Résumé

Introduction: The normal vaginal flora plays a crucial role in maintaining women's health, owing to the presence of lactobacilli that sustain a protective acidic environment. Any disruption of this balance may lead to genital infections, including bacterial vaginosis. This study aimed to determine the bacteriological profile of genital infections in virgin women seen at the medical biology laboratory of the Abass Ndao Hospital Center. Methodology: This was a retrospective study conducted at the ANHC laboratory from April 2023 to October 2024, involving virgin women referred for vaginal swab examination. Data were collected from laboratory records, entered into Microsoft Excel version 2016, and analyzed using JASP software (Version 0.96). Results: Thirty-seven (37) patients were included, with a mean age of 22.65 ± 8.22 years. The age group [15-30] was the most represented at 70.3% (n = 26). Clinically, vaginal discharge (leukorrhea) was the most frequent presenting symptom at 29.7% (n = 11). Bacteriological examination of vaginal swabs yielded a positivity rate of 27% (n = 10). Among positive patients, Gardnerella vaginalis and Staphylococcus aureus accounted for 18.9% and 5.4%, respectively. Leukocyte counts revealed that 18.9% (n = 7) of patients presented an inflammatory state. The Kruskal-Wallis test showed that patients with leukorrhea had a significantly higher mean leukocyte count than others (p < 0.001). The Chi-square test applied between age groups and isolated organisms demonstrated a statistically significant association (p = 0.039). Conclusion: Our study on organisms isolated from virginal women confirms that bacterial vaginosis can occur in the absence of any sexual activity, underscoring the importance of viewing it as a dysbiosis of the vaginal microbiota rather than a strictly sexually transmitted infection.

Mot-clés :

Bacterial Vaginosis; Virgin Women; Inflammation