Bacterial vaginosis and trichomoniasis vaginitis are risk factors for cuff cellulitis after abdominal hysterectomy

Soper, D E; Bump, RC; Wg, Hurt

doi:10.1016/0020-7292(91)90321-u

Cited by 31 publications

(36 citation statements)

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“…In turn, bacterial vaginosis has been associated with multiple complications, including pelvic inflammatory disease [24]; postabortal [25] and postsurgical infections [26,27]; and, most recently, an increased risk of HIV seroconversion [28]. Although the observed inhibition of Gardnerella vaginalis is also consistent with previous in vitro studies [20], longitudinal studies have not shown routine N-9 use to decrease acquisition of bacterial vaginosis [29].…”

Section: Discussionsupporting

confidence: 61%

The Effects of Three Nonoxynol‐9 Preparations on Vaginal Flora and Epithelium

et al. 1999

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To evaluate the effects of nonoxynol-9 (N-9) on the vaginal flora and epithelium, 48 women (16 in each group) were evaluated by use of quantitative vaginal cultures and colposcopy. at baseline and at 0.5, 4, 24, 48, and 72 h after insertion of one of three N-9 preparations (4% gel [Conceptrol], 3.5% gel [Advantage-24], or a 28% vaginal contraceptive film). The proportion positive for H2O2+ or H2O2- lactobacilli did not change significantly with any of the preparations, but lactobacilli concentrations decreased transiently. Both the proportion of women with Gardnerella vaginalis and the concentration of G. vaginalis decreased transiently. The proportion of women with Escherichia coli increased with the 4% gel, and the concentration increased with all preparations. The number with anaerobic gram-negative rods increased, although the concentrations decreased. Symptoms and colposcopic abnormalities were rare. Changes in levels of vaginal bacteria were transient after single applications of N-9, but adverse effects may be enhanced with frequent, chronic use.

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Section: Discussionsupporting

confidence: 61%

The Effects of Three Nonoxynol‐9 Preparations on Vaginal Flora and Epithelium

et al. 1999

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“…In nonpregnant women [39], BV increases risk of posthysterectomy infections [40,41] and PID [32,42], and risk of acquiring N. gonorrhoeae [8,43,44]. Finally, BV itself may cause endocervical inflammation that manifests as mucopurulent cervicitis [45,46].…”

Section: Introductionmentioning

confidence: 95%

Molecular methodology in determining vaginal flora in health and disease: Its time has come

Fredricks

Marrazzo²

2005

Curr Infect Dis Rep

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The microbial flora of the human vagina can affect the health of women, their fetuses, and newborns. Conventional cultivation methods fail to detect some fastidious vaginal bacteria, leading to an incomplete census. Recent advances in molecular biology have facilitated the detection and identification of bacteria without cultivation, and the advantages and limitations of this approach are described. Molecular studies of the vaginal flora have discovered many uncultivated bacterial species. For instance, several novel bacteria in the Clostridiales order are highly specific indicators of bacterial vaginosis, and bacteria related to Megasphaera, Leptotrichia, Atopobium, and Dialister species are commonly found in subjects with bacterial vaginosis. A more complete understanding of vaginal microbial populations resulting from the adoption of molecular tools may lead to better strategies to maintain healthy vaginal floras and will create opportunities to explore the role of novel bacteria in reproductive tract diseases.

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“…Women with BV undergoing hysterectomy have an increased risk of developing postoperative cuff cellulitis. A threefold increase in morbidity was noted by Soper et al [24] and confirmed by Larsson et al [25]. A recent review of infectious morbidity following hysterectomy in Sweden also confirms the association of BV with postoperative infection [26].…”

Section: Postoperative Infectionsmentioning

confidence: 57%

Gynecologic complications of bacterial vaginosis: Fact or fiction?

Soper

1999

Curr Infect Dis Rep

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Bacterial vaginosis is a complex alteration of vaginal flora causing mild symptoms in women characterized by a milky vaginal discharge associated with a fishy odor worsened after unprotected vaginal coitus. It is the most common cause of vaginitis. It is now clear that this seemingly harmless disorder causing nuisance symptoms is linked to a number of important adverse reproductive tract sequelae, including the obstetrical sequelae of preterm labor and delivery. Literature published over the past year continue to support the association of bacterial vaginosis with adverse gynecologic sequelae in women.

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Bacterial vaginosis and trichomoniasis vaginitis are risk factors for cuff cellulitis after abdominal hysterectomy

Cited by 31 publications

References 0 publications

The Effects of Three Nonoxynol‐9 Preparations on Vaginal Flora and Epithelium

The Effects of Three Nonoxynol‐9 Preparations on Vaginal Flora and Epithelium

Molecular methodology in determining vaginal flora in health and disease: Its time has come

Gynecologic complications of bacterial vaginosis: Fact or fiction?

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