gardnerella vaginalis, 530 (42.5%) Candida spp, and 101 (8.1%) Trichomonas vaginalis. Less usual isolates were Escherichia coli, Streptococcus agalactiae, Enterococcus spp., Streptococcus viridans, Staphylococcus epidermidis, Peptostreptococcus spp., and Staphylococcus saprophyticus.
CONCLUSIONS: The authors believe that this study adds to the relevant literature of information regarding the pathogens implicated in patients with symptomatic vaginitis by reporting data from a cohort of patients in Greece. Ninety-one percent of the isolated and identified pathogens from vaginal cultures of symptomatic Greek women included Candida albicans, Gardnerella vaginalis, and Trichomonas vaginalis, with the first two species representing the great majority.