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ISSN 1028-4818 (Electronic)

2019, Number 3

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Mul Med 2019; 23 (3)

Risk factors associated to vaginal infections in pregnant women

Felipe GN, Santisteban GAL, Ortiz SY, Pérez MD

Language: Spanish
References: 15
Page: 430-446
PDF size: 819.28 Kb.


ABSTRACT

Vaginal infection is one of the most frequent medical complications associated with pregnancy. An epidemiological, observational, analytical, longitudinal study of cases and controls was carried out with pregnant women attended at the Jimmy Hirzel Polyclinic, Bayamo, Granma, June 2016 - December 2017, with the objective of identifying risk factors hypothetically related to the appearance of vaginal infection. The data was obtained from a survey applied to patients and their clinical history, with prior informed consent. Cox proportional risk model was applied for univariate and multivariate analysis, and Chi square, with a 95% reliability and a probability lower than 0.05. The previous history of sexually transmitted infection (OR 2.25), more than three pregnancies (OR 3.20), previous abortions (9.88) and the non-use of condoms in sexual relations (OR 5, 35) were constituted in the gynecological-obstetric history related to the appearance of vaginal infection in pregnant women. The early onset of sexual life (OR 2, 25) became a demographic and sexual behavior factor related to the appearance of vaginal infection in pregnant women. Having received some type of vaginal treatment prior to the study (OR 1.26), constituted a risk factor related to external procedures, although not in a significant way. The presence of urinary tract infection and diabetes mellitus constituted risk factors related to the appearance of vaginal infection in pregnant women.


REFERENCES

  1. Ministerio de Salud Pública del Ecuador. Diagnóstico y tratamiento de infección vaginal en obstetricia. Guía Práctica Clínica 2014 [Internet]. Quito: Ministerio de Salud Pública; 2014 [citado 20/7/2018]. Disponible en: http://instituciones.msp.gob.ec/documentos/Guias/guias%202014/GPC%20Infeccion_vaginal_obstetrica.pdf

  2. Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64(RR-03): 1-137.

  3. Santiesteban Alba S. Obstetricia y perinatología. Diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2012.

  4. Pradenas M. Infecciones cérvico vaginales y embarazo. Rev Med Clin Condes 2014; 25(6): 864-1049.

  5. Torres M, Moayedi S. Gynecologic and other infections in pregnancy. Emerg Med Clin North Am 2012; 30(4): 869-84.

  6. Hernández Núñez J, Valdés Yong M, Colque Delgado VS, Roque Arias SM. Síndrome de flujo vaginal en embarazadas de Santa Cruz del Norte. MediMay [Internet]. 2016 [citado 5/8/2018]; 22(1). Disponible en: http://revcmhabana.sld.cu/index.php/rcmh/article/view/928/1339

  7. Infante Tavío NI, Mendo Alcolea N, Hernández Lin T, Cala Calviño L, Samón Rodríguez E. Factores de riesgo asociados a la infección vaginal por Chlamydia trachomatis. MEDISAN 2012; 16(5): 686-693.

  8. Bermúdez Gallardo G. Incidencia de cervicovaginitis en embarazadas que están en control en la UMF no. 73. [Tesis]. México: Universidad Veracruzana; 2014 [citado 2/8/2018]. Disponible en: https://www.uv.mx/blogs/favem2014/files/2014/06/Tesis_Bermudez.pdf

  9. Katz VL. Spontaneous and recurrent abortion: etiology, diagnosis, treatment. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012. P. 16.

  10. Occhionero M, Paniccia L, Pedersen D, Rossi G, Mazzuchini H, Entrocassi A. Prevalencia de la infección por Chlamydia trachomatis y factores de riesgo de infecciones transmisibles sexualmente en estudiantes universitarios. Rev Argent Microbiol 2015; 47(1): 1-84.

  11. Morales Parra GI, Bolaños Contreras CC, Rosado Arrieta Y, Vanegas Moscote A. Frecuencia y factores de riesgo asociados a vaginosis bacteriana y vaginitis por Candida spp. en mujeres con infección vaginal. Revista Médica Electrónica Portales Médicos [Internet]. 2017 [citado 2018/2/24]. Disponible en: https://www.revista-portalesmedicos.com/revista-medica/frecuencia-factores-riesgo-vaginosis-bacteriana-vaginitis-candida/

  12. Moncayo Flores DE. Candida albicans en secreción vaginal de mujeres en edad fértil y su relación con los factores de riesgo. [Tesis]. Ecuador: Universidad Nacional de Loja; 2015 [citado 20/8/2018]. Disponible en: http://dspace.unl.edu.ec/jspui/bitstream/123456789/13585/1/TESIS%20CANDIDA%20ALBICANS.pdf

  13. Castillo Pacheco MC. Factores de riesgo de recidivas de infecciones vaginales en mujeres en edad fértil que acuden al subcentro de Salud la Propicia [Tesis]. Ecuador: Pontificia Universidad Católica del Ecuador; 2015 [citado 20/8/2018]. Disponible en: https://repositorio.pucese.edu.ec/bitstream/123456789/402/1/CASTILLO%20PACHECO%20MARTHA%20CRISTINA.pdf

  14. Joffe GP, Foxman B, Schmidt AJ, Farris KB, Carter RJ, NeumannS, Tolo KA, Walters AM. Multiple partners and choice as risk factors for sexually transmitted disease among female college students. Sex Transm Dis 1992; 19(5): 272-8.

  15. Álvarez Rodríguez JM, Méndez Hernández A, García Verdecia O, Rodríguez Fernández I, Ramos Mustelier F. Epidemiología de la infección vaginal en gestantes diabéticas. MEDISAN 2014; 18(1): 84-89.




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