Vaginal microbiota in pregnant women with inflammatory rheumatic and inflammatory bowel disease: A matched case-control study

Autor: Wilhelm Temsch, Antonia Mazzucato-Puchner, Philipp Foessleitner, Peter Mandl, Ljubomir Petricevic, Alex Farr, Herbert Kiss, Inbal Shafran, Veronika Malik, Klara Rosta
Rok vydání: 2021
Předmět:
0301 basic medicine
Adult
medicine.medical_specialty
Singleton pregnancy
030106 microbiology
inflammatory rheumatic disease
Dermatology
Inflammatory bowel disease
Asymptomatic
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Pregnancy
Risk Factors
inflammatory bowel disease
Internal medicine
Candida albicans
medicine
Humans
Prospective Studies
Pregnancy Complications
Infectious

Prospective cohort study
biology
business.industry
Microbiota
candidosis
Significant difference
Case-control study
preterm birth
General Medicine
Vaginosis
Bacterial

Original Articles
biology.organism_classification
medicine.disease
Inflammatory Bowel Diseases
Infectious Diseases
Case-Control Studies
Vagina
vulvovaginal infection
Female
Original Article
immunomodulatory therapy
Pregnant Women
Bacterial vaginosis
medicine.symptom
Rheumatic Fever
business
Zdroj: Mycoses
ISSN: 1439-0507
Popis: Background Rheumatic diseases and vaginal infections both increase the risk of preterm birth. It is unclear whether pregnant women with rheumatic disease are more likely to experience vaginal infections, which might potentially accumulate modifiable risk factors. Objective In this study, we sought to evaluate the vaginal microbiota of pregnant women with inflammatory rheumatic and inflammatory bowel disease. Methods A total of 539 asymptomatic women with singleton pregnancy were routinely screened for an abnormal vaginal microbiota between 10 + 0 and 16 + 0 gestational weeks. Vaginal smears were Gram‐stained and microscopically analysed. Those with inflammatory diseases (with or without immunomodulatory therapy) were assigned to the case group and matched in a 1:3 ratio to healthy pregnant controls. Results Overall, an abnormal vaginal microbiota occurred more frequently among women of the case group, compared with those of the control group (33.8% vs 15.6%; 95% CI: 1.78–4.27, p
Databáze: OpenAIRE