Vol 84, No 5 (2013)
ARTICLES
Bacterial infections of the lower genital tract in fertile and infertile women from the southeastern Poland
Magdalena Strus, Magdalena Pilarczyk-Żurek, Paweł Adamski, Jarosław Janeczko, Piotr Bogumił Heczko, Anna Tomusiak
DOI: 10.17772/gp/1588
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Ginekol Pol 2013;84(5).
Vol 84, No 5 (2013)
ARTICLES
Abstract
Objectives: The objective of the study was to investigate the detection rates of Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, Gardnerella vaginalis, Escherichia coli, Streptococcus agalactiae and Enterococcus faecalis, showing no clinical signs of an ongoing, acute inflammatory state of the vagina and/or the cervix, in fertile and infertile women. Material and methods: The study encompassed 161 women, including 101 women treated for infertility and 60 fertile women who had already given birth to healthy children. The material for the presence of C. trachomatis, N. gonorrhoeae, M. genitalium, M. hominis and U. urealyticum was collected from the cervical canal and analyzed by PCR. Furthermore, BD ProbeTec ET system was used to detect C. trachomatis infection. Vaginal swabs were collected for classification of bacterial vaginosis and aerobic vaginitis and assessed according to the Nugent score, as well as by traditional culture methods. Results: U. urealyticum was identified in 9% of the infertile women and in 8% of controls. Presence of M. hominis was demonstrated only in the former (4%) and C. trachomatis only in latter (3%). N. gonorrhoeae and M. genitalium were not found in any of the examined women. The frequency of aerobic vaginitis in both groups was estimated at 12%. There were 7% bacterial vaginosis cases in the study group, and none in the control group (p=0.0096). Conclusions: Despite having no symptoms of an ongoing acute inflammation of the reproductive tract, many women may experience permanent or periodic shifts of equilibrium of the vaginal and/or cervical microflora. BV develops more frequently in infertile patients when compared to the fertile women.
Abstract
Objectives: The objective of the study was to investigate the detection rates of Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, Gardnerella vaginalis, Escherichia coli, Streptococcus agalactiae and Enterococcus faecalis, showing no clinical signs of an ongoing, acute inflammatory state of the vagina and/or the cervix, in fertile and infertile women. Material and methods: The study encompassed 161 women, including 101 women treated for infertility and 60 fertile women who had already given birth to healthy children. The material for the presence of C. trachomatis, N. gonorrhoeae, M. genitalium, M. hominis and U. urealyticum was collected from the cervical canal and analyzed by PCR. Furthermore, BD ProbeTec ET system was used to detect C. trachomatis infection. Vaginal swabs were collected for classification of bacterial vaginosis and aerobic vaginitis and assessed according to the Nugent score, as well as by traditional culture methods. Results: U. urealyticum was identified in 9% of the infertile women and in 8% of controls. Presence of M. hominis was demonstrated only in the former (4%) and C. trachomatis only in latter (3%). N. gonorrhoeae and M. genitalium were not found in any of the examined women. The frequency of aerobic vaginitis in both groups was estimated at 12%. There were 7% bacterial vaginosis cases in the study group, and none in the control group (p=0.0096). Conclusions: Despite having no symptoms of an ongoing acute inflammation of the reproductive tract, many women may experience permanent or periodic shifts of equilibrium of the vaginal and/or cervical microflora. BV develops more frequently in infertile patients when compared to the fertile women.
Keywords
genital mycoplasmas, Chlamydia trachomatis, infertility, bacterial vaginosis, aerobic vaginitis
Title
Bacterial infections of the lower genital tract in fertile and infertile women from the southeastern Poland
Journal
Ginekologia Polska
Issue
Vol 84, No 5 (2013)
Page views
1045
Article views/downloads
1179
DOI
10.17772/gp/1588
Bibliographic record
Ginekol Pol 2013;84(5).
Keywords
genital mycoplasmas
Chlamydia trachomatis
infertility
bacterial vaginosis
aerobic vaginitis
Authors
Magdalena Strus
Magdalena Pilarczyk-Żurek
Paweł Adamski
Jarosław Janeczko
Piotr Bogumił Heczko
Anna Tomusiak