Is Mycoplasma hominis a vaginal pathogen?
| Autor: | Anne McCormick, Pamela Roberts, C. A. Hart, Stella Hughes, C. Y. W. Tong, Patricia Kirby, B C Pratt, O P Arya, Jean Howel, A D Goddard |
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| Jazyk: | angličtina |
| Rok vydání: | 2001 |
| Předmět: |
Vaginal discharge
Adult medicine.medical_specialty Neutrophils Vaginal Diseases Colony Count Microbial Dermatology Mycoplasma hominis Disease Microbiology Gonorrhea Leukocyte Count Vaginal disease Gardnerella Internal medicine medicine Vaginal smear Humans Prospective Studies Pathogen Letter to the Editor Vaginitis Trichomoniasis Chi-Square Distribution biology business.industry Original Articles Vaginosis Bacterial Chlamydia Infections biology.organism_classification medicine.disease Virology Infectious Diseases medicine.anatomical_structure Vaginal Discharge Immunology Vagina Female medicine.symptom Bacterial vaginosis Warts business Trichomonas Vaginitis Genital Diseases Female |
| Popis: | * Deceased. Objective: To evaluate the role of Mycoplasma hominis as a vaginal pathogen. Design: Prospective study comprising detailed history, clinical examination, sexually transmitted infection (STI) and bacterial vaginosis screen, vaginal swabs for mycoplasmas and other organisms, follow up of bacterial vaginosis patients, and analysis of results using SPSS package. Setting: Genitourinary medicine clinic, Royal Liverpool University Hospital. Participants: 1200 consecutive unselected new patients who had not received an antimicrobial in the preceding 3 weeks, and seen by the principal author, between June 1987 and May 1995. Main outcome measures: Relation of M hominis isolation rate and colony count to: (a) vaginal symptoms and with the number of polymorphonuclear leucocytes (PMN) per high power field in the Gram stained vaginal smear in patients with a single condition—that is, candidiasis, bacterial vaginosis, genital warts, chlamydial infection, or trichomoniasis, as well as in patients with no genital infection; (b) epidemiological characteristics of bacterial vaginosis. Results: 1568 diagnoses were made (the numbers with single condition are in parenthesis). These included 291 (154) cases of candidiasis, 208 (123) cases of bacterial vaginosis, 240 (93) with genital warts, 140 (42) chlamydial infections, 54 (29) cases of trichomoniasis, and 249 women with no condition requiring treatment. M hominis was found in the vagina in 341 women, but its isolation rates and colony counts among those with symptoms were not significantly different from those without symptoms in the single condition categories. There was no association between M hominis and the number of PMN in Gram stained vaginal smears whether M hominis was present alone or in combination with another single condition. M hominis had no impact on epidemiological characteristics of bacterial vaginosis. Conclusion: This study shows no evidence that M hominis is a vaginal pathogen in adults. Key Words: bacterial vaginosis; vaginal pathogens; Mycoplasma hominis |
| Databáze: | OpenAIRE |
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