Ceruti M, Canestrelli M, Piantelli G, Amone F, Condemi V, De Paolis P, Ludovici G, Somenzi P
Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Parma.
Minerva Ginecol. 1993 Oct;45(10):479-83.
Vaginitis is the most frequent gynecological disease. It is characterized by objective and subjective signs of inflammation and differs from bacterial vaginosis (BV) which is an abnormal condition of the vaginal ecosystem caused by the excessive growth of aerobic and anaerobic flora normally present in the vagina with an increased risk of pelvic inflammatory disease (PID). The authors report the results of a study carried out at the Centre for Gynecological Infections at the Clinic of Obstetrics and Gynecology of the University of Parma. 828 patients were enrolled in the study during the period 1985-86 and 1559 patients during the two-year period 1991-92. The aim of the study was to evaluate variations in epidemiological data for vaginitis and bacterial vaginosis in the two periods examined. No significant changes were observed (p > 0.05) with regard to the prevalence of Ca, Tv and BV forms. On the other hand, there was a significant reduction (p < 0.001) in the forms sustained by other microorganisms (above all, streptococcus and enterobacteria) between the first and second periods with a parallel increase in the number of negative cases. The analysis of the age distribution of vaginitis and BV showed a reduction of other microorganisms and an increase in negative vaginal swabs in adults (> 20 years old).
阴道炎是最常见的妇科疾病。其特征为炎症的客观和主观体征，与细菌性阴道病（BV）不同，细菌性阴道病是由阴道中正常存在的需氧菌和厌氧菌过度生长引起的阴道生态系统异常状况，会增加盆腔炎（PID）的风险。作者报告了在帕尔马大学妇产科诊所妇科感染中心进行的一项研究结果。1985 - 1986年期间有828名患者参与该研究，1991 - 1992年这两年期间有1559名患者参与。该研究的目的是评估在所检查的两个时期内阴道炎和细菌性阴道病流行病学数据的变化。关于念珠菌、滴虫和细菌性阴道病形式的患病率，未观察到显著变化（p > 0.05）。另一方面，在第一个时期和第二个时期之间，由其他微生物（主要是链球菌和肠杆菌）引起的形式有显著减少（p < 0.001），同时阴性病例数量相应增加。对阴道炎和细菌性阴道病年龄分布的分析显示，成人（> 20岁）中其他微生物减少，阴道拭子阴性增加。
