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阴道乳酸杆菌种类的鉴定以及被这些种类定殖的女性的人口统计学和微生物学特征。

The identification of vaginal Lactobacillus species and the demographic and microbiologic characteristics of women colonized by these species.

作者信息

Antonio M A, Hawes S E, Hillier S L

机构信息

Magee-Womens Research Institute, Department of Obstetrics, Gynecology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

J Infect Dis. 1999 Dec;180(6):1950-6. doi: 10.1086/315109.

DOI:10.1086/315109
PMID:10558952
Abstract

Lactobacillus acidophilus has been reported to be the predominant vaginal species. Vaginal lactobacilli isolated from 215 sexually active women were identified using whole-chromosomal DNA probes to 20 American Type Culture Collection Lactobacillus strains. Most women were colonized by L. crispatus (32%), followed by L. jensenii (23%), a previously undescribed species designated L. 1086V (15%), L. gasseri (5%), L. fermentum (0.3%), L. oris (0.3%), L. reuteri (0.3%), L. ruminis (0.3%), and L. vaginalis (0.3%). H2O2 was produced by 95% of L. crispatus and 94% of L. jensenii isolates, compared with only 9% of L. 1086V. Colonization by L. crispatus or L. jensenii was positively associated with being white (P<.001), age >/=20 years (P=.05), barrier contraceptive usage (P=.008), and lower frequency of bacterial vaginosis (P<.001) and gonorrhea (P=.03). L. crispatus and L. jensenii, not L. acidophilus, are the most common species of vaginal lactobacilli.

摘要

据报道,嗜酸乳杆菌是阴道中的主要菌种。使用针对20株美国典型培养物保藏中心乳酸杆菌菌株的全染色体DNA探针,对从215名性活跃女性中分离出的阴道乳酸杆菌进行了鉴定。大多数女性的阴道中定殖的是卷曲乳杆菌(32%),其次是詹氏乳杆菌(23%)、一种先前未描述的名为1086V乳杆菌的菌种(15%)、加氏乳杆菌(5%)、发酵乳杆菌(0.3%)、口乳杆菌(0.3%)、罗伊氏乳杆菌(0.3%)、瘤胃乳杆菌(0.3%)和阴道乳杆菌(0.3%)。95%的卷曲乳杆菌分离株和94%的詹氏乳杆菌分离株可产生过氧化氢,相比之下,1086V乳杆菌只有9%能产生过氧化氢。卷曲乳杆菌或詹氏乳杆菌定殖与白人(P<0.001)、年龄≥20岁(P=0.05)、使用屏障避孕法(P=0.008)以及细菌性阴道病(P<0.001)和淋病(P=0.03)的低发病率呈正相关。阴道乳酸杆菌中最常见的菌种是卷曲乳杆菌和詹氏乳杆菌,而非嗜酸乳杆菌。

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