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益生菌改善女性泌尿生殖系统健康。

Probiotics Improve Urogenital Health in Women.

作者信息

Ballini Andrea, Santacroce Luigi, Cantore Stefania, Bottalico Lucrezia, Dipalma Gianna, Vito Danila De, Saini Rajiv, Inchingolo Francesco

机构信息

Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari "Aldo Moro", Bari, Italy.

Ionian Department, University of Bari "Aldo Moro", Bari, Italy.

出版信息

Open Access Maced J Med Sci. 2018 Oct 20;6(10):1845-1850. doi: 10.3889/oamjms.2018.406. eCollection 2018 Oct 25.

Abstract

BACKGROUND

Urogenital recurrent infections represent a global medical issue in the world, affecting millions of women because of dramatic shifts in bacterial composition and concentrations in response to numerous endogenous and exogenous factors. Urogenital microbiota forms a mutually beneficial relationship with their host and has a major impact on health and disease.

AIM

This study aimed to compare probiotic therapy versus placebo in Oxidative Stress Values (OSVs) and histological features in urogenital infections in female patients.

METHODS

Forty (n = 40) patients diagnosed with recurrent urogenital infections were recruited to be treated as test group (n = 20), receiving Probiotics, and a control group (n = 20), receiving looking similar placebo, both for 90 days. Both the groups were assessed for total oxidant capacity (d-ROMs test) and biological antioxidant potential as iron-reducing activity (BAP test) at baseline, after 1 and 3 months. Histological changes on inner vaginal mucosa were also investigated, during the entire study.

RESULTS

d-ROM assay clearly showed that the values of the test group were significantly different, thus leading the general health conditions from a state of high oxidative stress to low oxidative stress levels. Increasing of BAP values were more significant, and clinically relevant, in probiotic test group over time.

CONCLUSION

Our pilot study gave interesting and promising elements to confirm the safety and effectiveness of oral probiotics in preventing/reducing the recurrent urogenital infections by an overall modification of inner vaginal microbiota.

摘要

背景

泌尿生殖系统反复感染是一个全球性的医学问题,由于细菌组成和浓度因众多内源性和外源性因素而发生巨大变化,影响着数百万女性。泌尿生殖系统微生物群与其宿主形成互利关系,对健康和疾病有重大影响。

目的

本研究旨在比较益生菌疗法与安慰剂对女性患者泌尿生殖系统感染的氧化应激值(OSV)和组织学特征的影响。

方法

招募40例诊断为复发性泌尿生殖系统感染的患者作为试验组(n = 20),接受益生菌治疗,以及对照组(n = 20),接受外观相似的安慰剂治疗,均为期90天。在基线、1个月和3个月后,对两组患者进行总氧化能力(d-ROMs试验)和作为铁还原活性的生物抗氧化潜力(BAP试验)评估。在整个研究过程中,还对阴道内黏膜的组织学变化进行了研究。

结果

d-ROM检测清楚地表明,试验组的值有显著差异,从而使总体健康状况从高氧化应激状态转变为低氧化应激水平。随着时间的推移,益生菌试验组的BAP值升高更为显著且具有临床相关性。

结论

我们的初步研究提供了有趣且有前景的证据,证实了口服益生菌通过全面改变阴道内微生物群预防/减少复发性泌尿生殖系统感染的安全性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c179/6236028/1b61c19d5ed8/OAMJMS-6-1845-g001.jpg

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