RELATIONSHIP OF AGE, MENOPAUSE STATUS, AND BMI WITH THE EVENT OF BACTERIAL VAGINOSIS IN NEW PATIENTS OF PELVIC ORGAN PROLAPSE
Downloads
Abstract
Background and Purpose : The prevalence of Bacterial Vaginosis (BV) among Asian women in India and Indonesia is 32% while in the case of BV in 2018 the obstetric clinic of Dr. Soetomo Regional Hospital is 181 BV sufferers. The impact of BV on Pelvic Organ Prolapse (POP) patients, namely the delay in POP treatment such as BV pessaries can be influenced by age, menopausal status, and BMI. This study aims to analyze the relationship of age, menopausal status, and BMI with the incidence of BV in POP patients. Methods: This study used observational analytics with a retrospective and cross sectional approach. The number of samples used was 86 patients. Samoel taking technique with total sampling. The independent variable is the incidence of BV, while the dependent variable is age, menopause status, BMI. Bivariate data analysis using chi square, fisher's exact test and multivariate test using multiple logistic regression tests. Results: The results showed a positive BV prevalence of 76.7% with the majority of patients aged over 60 years at 44.2%, having menopause at 81.4%, and having a BMI of 18.5-24.5 at 47.7%. Fisher's exact test analysis test showed p value of maternal age = 0.003 (RR = 6.398) and p value of BMI = 0.767 (p> 0.005). Chi square analysis test showed p value of menopause status = 0.009 (RR = 4.833). The multiple logistic regression analysis test showed that maternal age was the most dominant factor with a value of p = 0.006 (OR = 6.398 (1,711-23,929)). Conclusion: There is a relationship between age and menopausal status with the incidence of BV. Age is the most dominant independent factor in the incidence of BV.
Allsworth, J. E., & Peipert, J. F. (2007). Prevalence of bacterial vaginosis: 2001-2004 National Health and Nutrition Examination Survey data. Obstetrics and Gynecology, 109(1), 114–120. https://doi.org/10.1097/01.AOG.0000247627.84791.91
Anwar Mochamad, Baziad Ali, Prabowo R. Prajitno. Ilmu Kandungan: Kelainan Letak Alat-Alat Genital. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2011.
Berek, Jonathan S. Berek & Novak's Gynecology 15th ed. Lippincott Williams & wilkins; 2012.
Bitew, A., Abebaw, Y., Bekele, D., & Mihret, A. (2017). Prevalence of bacterial vaginosis and associated risk factors among women complaining of genital tract infection. International Journal of Microbiology, 2017(ii). https://doi.org/10.1155/2017/4919404
Brookheart, R. T., Lewis, W. G., Peipert, J. F., Lewis, A. L., & Allsworth, J. E. (2019). Association between obesity and bacterial vaginosis as assessed by Nugent score. American Journal of Obstetrics and Gynecology, 220(5), 476.e1-476.e11. https://doi.org/10.1016/j.ajog.2019.01.229
Brubaker L, et al. Pelvic organ prolapse. Incontinence. 2nd International Consultation on Incontinence. 2nd ed. Plymouth (UK): Plymouth Distributors [internet]; 2002: 243-265.
DeCherney AH, Nathan L. Current Obstetric & Gynecologic: Diagnosis & Treatment 9th Edition. Mc Graw Hill Companies; 2003.
Dorner, T. E., Schwarz, F., Kranz, A., Freidl, W., Rieder, A., & Gisinger, C. (2010). Body mass index and the risk of infections in institutionalised geriatric patients. British Journal of Nutrition, 103(12), 1830–1835. https://doi.org/10.1017/S0007114510000152
Fang, X., Zhou, Y., Yang, Y., Diao, Y., & Li, H. (2007). Prevalence and risk factors of trichomoniasis, bacterial vaginosis, and candidiasis for married women of child-bearing age in rural Shandong. Japanese Journal of Infectious Diseases, 60(5), 257”261. Retrieved from http://europepmc.org/abstract/MED/17881863
Faria Toma, Eighty Mardiyan, K. D. (2017). PENINGKATAN RESIKO BACTERIAL VAGINOSIS PADA PEMASANGAN PESARIUM (Universita Airlangga). Retrieved from http://repository.unair.ac.id/64729/1/abstrak.pdf
Hainer, V., Zamrazilová, H., KuneÅ¡ová, M., Bendlová, B., & Aldhoon-Hainerová, I. (2015). Obesity and infection: Reciprocal causality. Physiological Research, 64, S105–S119.
Hacker NF. Essentials of Obstetrics and Gynecology edisi 4. Philadelphia: Elsevier Saunders; 2004.
Lakshmi K, Aishwarya JR, Chitralekha S, M. G. (2013). Research Journal of Pharmaceutical , Biological and Chemical Sciences REVIEW ARTICLE. Research Journal of Pharmaceutical, Biological and Chemical Sciences, 2(1), 1091–1106.
Lan, P. T., Lundborg, C. S., Phuc, H. D., Sihavong, A., Unemo, M., Chuc, N. T. K., ... Mogren, I. (2008). Reproductive tract infections including sexually transmitted infections: a population-based study of women of reproductive age in a rural district of Vietnam. Sexually Transmitted Infections, 84(2), 126–132. https://doi.org/10.1136/sti.2007.027821
Marta, KF. Hubungan Antara Prolaps Organ Panggul dengan Ukuran Panggul Perempuan Suku Bali. Fakultas Kedokteran Universitas Udayana Denpasar; 2011. 27. Handa VL, Blomquist JL, McDermott KC, Friedman S, Munoz A. Pelvic Floor Disorders After Childbirth: Effect of Episiotomy, Perineal Laceration, and Operative Birth. National Institutes of Health Obstet Gynecol; 2012. [cited 2019 Feb 20]; 119(2)
Md. Abdullah Yusuf, Mahmuda Chowdhury , KM Shahidul Islam , Eliza Omar Eva, A. R. S., & Md. Khalilur Rahman , Abdur Rabban Talukder, S. A. B. (2011). Common microbial etiology of abnormal vaginal discharge among sexually active women in Dhaka , Bangladesh. South East Asia Journal Of Public Health, ISSN : 222(1), 35–39.
Menard, J. 2011. Antibacterial treatment of bacterial.Int J wom Health
Milton S. Hershey Medical Center. Uterine Prolapse [internet]. 2013. [updated 2013 Aug 5; cited 2019 March 28]. Available from: http://pennstatehershey.adam.com/content.aspx?productId=117&pid=1 &gid=001508
Mirhashemi Ramin, MD. Treatment of Pelvic Prolapse. Available from: http://www.gynla.com/expertise/pelvic-prolapse-treatment.php
Mutiastutik, D. (2008). Vaginosis bakterial. Dalam:Barakbah J, Lumintang H, Martodihardjo S, editor. Infeksi Menular Seksual. Surabaya: AUP.
Nizomy IR, Prabowo RP, Hardianto G. Correlation between Risk Factors and Pelvic Organ Prolapse in Gynecology Outpatient Clinic, 58 Dr. Soetomo Hospital Surabaya, 2007-2011. Department of Obstetric & Gynecology Faculty of Medicine, Airlangga University [internet]. 2013. [cited 2019 Feb 14]; 21(2):61-66
Petricevic, L., Domig, K. J., Nierscher, F. J., Sandhofer, M. J., Krondorfer, I., Kneifel, W., & Kiss, H. (2013). Differences in the vaginal lactobacilli of postmenopausal women and influence of rectal lactobacilli. Climacteric, 16(3), 356–361. https://doi.org/10.3109/13697137.2012.725788
Price Sylvia A, Wilson Lorraine M. Patofisiologi: Konsep Klinis Proses-Proses Penyakit. Jakarta: EGC; 2012
Schorge JO, Schaffer JI, Halvorson LM, Hoffman BL, Bradshaw KD, Cunningham FG. Williams Gynecology. United States: Mc Graw Hill Companies; 2008.
Schlabritz-Loutsevitch, N., Gygax, S. E., Dick, E., Smith, W. L., Snider, C., Hubbard, G., & Ventolini, G. (2016). Vaginal Dysbiosis from an Evolutionary Perspective. Scientific Reports, 6, 4–10. https://doi.org/10.1038/srep26817
Sharon H, J. M. (2008). Bacterial Vaginosis. New York: McGraw Hil.
Siahaan, R. E., & Nurdjannah J. Niode, T. A. P. (2016). Profil vaginosis bakterial di Poliklinik Kulit dan Kelamin RSUP Prof . Dr . R . D . Kandou Manado. Jurnal E-Clinic (ECI), 4(2), Juli-Desember 2016.
Snell RS. Anatomi Klinis: Berdasarkan Sistem. Jakarta: EGC; 2012.
Ventolini, G., Khandelwal, N., Hutton, K., Lugo, J., Gygax, S. E., & Schlabritz-Loutsevitch, N. (2017). Obesity and recurrent vulvovaginal bacterial infections in women of reproductive age. Postgraduate Medical Journal, 93(1099), 297. https://doi.org/10.1136/postgradmedj-2016-134638
Wahyudi. Distribusi Staging dan Faktor Risiko Prolapsus Organ Pelvis di Poliklinik Ginekologi RS H. Adam Malik / RS dr. Pirngadi Medan Berdasar Sistem POPQ. USU e-Repository; 2008.
Werner C, Moschos E, Griffith W, Beshay V, Rahn D, Richardson D, et al. Williams Gynecology Study Guide, 2nd ed. United States: Mc Graw Hill Professional; 2012.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The formal legal aspect of journal publication accessibility refers to Creative Commons Atribution-Share Alike 4.0 (CC BY-SA).
This Journal (e-ISSN 2656-7806) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
