Signs and symptoms of urethritis and cervicitis among women with or without genital mycoplasma infection in Governorate of Basrah

Abstract EN

Due to the absence of antisera in Iraq, thereupon, in this search, the isolated species which belonged to genus Mycoplasma are presumptive (probably) species of genital mycoplasma, the characteristic and biochemical properties of them were fit with those of M.hominis, U.urealyticum, M.fermentans, M.genitalium and M.penetrans in dependence on Bergey,s Manual of determinative bacteriology (Holt et al., 1994).

, This study was current on 120 women attending the outpatient clinic of the obstetric and gynecology department of Basrah General Hospital during the period from February to July, 2007.

Comprised women who suffered from some obstetric and gynecological conditions, for that purpose urethral swabs and the other from endocervix region were cultured then handled and processed with a Monophasic-diphasic culture setup (MDCS), a statistically significant difference at the level of (P< 0.01) was noted in the isolation of both presumptive mycoplasmal species M.fermentans and M.hominis from urethral region in comparison with endocervix region while, the isolation rates of U.urealyticum and M.genitalium were highest from endocervix region.

Also, the results show, presumptive (probably) mycoplasmal species: M.fermentans , U.urealyticum, M.hominis and M.penetrans were more frequently distributed in women who were complaining of vaginal discharge followed by urethral abnormal and itching.

Statistically, the associated significance was noted only in case of M.hominis at level of (P< 0.05).

The genital mycoplasmas were recovered 15.0 percent in 18 cases as a single infection and 20.8 percent in 25 cases as a mixed infection with other causative agents (bacterial other than mycoplasmas), so this study showed the conjunction of U.urealyticum with M.hominis in 5 cases (4.1 %) and the M.genitalium with M.fermentans in 6 cases (5.0 %).

Finally, the E.coli was found as a single infection in 5 cases and conjuncted with E.faecalis in 3 cases (2.5 %) while, P.aeruginosa found as a single infection in 4 cases and recovered 0.8 percent in 1 case only as a mixed infection with S.epidermidis.