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人型支原体和解脲脲原体与非特异性阴道炎某些指标的相关性

Association of Mycoplasma hominis and Ureaplasma urealyticum with some indicators of nonspecific vaginitis.

作者信息

Cedillo-Ramírez L, Gil C, Zago I, Yáñez A, Giono S

机构信息

Centro de Investigaciones en Ciencias Microbiológicas, Benemérita Universidad Autónoma de Puebla, México.

出版信息

Rev Latinoam Microbiol. 2000 Jan-Mar;42(1):1-6.

PMID:10948822
Abstract

The purpose of this study was to determine the isolation rates of Mycoplasma hominis and Ureaplasma urealyticum from three populations of women and also to relate the presence of these microorganisms with some indicators of nonspecific vaginitis. Three hundred vaginal swabs were taken from delivery, pregnant and control (not pregnant) women. Cultures were done in E broth supplemented with arginine or urea. M. hominis was isolated in 5% at delivery, 12% from pregnant and 5% from control women and U. urealyticum was isolated in 21%, 31% and 28% respectively. There was statistical difference in the isolation rate of M. hominis in pregnant women respect to the other groups. Both microorganisms were more frequently isolated in women with acid vaginal pH, amine-like odor in KOH test, clue cells and leucorrhea. M. hominis was isolated in 17% and U. urealyticum in 52% from women with nonspecific vaginitis. M. hominis was isolated in 2% and U. urealyticum in 13% from women without nonspecific vaginitis. Although the presence of clue cells and amine-like odor in KOH test have relationship with Gardnerella vaginalis, these tests could also suggest the presence of these mycoplasmas.

摘要

本研究的目的是确定从三组女性人群中分离人型支原体和解脲脲原体的比率,并将这些微生物的存在与非特异性阴道炎的一些指标相关联。从分娩期妇女、孕妇和对照组(非孕妇)中采集了300份阴道拭子。在添加精氨酸或尿素的E肉汤中进行培养。人型支原体在分娩期妇女中的分离率为5%,孕妇中为12%,对照组妇女中为5%;解脲脲原体的分离率分别为21%、31%和28%。孕妇中人型支原体的分离率与其他组相比存在统计学差异。在阴道pH值呈酸性、KOH试验中有胺样气味、存在线索细胞和白带的女性中,这两种微生物的分离更为频繁。在患有非特异性阴道炎的女性中,人型支原体的分离率为17%,解脲脲原体为52%。在没有非特异性阴道炎的女性中,人型支原体的分离率为2%,解脲脲原体为13%。尽管KOH试验中线索细胞的存在和胺样气味与阴道加德纳菌有关,但这些试验也可能提示这些支原体的存在。

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Eur J Clin Microbiol Infect Dis. 2009 Jun;28(6):641-6. doi: 10.1007/s10096-008-0687-z. Epub 2009 Jan 8.
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Mycoplasmas and ureaplasmas as neonatal pathogens.
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Clin Microbiol Rev. 2005 Oct;18(4):757-89. doi: 10.1128/CMR.18.4.757-789.2005.
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J Clin Lab Anal. 2002;16(2):71-5. doi: 10.1002/jcla.10023.