Research Article
Volume 16 Issue 8 - 2020
Microbiological Result of the High Vaginal Swab in a Patient with Preterm Premature Rupture of the Membranes (PPROM) Versus Preterm Labor (PTL)
Narjes Albeaik1*, Ahmed AlSaleh2, Zaynab Al-Qallaf2, Mashal Alameer3 and Zahra Ebrahim4
1Department of Obstetrics and Gynecology, King Fahad University Hospital, Al-Khobar, Saudi Arabia
2College of Medicine, Description Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
3College of Medicine, Medical University of Warsaw, Warsaw, Poland
4College of Medicine, Zhejiang University, Zhejiang, China
*Corresponding Author: Narjes Albeaik, Department of Obstetrics and Gynecology, King Fahad University Hospital, Al-Khobar, Saudi Arabia.
Received: July 11, 2020; Published: July 23, 2020




Abstract

The complications of preterm birth cause approximately 70% of neonatal deaths and nearly half of all long-term neurological morbidity. In this study, we aim to report the findings of the laboratory investigations for high vaginal swabs (HVS) and their relation to PTL and PPROM. We performed a prospective cohort study of women presenting at The King Fahd Hospital of the University (KFHU) in Khobar, Kingdom of Saudi Arabia, with and without risk factors for preterm birth between December 2018 and December 2019. Women aged 15 to 40 years and satisfying inclusion criteria were included in the study. Finally, we included 117 women in the current study, with a total mean age of 30.5 ± 6.3 years and overall average gestational age, at delivery, of 33.8 ± 2.8 weeks. Out of those 117 women, 114 were diagnosed with having a PTL, while the other three had a PPROM. Among the 117 included women, 69 (58.9%) did not perform HVS, and only 48 women did. The findings were variable among PPROM and PTL groups. For PPROM, all of the three patients had a normal HSV with no detected organisms or pathological findings. Out of the 45 PTL patients who had HVS, we found a normal HSV (negative findings) in 39 patients (86.7%), the presence of yeasts in five patients (11.1%) and the presence of Candida albicans in one patient (2.2%). These findings indicate the urge to develop more advanced techniques for better detection of genital infections, and prevention of its complications.

Keywords: High Vaginal Swab; PTL; PPROM; Preterm Labor

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Citation: Narjes Albeaik., et al. “Microbiological Result of the High Vaginal Swab in a Patient with Preterm Premature Rupture of the Membranes (PPROM) Versus Preterm Labor (PTL)”. EC Microbiology 16.8 (2020): 44-52.

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