Vaginal infection

presentation about vagingal infection and vaginitis

1. vaginal infection Prepare by: Romany Lofty

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

3. Types of vaginal infection   Types of vaginal infection Bacterial vaginosis Trichomoniasis vaginosis Candidias Causative organism   Over growth cardenerria Gonococcus Trichomonus vaginalus (Parasitic or protozoal infection) Fungus and candida albicans

4. Risk factor Poor personal hygiene . Obesity

5. using Too much soap u n controlling Diabetes wearing clothes that are Too tight use of feminine deodorants, douches And scented Sanitary products .

6. 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.

7. Inadequate sleep . poor nutrition .

8. Symptoms & signs In addition to itching, burning, and redness of the vagina, other symptoms include. Candidias Trichomoniasis Bacterial vaginosis   Vaginal discharge   Thick Cottage cheese White No Oder         Frothy   Yellow Fishy Oder   Thin Gray, white   Fishy Oder     Consistency Color   Oder  

9. Vaginal discharge Bacterial vaginosis Trichomoniasis Candidias Dysuria& dyspareunia Other S&S Mainly absent or mild Present and severe strawberry shape of the cervix Present discharge stick to the wall of the vagina cervix blood by trial to remove it.

10. Diagnosis of vaginal infection Diagnostic criteria normal Bacterial vaginosis Trichomoniasis Candidias history       Clinical examinant of discharge color   vaginal ph.     (microscopic) Causative agent     Whiff test     none     None 3.8 – 4.2     Ve Discharge, bad Oder. Like a fishy(possible worse after intercourse) discharges are thin and gray white     Gray, white   4.5     Gardenerrla gonococcus     + ve    Frothy discharge-bad Oder like fishy- pain during urination(dysuria ) Yellow, green, discharge.         Yellow, green     5       protozoon    + ve Itching during. Discharge clumpy white without Oder cottage cheese         Clumpy, white ≥ 4.5     Fungus mainly Candia albi cans     Ve  

11. In case of recurrent infection culture must be done . Whiff test ; Doctor use KOH ( هيدروكسيد البوتاسيوم ) 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.

12. Complication :   Pelvic inflammation disease. HIV infection . Persistent discomfort. Infertility ..

13. During pregnancy: Risk of miscarriage . Preterm birth. Preterm rupture of membranes . Low birth weight. Post abortion endometrities

14. Treatment 2) Trichomonas /Bacterial, vaginosis, Metronidazole 2 g m in single dose During the 1 st trimester of pregnancy this drug is avoided instead of" Detadine ’‘or 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 effecti ve.

15. 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.

16. Avoid tight, fitting clothing. Eat well balanced diet . Get a plenty of rest.

17. The right way (method) to clean vagina is form front to back + avoid using too much soap. c ontrol diabetic. Avoid intercourse with infected person

18. 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.

19. 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 for Candida 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 infection Avoid stress.

20. Avoid stress . Avoid obesity . Sleep well.

21. Secondary level. Early detection & early management; early detection . Screening for infection persons . Vaginal examiner for persons are high risk . Screening for means with infection

22. • 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

23. Avoid tight, fitting clothing. Eat a well balance diet . Use the right method of Cleaning vagina ( from front to back )

24. Change the underpants daily with regular and clean it with warm water and iron it. eat a yogurt daily. (Decrease a risk for Candida 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 infection Avoid stress.

25. 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.

26. Pregnancy-o u\s for baby . Monitor fetal wellbeing . Monitor fetal heart rate . Monitor fetal breathing.