Can bacterial vaginosis help to find sexually transmitted diseases, especially chlamydial cervicitis?
This study was undertaken to establish reliable factors in order to identify chlamydial cervicitis among suspicious patients. Between January and December 2007, 406 patients who were suspected to have cervicitis due to clinical symptoms, were tested with polymerase chain reaction (PCR) for Chlamydia trachomatis (CT), vaginal pH and Nugent score (NS) in our University hospital and related clinics. During the same period, 67 patients who were diagnosed as having other sexually transmitted diseases (Neisseria gonorrhoeae (NG), Trichomonas vaginalis, Condyloma acuminatum and genital herpes) were also made to participate in this study. Eighty-nine women (22%) were positive for CT PCR. Bacterial vaginosis (BV)-positive women were tested positive for CT PCR (75/288), significantly higher than those without BV (6/66, P = 0.01). In addition, under 20-years old women were positive for CT PCR (24/57), significantly higher than those who were over 30 years old (16/113, P = 0.001). The proportion of patients with high NS (>7) in CT, NG and T. vaginalis cases were 75/89 (84.3%), 22/27 (81.5%) and 11/14 (78.6%), respectively. Whereas the high NS of the C. acuminatum and genital herpes groups were recorded at 7/14 (50%) and 4/12 (33.3%), respectively. Younger women with BV could be at a higher risk for STDs, especially for CT cervicitis.
Yoshimura
K
K
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyushu, Japan. yoppy@med.uoeh-u.ac.jp
Yoshimura
M
M
Kobayashi
T
T
Kubo
T
T
Hachisuga
T
T
Kashimura
M
M
D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology / Q000503:physiopathology; D002692:Chlamydia trachomatis / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D016133:Polymerase Chain Reaction; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology; D002575:Uterine Cervicitis / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology / Q000503:physiopathology; D014621:Vagina / Q000382:microbiology / Q000502:physiology; D016585:Vaginosis, Bacterial / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology; D055815:Young Adult