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Giornale Italiano di ostetricia e ginecologia

Micro-organism resistency’s pattern causing leucorrhea in post-menopausal women in Medan, Indonesia

Original Article, 113 - 117
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Objective. To know the pattern of resistance of micro-organisms causing leucorrhea in post-menopausal women.
Methods. A descriptive cross sectional study, conducted in Department of Obstetrics and Gynecology H. Adam Malik General Hospital Medan as Universitas Sumatera Utara’s Teaching Hospital and other it’s networking hospitals. When the study began in January 2016 until December 2017, the sampling was done by consecutive sampling, with samples count were 126 post-menopausal women. Vaginal secretions were taken from the posterior fornix or lateral vaginal wall, sent to the Microbiology Department of Faculty of Medicine Universitas Sumatera Utara, to be cultured into the media: Sabaroud Dextrose Agar (SDA), Blood Agar, Mac Conkey (MC) and then tested the resistance.
Results. From 126 post-menopausal women, most of respondents was 40-50 years old (57.1%) with mean ages of 50.6 years old and mean menopause time of 4.5 years, most of respondents 39 people (31 %) in high education, most of them (120 people) is still in couple (95.2%).
Candida albicans was the most common cause of vaginal discharge (52.4%), Staphylococcus aureus (26.2%), and Escherichia coli (16.7%). While Klebsiella pneumoniae, Klebsiella oxytoca, and Proteus mirabilis and none of the parasites Trichomonas sp were not found. From the resistance test there are 18 (87.7%) Escherichia coli which is sensitive to Ciprofloxacin, there are 18 (54.55%) sample of Staphylococcus aureus which is sensitive to Vancomycin and all sample with Candida albicans (100%) sensitive to Fluconazole.
Conclusion. The most common micro-organisms causing leucorrhea in post-menopausal is Candida albicans and all of them are sensitive to Fluconazole.