Department of Obstetrics and Gynecology, Drexel University College of Medicine, 245 North 15th Street, New College Building, 16th Floor, Philadelphia, PA, 19102, USA,
Curr Infect Dis Rep. 2010 Nov;12(6):417-22. doi: 10.1007/s11908-010-0136-x.
Genital mycoplasmas are commonly found in the female genital tract. Despite ongoing debate, the evidence that they cause lower genital tract disease in women remains sparse. The data that Mycoplasma genitalium is primarily transmitted sexually are accumulating, but its role as a cause of symptomatic urethritis or cervicitis is open to debate. Although Mycoplasma hominis may be a co-factor in bacterial vaginosis, it has otherwise not been implicated as a cause of lower tract disease. Now that Ureaplasma urealyticum has been divided into U. urealyticum and Ureaplasma parvum, their role in causing urethritis and cervicitis remains even more unclear. To date, no convincing evidence exists that antimicrobial therapy should be directed solely at these organisms when treating women with urethritis, bacterial vaginosis, trichomoniasis, or cervicitis.
生殖道支原体通常存在于女性生殖道中。尽管存在持续的争议，但它们导致女性下生殖道疾病的证据仍然很少。生殖道支原体主要通过性传播的证据正在积累，但它作为引起症状性尿道炎或宫颈炎的原因仍存在争议。虽然人型支原体可能是细菌性阴道病的一个协同因素，但它也没有被认为是下生殖道疾病的原因。现在，解脲脲原体已被分为解脲脲原体和微小脲原体，它们在引起尿道炎和宫颈炎中的作用就更加不清楚了。迄今为止，没有令人信服的证据表明，在治疗尿道炎、细菌性阴道病、滴虫病或宫颈炎的女性时，仅针对这些病原体进行抗菌治疗是合理的。
