Pliutto A M
Klin Lab Diagn. 1997 Mar(3):16-8.
Microbiological analysis of discharge from the genitals in passenger car conductors (5787 women and 1496 men aged 20 to 40) showed Gardnerella vaginalis to be the most frequent agent of urogenital infection. It was isolated in 26% cases, whereas Trichomonas were isolated in 2.5%, fungi in 1.5%, and gonococci in 0.27% cases. The diagnosis of gardnerellosis is reliable if the key cells are found. Monoinfection with G. vaginalis was diagnosed in 80% patients, the overwhelming majority (74%) of carriers of this bacterium had no inflammatory symptoms, and in only 26% the carrier state was associated with the presence of leukocytes and histiocytes, more often in the cervix. In men the carrier state was detected in 0.4% cases. The clinical picture of Gardnerella infection is similar to that of infection with Mobiluncus, which is little known. This infection occurred 10 times less frequently (2.5%) than gardnerellosis, but in 92% cases it was a component of mixed infection, most frequently in association with G. vaginalis. A little known fungus Leptothrix was found in the genital discharge of 4% examinees, mostly women, but sometimes in men as well; it is represented by 3 types of ramifying threads. The practitioners are to know these infections causing specific diseases, such as bacterial vaginosis, which are often responsible for serious complications in gynecology and obstetrics.
对客车乘务员（5787名20至40岁女性和1496名男性）的生殖器分泌物进行微生物学分析显示，阴道加德纳菌是泌尿生殖系统感染最常见的病原体。在26%的病例中分离出该菌，而滴虫分离率为2.5%，真菌为1.5%，淋球菌为0.27%。如果发现关键细胞，加德纳菌病的诊断是可靠的。80%的患者被诊断为单纯阴道加德纳菌感染，绝大多数（74%）该菌携带者没有炎症症状，只有26%的携带者状态与白细胞和组织细胞的存在有关，更多见于宫颈。男性携带者状态的检出率为0.4%。加德纳菌感染的临床表现与莫比伦库斯菌感染相似，后者鲜为人知。这种感染的发生率比加德纳菌病低10倍（2.5%），但在92%的病例中是混合感染的组成部分，最常见的是与阴道加德纳菌相关。在4%的受检者（大多为女性，但男性也有）的生殖器分泌物中发现了一种鲜为人知的真菌——纤发菌，它由3种分支丝状体组成。从业者应了解这些可引发特定疾病（如细菌性阴道病）的感染，这些疾病在妇产科中常导致严重并发症。
