PREVALÊNCIA DE Gardnerella vaginalis, Candida spp. e Trichomonas vaginalis EM EXAMES CITOPATOLÓGICOS DE GESTANTES ATENDIDAS NO HOSPITAL UNIVERSITÁRIO DE SANTA MARIA-RS

Introducao : Durante a gestacao podem ocorrer disturbios no mecanismo fisiologico do trato genital, composto por Lactobacillus spp. , resultando em processos infecciosos determinados por agentes bacterianos. Tais infeccoes podem levar a doenca pelvica inflamatoria, parto prematuro e infeccao fetal, sendo que o exame de Papanicolaou pode sugerir a presenca desses agentes infecciosos. Objetivo : Verificar a prevalencia dos agentes microbiologicos encontrados no Papanicolaou de gestantes atendidas no HUSM. Metodos : Foi realizado um levantamento do arquivo dos laudos citologicos do Laboratorio do Hospital Universitario de Santa Maria (HUSM) no periodo de janeiro de 2005 a dezembro de 2008, das gestantes que realizaram o exame citopatologico durante o pre-natal. Resultados : Foram analisados 1344 laudos e observou-se que 59,82% das pacientes apresentaram flora bacteriana normal, ou seja, composta por Lactobacillus spp. O total de floras alteradas foi de 40,17%. Dessas, 38,24% apresentaram Gardnerella vaginalis , 33,75% Candida spp. , 5,92% Trichomonas vaginalis , 21,54% flora mista (cocos e outros bacilos) e 0,54% outros microorganismos como Leptothrix vaginalis e Fuseobacterium spp. Conclusao : Essas infeccoes estao associadas a complicacoes na gestacao e nossos resultados mostraram uma alta prevalencia de agentes patogenicos nas pacientes, confirmando a importância do acompanhamento pre-natal das gestantes para o diagnostico e tratamento adequado dessas possiveis infeccoes. Descritores : gestantes, exame citopatologico, agentes microbiologicos . Introduction : During pregnancy may occur disorders in the physiological mechanism of genital tract, consisting of Lactobacillus spp. , resulting in infectious processes determined by bacterial agents. These infections can lead to pelvic inflammatory disease, preterm delivery and fetal infection. The Pap Smear test may suggest the presence of these infectious agents. Objective : To determinate the prevalence of microbiological agents found in the Pap smear test of pregnant women attending in HUSM. Methods : It was made survey of the file of the cytological laboratory of the Hospital Universitario de Santa Maria (HUSM) from January 2005 to December 2008, belonging to women, who underwent the examination of cytopathologic during prenatal care. Results : 1344 reports were analyzed and indicated that 59.82% of patients showed normal bacterial flora, which is composed of Lactobacillus spp. The total flora switched was 40.17%. Of these, 38.24% had Gardnerella vaginalis , 33.75% Candida spp. , 5.92% Trichomonas vaginalis , 21.54% mixed flora (bacilli and cocci) and 0.54% other microorganisms such as Leptothrix vaginalis and Fuseobacterium spp. Conclusion : The microbial infections are associated with complications during pregnancy, our results showed a high prevalence of pathogens in patients, confirming the importance of prenatal care of pregnant women for diagnosis and proper treatment of possible infections. Descriptors : pregnant women, cervical screening, microbiological agents .