TÌNH HÌNH VIÊM NHIỄM SINH DỤC Ở TRẺ VỊ THÀNH NIÊN ĐẾN NẠO THAI TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI VÀ MỘT SỐ YẾU TỐ NGUY CƠ

Abstract

Objectives: Our study investugates the Prevalence of reproductive tract infections (RTIs) in adolescents who had abortion procedure at Ha Noi Obstetrics. Methods: This cross-sectional study selected 115 school girl of the age from 14 to 17 who had come for abortion procedure at Ha Noi Obstetrics. Vaginal swabbing was conducted after girls were interviewed face-to-face by trained nurses on symptoms. The prevalence of girls with symptoms and laboratory-confirmed infections, and the sensitivity, specificity, positive and negative predictive values of symptoms compared with laboratory results, were calculated. Results: In 115 girls selected, 106 of them are fited with the study. RTIs was found at 93% of participants. The most common was the vaginitis with 57,4%, the cervicitis was 48,9% and the vulvovaginitis was 12.1%. The bacterials was the most common. Miscellaneous bacteria was founds with 45.7%, trichomonas 3.4%, and Candida albicans 31%. Especially, there were 2 cases got positive with serological test for syphilis. Analysis of the relationship between risk factors and infection rate showed that: the group of students, the risk of being 5.65 times higher than that of the agricultural group, staying at home; the group with a history of abortion, miscarriage has a 7.2 times higher risk than the group with no history; The group with a history of genital tract infections had a 4.34 times higher risk than the group with no history. Conclutions: There is a high prevalence of adolescent schoolgirls with RTI in Ha Noi. Public efforts are required to identify and treat infections among girls to reduce longer-term sequelae but poor reliability of symptom reporting minimises utility of symptom-based diagnosis in this population.