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Year : 2014  |  Volume : 21  |  Issue : 2  |  Page : 59-63

Pre-HSG microbial isolates from endocervical swabs in infertile women in Ilorin, Nigeria

1 Department of Radiology, University of Ilorin, Ilorin, Nigeria
2 Department of Obstetrics and Gynaecology, University of Ilorin, Ilorin, Nigeria
3 Department of Radiology, Olanrewaju Hospital, University of Ilorin Teaching Hospital, Ilorin, Nigeria
4 Department of Radiology, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence Address:
Dr. Adewale E Oguntoyinbo
Department of Radiology, Faculty of Clinical Sciences, College of Health Sciences, University Ilorin, P.M.B.1515, Ilorin, Kwara State
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DOI: 10.4103/1115-1474.134604

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Background: Genital infections contribute significantly to infertility by causing tubal disease in our environment. This can be worsened by any instrumentation of the genital tract such as hysterosalpingography (HSG), which is the most common and affordable investigation by infertile couples for tubal factor. Materials and Methods: A prospective study of 53 women who presented for HSG on account of infertility was done in a radio-diagnostic centre In Ilorin, Nigeria. Endo-cervical swabs were taken aseptically prior to standardized HSG in all clients. The swabs were sent for microscopy, culture, and antibiotic sensitivity and the HSG findings of patients were documented. Results: The age ranged between 25 and 52 years with a mean of 34.26 + 5.762 years. Both fallopian tubes were patent in 10 patients and blocked in 14 cases. There were 14 cases of unilateral hydrosalpinx and 10 (18.9) bilateral hydrosalpinges. Either pelvic or cervico-uterine cavity adhesions were observed in 35 (66.0%) of the cases. Mild to heavy growth occurred in 67.9% of the cases. Gram stain was positive in 54.7% of cases. The most common organism was Staphylococcus spp (28.3%). Forty-five percent of yields were sensitive to more than two antimicrobials. There was statistical significant relationship between the presence of pathogens in the endo-cervix and the frequency of tubal disease (x 2 = 2.71, P ≤ 0.05). Conclusion: There was a positive or significant statistical relationship between presence of pathogens in the cervix and tubal disease. Pre-HSG endo-cervical swab for microscopy, culture and sensitivity is advisable to prevent genital infections after HSG.

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