Prevalence pattern and predictors οf infective Vaginitis among female students attending federal university οf technology medical centre Owerri Nigeria

Bacterial vaginosis (BV), Vulvovaginal candidiasis (VVC) and Trichomoniasis are collectively known as Infective Vaginitis (IV). It is as a result of the disruption of the healthy microbiota and represents the most common gynaecologic condition encountered in the clinic. This study was aimed at determining the prevalence of BV, VVC, Trichomoniasis, microbiological patterns and predictors of infective vaginitis among female students attending Federal University of Technology, Medical Centre, Owerri. This was a cross-sectional study carried out on 150 female students of Federal University of Technology, Owerri between May 2015 and October, 2015. A self-administered structured questionnaire was used to generate data on the sociodemographic variables and predictors of Infective vaginitis. Vaginal swabs were collected and subjected to wet mount microscopy and gram staining. Sabouraud dextrose agar (SDA) was used as a growth medium for the isolation of Candida species and Germ tube test was used for the identification and confirmation of Candida albicans. All bacterial isolates were characterized on the basis of colony, cellular morphology and reaction to Gram’s staining. Data were analysed using Epi INFO version 7 Software. The prevalence of BV, VVC and Trichomoniasis were reported as 22%, 36%, 0% respectively. The microbiological and morphological pattern showed some mixed bacterial and fungal infections between Escherichia coli and Candida albicans of 4%. The predictors of Infective vaginitis were found to be correct wiping pattern of front to back and first Infective vaginitis at an early age. This study helps Primary care physicians in making accurate empirical prescriptions in the treatment of Infective vaginitis, reducing the emergence of drug resistance and out-of-pocket spending.