Vaginitis is the infection in the vagina, bacterial vaginosis is the most common infection among women, especially pregnant women. It occurs due to the disturbance of the microbiome in the vagina Lactobacilli spp., which affects the growth of any microorganisms pathogenic.
Objectives: The study determined prevalence of bacterial infections in vagina, and their relationship to age, education levels and discharge abnormal. Identification and isolation bacterial infection to assess the incidence of their antimicrobial pattern in pregnant women, attending private clinics in Zletin city, Libya.
Material and methods: A descriptive study was conducted on 115 pregnant women during period from March 2016 to December 2016. Pregnant women were screened for high vaginal swabs to isolate and identify pathogenic bacteria. By microscopic examination (wet mount, gram stain). Culture by (blood agar, chocolate agar and MacConkey agar), macroscopic examination (bacteria hemolysis on blood agar, ferment and nonferment on MacConkey agar and catalase test), identification and antibiotics sensitivity patterns by BD PhoenixTM system.
Statistical analysis was performed using SPSS P. value < 0.05 was considered statistically significant.
Results: (77.39%) of pregnant women detected with frequency high vaginal swabs were bacterial infection, the highest infection was found in the age group (20-25) years old, the higher percentage of infection was between the (secondary education level) which found the percentage of this level was (47.2%) from the total, the highest infection rate was recorded with consistent thick white discharge was represented by 44 samples (49.4%) of the total samples. There are several different bacterial species were isolated, of which the most prevalent is Enterococcus faecalis 16 (17.8%), followed by Klebsiella pneumonia 14 (15.55%), Escherichia coli 12 (13.33%), and Staphylococcus aureus 10 (11.11%). The antibiotic Levofloxacin was the most sensitive agent against Gram-negative bacteria, and Linezolid was the most sensitive against gram-positive bacteria, additional Cefepime, Daptomycin, and Vancomycin were the most sensitive against gram-positive bacteria streptococcus spp.