Division Academica Multidisciplinaria de Comalcalco, Universidad Juarez Autonoma de Tabasco, Magisterial, Mexico.
Unidad de Investigación Biomédica en Cancer, Instituto Nacional de Cancerología - Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Mexico City, Mexico.
J Med Microbiol. 2019 Sep;68(9):1373-1382. doi: 10.1099/jmm.0.001044. Epub 2019 Jul 24.
. Bacterial vaginosis (BV) is dysbiosis associated with an increased risk of several sexually transmitted infections. It is primarily diagnosed via Gram staining, although molecular analyses have presented higher diagnostic accuracy.. This study aimed to evaluate the molecular epidemiology of BV in asymptomatic women to determine its association with several commensal and pathogenic micro-organisms of the genitalia.. The prevalence of BV was investigated through semiquantitative assessment of 201 women recruited during their routine gynaecological inspection at an outpatient clinic in Tabasco, Mexico.. Women with BV showed an increased prevalence of (=0.021) and (=0.001). Of the BV-associated micro-organisms, was significantly associated with (=0.005) and/or (=0.003, whereas and type 1 correlated significantly with (=0.001). No significant association was observed between human papillomavirus (HPV) infection and BV, although there was increased prevalence of HPV59, HPV73, HPV52 and HPV58 in women displaying cervical cytological abnormalities.. Identification of BV-associated micro-organisms via molecular analysis may help to distinguish recurrent cases from new infections and identify micro-organisms potentially associated with pharmacological resistance.
细菌性阴道病(BV)是一种与多种性传播感染风险增加相关的微生物失调。它主要通过革兰氏染色诊断,尽管分子分析呈现出更高的诊断准确性。本研究旨在评估无症状女性中 BV 的分子流行病学,以确定其与生殖道的几种共生和病原微生物的关联。通过对 201 名在墨西哥塔巴斯科州门诊进行常规妇科检查的女性进行半定量评估,调查了 BV 的流行情况。BV 女性的患病率增加(=0.021)和(=0.001)。在与 BV 相关的微生物中,与(=0.005)和/或(=0.003 显著相关,而 1 型和 与(=0.001)显著相关。HPV 感染与 BV 之间未观察到显著相关性,尽管在显示宫颈细胞学异常的女性中,HPV59、HPV73、HPV52 和 HPV58 的患病率增加。通过分子分析识别与 BV 相关的微生物有助于区分复发性病例和新感染,并确定与药物耐药性相关的潜在微生物。