[Aerobic vaginitis--diagnostic problems and treatment].
The diagnostic criteria and treatment of aerobic vaginitis--AV--have been summarized in this review. An expansion of mixed aerobic microflora, especially Group B Streptococcus--GBS, Escherichia coli--E. coli, Enterococcus spp., and the development of inflammation of the vaginal mucous membrane due to a decreasing amount of Lactobacillus spp., have been observed in women with AV. Disruptions of the vaginal ecosystem during AV cause an increase in pH to >6, a decrease in lactates concentration and an increase in proinflammatory cytokines concentration in vaginal discharge. An optimal treatment scheme for AV, which includes antibacterial agents and simultaneously normalizes the vaginal ecosystem, has not been established until today.
Romanik
Małgorzata
M
Katedra i Zakład Mikrobiologii Lekarskiej Slaskiej Akademii Medycznej w Katowicach, Klinika Połoznictwa i Ginekologii Slaskiej Akademii Medycznej w Katowicach. mikrobiologia@slam.katowice.pl
Wojciechowska-Wieja
Anna
A
Martirosian
Gayane
G
D000282:Administration, Intravaginal; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D019522:Vaginal Discharge / Q000188:drug therapy* / Q000382:microbiology; D016585:Vaginosis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D016387:Women's Health
D000900:Anti-Bacterial Agents