Prevalencia y factores de riesgo asociados a vaginosis citolítica en mujeres del Eje Cafetero, Colombia.

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Bibliographic Details
Title: Prevalencia y factores de riesgo asociados a vaginosis citolítica en mujeres del Eje Cafetero, Colombia.
Authors: Espitia-De La Hoz, Franklin José1 espitiafranklin71@gmail.com
Source: Revista Médica de Risaralda. ene-jun2026, Vol. 32 Issue 1, p23-35. 13p.
Subjects: DISEASE prevalence, DISEASE risk factors, WOMEN'S health, SEXUAL health, VAGINAL discharge, MENOPAUSE, VAGINAL diseases
Geographic Terms: COLOMBIA
Abstract (English): Introduction: cytolytic vaginosis is a controversial, little-known condition that is often ignored in women with vaginal discharge syndrome. Therefore, the objective of this study was to determine the prevalence of cytolytic vaginosis and to stipulate the associated risk factors. Materials and methods: A cross-sectional study was conducted in 197 women with vaginal discharge treated at three referral clinics in the Eje Cafetero (Colombia) between February and November 2024. Diagnosis was based on the Cibley criteria. Sociodemographic, reproductive, sexual, behavioral, personal history, and intimate hygiene variables were analyzed. The odds ratio (OR) and the respective 95% confidence interval were evaluated. Results: The mean age of participants was 34.68 ± 5.29 years. The prevalence of cytolytic vaginosis was 23.85% (n=47/197). In menopausal women, it was 36.11% (n=13/36) versus 21.11% (n=34/161) in non-menopausal women. An association was found with the use of home remedies (OR = 7.51; 95% CI: 3.7-15.2); intimate waxing (OR = 7.02; 95% CI: 3.6-13.8) and infidelity (OR = 6.79; 95% CI: 2.9-16.2). The use of condoms (OR: 0.28; 95% CI: 0.1-0.7) and the use of cotton underwear (OR = 0.35; 95% CI: 0.1-0.9; p<0.05) showed a statistical association with protection. Conclusions: The prevalence of cytolytic vaginosis is high among women in the Eje Cafetero; its symptoms should be explored and analyzed in patients with vaginal discharge syndrome. Further research is needed to confirm the existence of cytolytic vaginosis in our setting, thus ensuring women receive both an effective diagnosis and treatment. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La vaginosis citolítica es una afección controvertida y poco conocida, que suele ser ignorada en mujeres con síndrome de flujo vaginal. Por ello, el objetivo del estudio fue determinar la prevalencia de la vaginosis citolítica y establecer los factores de riesgo asociados. Materiales y métodos: Estudio transversal en 197 mujeres con flujo vaginal, atendidas en tres clínicas de referencia en el Eje Cafetero (Colombia), entre febrero y noviembre de 2024. Para el diagnóstico se siguieron los criterios de Cibley. Se analizaron variables sociodemográficas, reproductivas, sexuales, hábitos, antecedentes personales y de higiene íntima. Se evaluó el odds ratio (OR) y su respectivo intervalo de confianza del 95 %. Resultados: La edad promedio de las participantes fue de 34,68 ± 5,29 años. La prevalencia de la vaginosis citolítica fue de 23,85 % (n=47/197). En mujeres en menopausia fue de 36,11 % (n=13/36), frente al 21,11 % (n=34/161) en mujeres no menopáusicas. Se encontró asociación con el uso de remedios caseros (OR = 7,51; IC95 %: 3,7-15,2), la depilación íntima (OR = 7,02; IC95 %: 3,6-13,8) y la infidelidad (OR = 6,79; IC95 %: 2,9-16,2). El uso del preservativo (OR = 0,28; IC95 %: 0,1-0,7) y de ropa interior de algodón (OR = 0,35; IC95 %: 0,1-0,9; p<0,05) mostró asociación protectora. Conclusiones: La prevalencia de la vaginosis citolítica es alta en mujeres del Eje Cafetero. Sus síntomas deben ser explorados y analizados en pacientes con síndrome de flujo vaginal. Se requiere mayor investigación para confirmar su existencia en nuestro medio y garantizar un diagnóstico y tratamiento eficaces. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
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