Aerobic vaginitis and mixed infections: comparison of clinical and laboratory findings

Fan, Aili; Yue, Y.; Geng, Nv; Zhang, Huiying; Wang, Yingmei; Xue, Fengxia

doi:10.1007/s00404-012-2571-4

Cited by 81 publications

(88 citation statements)

References 14 publications

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“…There is currently no standardized treatment for AV infected mothers to reduce the rate of adverse pregnancy outcomes 18 , although treatment during the second trimester of pregnancy has been advocated 10 . The effects of screening and treatment for abnormal vaginal microbiota in order to reduce preterm delivery (PTD) remain controversial 21 with low prevalence of AV reported in some studies 11,91 and others showing a very high prevalence 92,93 . Interventions to prevent pre-term birth have been largely ineffective 1,2 and may be attributed to both the increasing antimicrobial resistance amongst opportunistic pathogens which complicates adequate administration of prophylaxis and treatment as well as the often misdiagnosis of AV as BV, thus leading to treatment failures and thereby contributing to and increasing the risk of maternal and neonatal morbidity.…”

Section: Resultsmentioning

confidence: 99%

The Threat of Aerobic Vaginitis to Pregnancy and Neonatal Morbidity

Kaambo

Africa

2017

Afr J Reprod Health

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Aerobic vaginitis (AV) is an endogenous opportunistic infection brought about by the disruption of the normal vaginal microbiota. Its early diagnosis and treatment during pregnancy may reduce the risk of negative pregnancy outcomes. The aim of this review was to report on the aerobic bacteria most prevalent in AV and to provide evidence of the threat of untreated AV on pregnancy outcomes. More than 300 papers on preterm delivery were extracted from several research domains and filtered to include only AV-associated bacteria such as Staphylococcus aureus, Enterococcus faecalis, Escherichia coli and Group B streptococci and their association with adverse pregnancy outcomes. Due to the diverse sample groups, study techniques and outcomes, a meta-analysis was not conducted. The review revealed that the association of AV with adverse pregnancy outcomes has not been as widely researched as bacterial vaginosis (BV) and needs further investigation. Furthermore, the frequent misdiagnosis of AV coupled with the emerging antimicrobial resistance associated with bacteria implicated in AV and neonatal nosocomial infections pose a problem for prophylaxis and treatment to reduce the risk of maternal and neonatal morbidity and mortality. (Afr J Reprod Health 2017; 21[2]: 109-118). Keywords: Aerobic vaginitis; pregnancy risks; antimicrobial resistance RésuméLa vaginite aérobie (VA) est une infection opportuniste endogène provoquée par la perturbation du microbiota vaginal normal. Son diagnostic précoce et son traitement pendant la grossesse peuvent réduire le risque de résultats négatifs de grossesse. L'objectif de cette revue était de faire un rapport sur les bactéries aérobies les plus répandues en VA et de prouver la menace de la VA non traitée sur les résultats de la grossesse. Plus de 300 articles sur l'accouchement prématuré ont été tirés de plusieurs domaines de recherche et filtrés pour inclure uniquement des bactéries associées à la VA telles que Staphylococcus aureus, Enterococcus faecalis, Escherichia coli et streptocoques du groupe B et leur association avec des résultats de grossesse indésirables. En raison des divers groupes d'échantillons, des techniques d'étude et des résultats, une méta-analyse n'a pas été menée. L'examen a révélé que l'association de la VA avec les résultats de grossesse défavorisés n'a pas été aussi largement étudiée que la vaginose bactérienne (VB) et doit faire l'objet d'une enquête plus approfondie. En outre, le diagnostic erroné de la VA y compris la résistance antimicrobienne émergente associée à une bactérie impliquée dans les infections à vent et nonnéomatologiques constitue un problème pour la prophylaxie et le traitement afin de réduire le risque de morbidité et de mortalité maternelle et néonatale. (Afr J Reprod Health 2017; 21[2]: 109-118).

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Section: Resultsmentioning

confidence: 99%

The Threat of Aerobic Vaginitis to Pregnancy and Neonatal Morbidity

Kaambo

Africa

2017

Afr J Reprod Health

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“…Распространенность АВ у женщин репро-дуктивного возраста, по данным разных авто-ров, варьирует от 5 до 24 % [47,48]. При этом у беременных частота АВ составляет от 3 до 10 % [15,49].…”

Section: роль бактериального вагиноза и аэробного вагинита в генезе нunclassified

Current views on vaginal microbiota and its impact on pregnancy outcomes

Siniakova

Александровна

2017

Z.akus.zen.bolezn

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ВведениеНевынашивание беременности -основ-ная причина перинатальной заболеваемости и смертности во всем мире и одна из важ-нейших проблем практического акушерства.Согласно данным ВОЗ частота встречаемости данной патологии в разных странах остается стабильно высокой и составляет 10-25 % от всех выявленных беременностей (20-25 % -самопроизвольные выкидыши, 5-10 % -пре- ■ Дисбиоз влагалища -одна из ведущих причин неблагоприятных исходов беременности. Основная роль в под-держании постоянства микробиоценоза влагалища принадлежит лактобациллам. Инфекционный процесс мо-гут вызвать как патогенные, так и условно-патогенные микроорганизмы, однако в подавляющем большинстве случаев возбудителями генитальной инфекции являются представители нормальной микрофлоры. Нарушение микробиоценоза влагалища в сочетании с несостоятельностью цервикального барьера ведет к миграции бак-терий в амниотическую полость и запуску патологических механизмов, приводящих к прерыванию беремен-ности. В статье представлены современные данные о роли инфекционного фактора в генезе невынашивания беременности. Рассмотрен вопрос о способности Lactobacillus iners предрасполагать к развитию патологической влагалищной микрофлоры. Уделено внимание основным подходам к профилактике и лечению дисбиотических нарушений. Затронут вопрос о применении бактериофагов в акушерстве и гинекологии.■ Ключевые слова: микробиоценоз влагалища; преждевременные роды; самопроизвольный выкидыш; бактери-альный вагиноз; аэробный вагинит. CURRENT VIEWS ON VAGINAL MICROBIOTA AND ITS IMPACT ON PREGNANCY OUTCOMES © A.A. SiniakovaThe ■ Vaginal dysbiosis is one of the leading causes of adverse pregnancy outcomes. The main role in maintaining the constancy of vaginal microbiocenosis belongs to lactobacilli. The infection process can be caused by both pathogenic and opportunistic microorganism, however, in the vast majority of cases vaginal infections is associated with the normal microflora. Violation of microbiocenosis of the vagina in combination with a cervical barrier failure leads to migration of bacteria in the amniotic cavity and the launch of the pathological mechanisms leading to pregnancy loss. The paper presents current data on the influence of vaginal infection on pregnancy loss. Consider the ability of Lactobacillus iners predispose to the development of pathological vaginal microflora. Attention was paid to the basic approaches to prevention and treatment of dysbiotic disorders. Discussion on the use of bacteriophages in obstetrics and gynecology.

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“…Vaginal infection, also known as vaginitis, including bacterial vaginosis, aerobic vaginitis, Candida albicans and trichomoniasis accounts for the majority of the cases of vaginal discharge [Donders, 2002;Mylonas and Bergauer, 2011;FSRH, 2012;Fan, 2013;Frobenius and Bogdan, 2015;Rice, 2016] and results from an increased colonization by different pathogenic microorganisms. Numerous studies/reviews attempted to determine the frequency of the different types of vaginitis and provided percentages that varied considerably between countries and world regions, and across various groups within countries.…”

Section: Int J Adv Res 5(8) 158-163mentioning

confidence: 99%