Demirezen Sayeste
Hacettepe Universitesi Fen Fakültesi, Biyoloji Bölümü, Beytepe, Ankara.
Mikrobiyol Bul. 2003 Jan;37(1):99-104.
Bacteria are the most frequently detected agents in women, clinically complaining of vaginal discharge. The studies have shown that the vaginal microflora of women with bacterial vaginitis have altered from Lactobacillus spp. to various anaerobic bacteria. Gardnerella vaginalis is found in vaginal flora of women with bacterial vaginitis as well as in healthy women, while anaerobic bacteria such as Mobiluncus and Prevotella are the causative agents for bacterial vaginosis. For the laboratory diagnosis of bacterial vaginitis, direct microscopy is one of the most commonly used methods, and for this purpose cervicovaginal smears are examined by staining Papanicolaou and Gram stains. Because of the demonstration of bacterial vaginitis in association with the obstetric diseases such as preterm labor and postpartum endometritis, is a risk factor, its importance has increased recently. In this review article, the microorganisms that cause bacterial vaginitis, their biological characteristics, and the diagnostic laboratory methods of infection, have been discussed.
在临床上主诉有阴道分泌物的女性中，细菌是最常检测到的病原体。研究表明，患有细菌性阴道炎的女性阴道微生物群已从乳酸杆菌属转变为各种厌氧菌。阴道加德纳菌在患有细菌性阴道炎的女性以及健康女性的阴道菌群中均有发现，而诸如动弯杆菌属和普雷沃菌属等厌氧菌是细菌性阴道病的病原体。对于细菌性阴道炎的实验室诊断，直接显微镜检查是最常用的方法之一，为此通过巴氏染色和革兰氏染色检查宫颈阴道涂片。由于细菌性阴道炎与早产和产后子宫内膜炎等产科疾病相关，是一个危险因素，其重要性最近有所增加。在这篇综述文章中，讨论了引起细菌性阴道炎的微生物、它们的生物学特性以及感染的诊断实验室方法。
