vaginal infection

vaginal infection

Prepare by:Romany Lofty

Definition:vaginal infectionover growth of bacteria which is normally present in vagina.vaginitis: inflammation in the vagina

Types of vaginal infection

Types of vaginal infectionBacterial vaginosis TrichomoniasisvaginosisCandidias

Causative organism Over growth cardenerria GonococcusTrichomonus vaginalus (Parasitic or protozoal infection)Fungus and candida albicans

Risk factor

Poor personal hygiene.

Obesity

using Too much soap

un controlling Diabetes

wearing clothes that are Too tight

use of feminine deodorants, douches And scented Sanitary products.

Excessive use of antibiotics & Hormonal Contraceptive.

Stress.

change in sexual Partners.

unprotected sex with Someone infection with an STO.

pregnancy, recent child birth, or menopause.

Inadequate sleep.

poor nutrition.

Symptoms & signsIn addition to itching, burning, and redness of the vagina, other symptoms include.

Candidias TrichomoniasisBacterial vaginosis Vaginal dischargeThick Cottage cheese

White

No Oder

Frothy

Yellow

Fishy OderThin

Gray, white

Fishy OderConsistency

Color

Oder

Vaginal dischargeBacterial vaginosis TrichomoniasisCandidias

Dysuria& dyspareunia

Other S&SMainly absent or mildPresent and severe

strawberry shape of the cervixPresent

discharge stick to the wall of the vagina cervix blood by trial to remove it.

Diagnosis of vaginal infection

Diagnostic criterianormalBacterial vaginosisTrichomoniasisCandidiashistory

Clinical examinant of discharge color

vaginal ph.

(microscopic)Causative agent

Whiff test

none

None

3.8 4.2

VeDischarge, bad Oder. Like a fishy(possible worse after intercourse) discharges are thin and gray white Gray, white

4.5

Gardenerrla gonococcus

+ veFrothy discharge-bad Oder like fishy- pain during urination(dysuria)Yellow, green, discharge.

Yellow, green5

protozoon

+ veItching during.Discharge clumpy white without Oder cottage cheese

Clumpy, white

4.5

Fungus mainly Candia albi cans Ve

In case of recurrent infection culture must be done.Whiff test;Doctor use KOH ( ) to detect which type of infection, through putting 2 drops of (KOH) with concentrate (10%) on event culture and detect the type of infection through color and odor.

Complication :

Pelvic inflammation disease.

HIV infection.

Persistent discomfort.

Infertility..

During pregnancy:Risk of miscarriage.

Preterm birth.

Preterm rupture of membranes.

Low birth weight.

Post abortion endometrities

Treatment2) Trichomonas /Bacterial, vaginosis, Metronidazole 2gm in single dose During the 1st trimester of pregnancy this drug is avoided instead of" Detadineor trichofuran 'vaginal. Pass arces. The Partner should be screened treated and barrier contraceptive recommended. for at least one week from starting of medication Course of (treatment 2) candidiasis Oral fluconazole (deflucan) 150 mg tablets single dose is effective.

Nursing management:Primary level, Health promotion disease prevention. Avoid over the counter medication.

Maintain good personal hygiene.

Wear underpants with cotton crotch, and avoid nylon.

Avoid tight, fitting clothing.

Eat well balanced diet.

Get a plenty of rest.

The right way (method) to clean vagina is form front to back+ avoid using too much soap.

control diabetic.

Avoid intercourse with infected person

Avoid scented feminine care products, especially douches.

Use an odorless Pad with regulatory every 4 hours during menstrual period.

use your personal equipment only

use a softy Tissues and without perfume odor.

Change the underpants daily with regular and clean it with warm water and iron it.

Remove the vaginal hair regularly.

eat a yogurt daily. (Decrease a risk forCandida infection).

Remove the vaginal hair regularly. use your personal equipment only. use a softy Tissues and without perfume odor. eat a yogurt daily. (Decrease a risk for Candida infectionAvoid stress.

Avoid stress.

Avoid obesity.

Sleep well.

Secondary level. Early detection & early management; early detection.Screening for infection persons.

Vaginal examiner for persons are high risk.

Screening for means with infection

Management;Medication taken on time and avoid in pregnancy.

Increase fluid intake.

In case of increase discharge use pad and frequent check in case of excessive discharge.

Wear underpants with a cotton crotch and avoid nylon

Avoid tight, fitting clothing.

Eat a well balance diet.

Use the right method of Cleaning vagina( from front to back )

Change the underpants daily with regular and clean it with warm water and iron it.

eat a yogurt daily. (Decrease a risk forCandida infection)

Use an odorless nappy with regulatory every 4 hours.

Remove the vaginal hair regularly. use your personal equipment only. use a softy Tissues and without perfume odor. eat a yogurt daily. (Decrease a risk for Candida infectionAvoid stress.

Tertiary prevention.Correction and prevention of deterioration of disease state.Appropriate methods of clean during infection.In the case of trichomonas and bacterial vaginitis,The husband should be treated also. Follow up.Periodic checkup.Teach patient appropriate method for clean to avoid recurrent.

Pregnancy-o u\s for baby.

Monitor fetal wellbeing.

Monitor fetal heart rate.

Monitor fetal breathing.