Clinical And Microbiological Characteristics of Bartholin’s Gland Abscesses

Abstract

Aim: The study aimed to evaluate the demographic and clinical characteristics of Bartholin’s gland abscess and culture results.Material And Methods: This study included patients who admitted to Gynecology clinic at Zekai Tahir Burak Women’s Health Training and Research Hospital and diagnosed with Bartholin’s gland abscesses between October 2013- March 2014. During procedure, pus culture was obtained from all abscess.Results: Mean age of 60 patients included in the study was 31,6 19-49 . 45 patients 75% stated that they were sexually active. Multiparous patients accounted for the majority of cases. 36 patients , 60% . Mean C-reactive protein CRP was found to be 21,1 mg/L 2-245 . 65% of cases n=39 were primary abscesses and %35 recurrent abscesses. Majority of abscesses %60 was located in right labium majus. All patients underwent surgical treatment. Pus culture were positive in 21 35% of cases. Escherichia coli was the single most frequent pathogen found 21.7% .Conclusion: Bartholin’s gland infection occurs more frequently in sexually active individuals in reproductive age and at low- middle socio-economic level, who have a previous history of surgical intervention in this region. In recurrent cases, total excision and marsupialization are preferred. While pus culture were negative in %65 of cases, E.coli was the single most common agent in culture-positive abscessses.

Keywords

• Bartholin’s gland abscess,marsupialization,total excision,silver nitrate

Bartolin Bezi Apselerinin Klinik ve Mikrobiyolojik Özellikleri

Abstract

Amaç: Bu çalışmada Bartolin apselerinin demografik, klinik özellikleri ve kültür sonuçlarının değerlendirilmesini amaçladıkGereç ve Yöntemler: Çalışmaya Ekim 2013- Mart 2014 tarihleri arasında Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi Jinekoloji Polikliniğine başvuran ve bartolin apse tanısı alan hastalar dahil edildi. İşlem esnasında tüm apselerden püy kültürü alındı.Bulgular: Çalışmaya dahil edilen 60 hastanın ortalama yaşı 31,6 19-49 idi. Hastaların 45’i %75 cinsel olarak aktif olduklarını belirtti. Hastaların büyük kısmını 36 hasta,%60 multipar hastalar oluşturdu. Hastaların ortalama C-reaktif protein CRP 21,1 mg/L 2-245 olarak bulundu. Vakaların %65’i 39 hasta ilk defa tedavi alırken, olguların %35’ini nüks vakalar oluşturdu. Apselerin Çoğunluğu %60 sağ labium majusda lokalize idi. Hastaların tamamına cerrahi tedavi uygulandı. Vakalarin 21’inde %35 kültürde üreme saptandı. Ureme saptananlarda en sık etkeni E.coli oluşturdu %21.7 .Tartışma: Bartolin bezi enfeksiyonu düşük-orta sosyo-ekonomik seviyedeki, daha önceden bu bölgede cerrahi girişim öyküsü olan, üreme çağındaki, cinsel aktif bireylerde daha sık görülmektedir. Nüks vakalarda total eksizyon ve marsupiyelizasyon daha çok tercih edilmektedir. Apse kültürlerin %65’inde üreme olmazken, en çok üreyen ajan E.coli %21.7 oldu.

Keywords

• Bartolin bezi apsesi,marsupiyalizasyon,total eksizyon,gümüş nitrat

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