Poltava State Medical University, Ukraine.
Georgian Med News. 2023 Sep(342):130-132.
When women with comorbid bacterial vaginosis visit periodontologist, it is essential to understand the presence of cross-infection processes between the oral cavity and vagina in this particular category of subjects. Conducting detection of Gardnerella vaginalis and Atopobium vaginae, which are provocative microbial factors for bacterial vaginosis, is a mandatory step in the laboratory examination of subjects. When choosing an antiseptic for oral cavity disinfection, the use of 0.25% dequalinium chloride is more advisable. Both subjective and objective examination methods thoroughly demonstrate the higher clinical effectiveness of 0.25% dequalinium chloride: patients report a 20% more frequent improvement in subjective indicators, the index assessment of periodontal status improves by 1.2-1.6 times, and the detection rate of Gardnerella vaginalis and Atopobium vaginae is by 20% lower compared to 0.2% chlorhexidine. The specific composition of oral microbiota in this group of subjects necessitates adjustments to treatment protocols and consideration of the specific impact on Gardnerella vaginalis and Atopobium vaginae.
当患有合并细菌性阴道病的女性就诊牙周病医生时,了解口腔和阴道之间在这一特定人群中是否存在交叉感染过程至关重要。对引起细菌性阴道病的促发微生物因素——阴道加德纳菌和阴道阿托波菌进行检测,是对这些受试者进行实验室检查的必要步骤。在选择口腔消毒防腐剂时,更建议使用 0.25%双氯苯双胍己烷。主观和客观检查方法均充分证明 0.25%双氯苯双胍己烷具有更高的临床疗效:患者报告主观指标改善的频率高 20%,牙周状况的指数评估改善 1.2-1.6 倍,阴道加德纳菌和阴道阿托波菌的检出率比 0.2%洗必泰低 20%。这组受试者口腔微生物组的特定组成需要调整治疗方案,并考虑对阴道加德纳菌和阴道阿托波菌的具体影响。