RESUMO
OBJECTIVE: This work intended to evaluate the frequency of Gardnerella vaginallis in cervicalvaginal smears of hysterectomized women when compared to smears of non-hysterectomized women. METHODS: A retrospective study was conducted in the laboratory of pathology of the Western São Paulo University - Unoeste and 39,447 cervical/vaginal cytology reports were reviewed. Of these, 1934 women were totally hysterectomized and 37,513 were non-hysterectomized. Only data from Gardnerella vaginalis patients were collected (n=755) among the non-hysterectomized patients. RESULTS: There was a predominance of Lactobacillus species (60% of the cases) in the vaginal microbiota of hysterectomized patients with an incidence of Gardnerella vaginalis in 7.08% of the cases with a prevalence among the 41 to 50 year old age group (38 %). Among non-hysterectomized patients, 755 (2 %) had Gardnerella vaginalis and most patients were under 40 years of age (62%). CONCLUSION: Hysterectomized women are more than 3.71 times more likely to have Gardnerella vaginalis. Gardnerella vaginalis predominated in the 41 to 50 year old age group of hysterectomized women, and in the group of non-hysterectomized women with less than 40 years of age. Maintenance of the vaginal pH is important to prevent Gardnerella vaginalis infections and hysterectomized patients must take preventive care against this infection.
Assuntos
Gardnerella vaginalis/isolamento & purificação , Histerectomia , Esfregaço Vaginal , Vaginose Bacteriana/epidemiologia , Adulto , Fatores Etários , Animais , Brasil/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Vaginose Bacteriana/microbiologiaRESUMO
OBJETIVO: Avaliar a freqüência de Gardnerella vaginalis em esfregaços cérvico-vaginais de pacientes com histerectomia prévia comparados com os esfregaços de pacientes não histerectomizadas. MÉTODOS: Realizamos um estudo retrospectivo no Laboratório de Anatomia Patológica da Unoeste, sendo revisados 39.447 laudos de citologia cérvico-vaginal. Destes, 1934 pacientes eram histerectomizadas totais e 37.513 não histerectomizadas. Dentre as pacientes não histerectomizadas foram coletados os dados apenas das pacientes com Gardnerella vaginalis (n=755). RESULTADOS: Com relação à microbiota vaginal das pacientes histerectomizadas, houve um predomínio de lactobacilos (60 por cento dos casos); Gardnerella vaginalis ocorreu em 7,08 por cento dos casos, com predomínio entre 41 a 50 anos (38 por cento). Entre as pacientes não histerectomizadas, 755 (2 por cento dos casos) apresentavam Gardnerella vaginalis e a maioria estava na faixa etária abaixo de 40 anos (62 por cento). CONCLUSÃO: A chance de uma mulher histerectomizada ter Gardnerella vaginalis é 3,71 vezes maior. Nas pacientes histerectomizadas, Gardnerella vaginalis predomina naquelas entre 41 e 50 anos, enquanto nas não histerectomizadas predomina em mulheres abaixo de 40 anos. A manutenção do pH vaginal é importante para a prevenção de infecções por Gardnerella vaginalis e pacientes histerectomizadas devem tomar medidas de prevenção contra esta infecção.
OBJECTIVE: This work intended to evaluate the frequency of Gardnerella vaginallis in cervicalvaginal smears of hysterectomized women when compared to smears of non-hysterectomized women. METHODS: A retrospective study was conducted in the laboratory of pathology of the Western São Paulo University - Unoeste and 39.447 cervical/vaginal cytology reports were reviewed. Of these, 1934 women were totally hysterectomized and 37,513 were non-hysterectomized. Only data from Gardnerella vaginalis patients were collected (n=755) among the non-hysterectomized patients. RESULTS: There was a predominance of Lactobacillus species (60 percent of the cases) in the vaginal microbiota of hysterectomized patients with an incidence of Gardnerella vaginalis in 7.08 percent of the cases with a prevalence among the 41 to 50 year old age group (38 percent). Among non-hysterectomized patients, 755 (2 percent) had Gardnerella vaginalis and most patients were under 40 years of age (62 percent). CONCLUSION: Hysterectomized women are more than 3.71 times more likely to have Gardnerella vaginalis. Gardnerella vaginalis predominated in the 41 to 50 year old age group of hysterectomized women, and in the group of non-hysterectomized women with less than 40 years of age. Maintenance of the vaginal pH is important to prevent Gardnerella vaginalis infections and hysterectomized patients must take preventive care against this infection.