Revisão Revisado por pares

Bacterial Vaginosis-An Ecologic Mystery

1989; American College of Physicians; Volume: 111; Issue: 7 Linguagem: Inglês

10.7326/0003-4819-111-7-551

ISSN

1539-3704

Autores

Jack D. Sobel,

Tópico(s)

Female Genital Mutilation/Cutting Issues

Resumo

Editorials1 October 1989Bacterial Vaginosis-An Ecologic MysteryJack D. Sobel, MDJack D. Sobel, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-111-7-551 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1955, Gardner and Dukes (1) reported a new vaginal syndrome that they attributed toHaemophilus vaginalis, an organism first described in their report. The same organism is now calledGardnerella vaginalison the basis of DNA homology (2). Before 1955, any patient with vaginitis from whom trichomonas and candida were not isolated was deemed to have nonspecific vaginitis. The contribution by Gardner and Dukes was primarily the recognition that a distinct vaginal entity with specific clinical criteria existed. Diagnostic criteria have now been established that facilitate the day-to-day specific recognition of this entity. The diagnosis of bacterial vaginosis is...References1. GardnerDukes HC. Haemophilus vaginalis vaginitis. Am J Obstet Gynecol. 1955;69:962-76. CrossrefMedlineGoogle Scholar2. GreenwoodPickett JM. Transfer of Hemophilus vaginalis to a new genus Gardnerella: G. vaginalis. Int J Syst Bacteriol. 1980;30:170-8. CrossrefGoogle Scholar3. AmsellTottenSpiegel RPC. Non-specific vaginitis: diagnostic criteria and microbiologic and epidemiologic associations. Am J Med. 1983;74:14-22. MedlineGoogle Scholar4. PheiferForsythDurfeePollockHolmes TPMHK. Non-specific vaginitis: role of Haemophilus vaginalis and treatment with metronidazole. N Engl J Med. 1978;298:1429-34. CrossrefMedlineGoogle Scholar5. WestromEvaldsonHolmes LGK. Taxonomy of vaginosis: bacterial vaginosis-a definition. Scand J Urol Nephrol Suppl. 1984;86:259-64. MedlineGoogle Scholar6. SpiegelAmsellEschenbachSchoenknechtHolmes CRDFK. Anaerobic bacteria in non-specific vaginitis. N Engl J Med. 1980;303:601-7. CrossrefMedlineGoogle Scholar7. HillEschenbachHolmes GDK. Bacteriology of the vagina. Scand J Urol Nephrol Suppl. 1984;86:23-39. MedlineGoogle Scholar8. SpiegelRoberts CM. Mobiluncus gen. nov., Mobiluncus curtisii subsp. curtisii sp. Nov., Mobiluncus curtisii subsp. holmesii subsp. nov., and Mobiluncus mulieris sp. nov., curved rods from the human vagina. Int J Syst Bacteriol. 1984;34:177-84. CrossrefGoogle Scholar9. EschenbachDavickWilliams DPB. Prevalence of hydrogen peroxide-producing Lactobacillus species in normal women and women with bacterial vaginosis. J Clin Microbiol. 1989;27:251-6. CrossrefMedlineGoogle Scholar10. ChenForsythBuchananHolmes KPTK. Amine content of vaginal fluid from untreated patients with non-specific vaginitis. J Clin Invest 1979;63:828-35. CrossrefMedlineGoogle Scholar11. BroadGalask JR. Trimethylamine: the substance mainly responsible for the fishy odor often associated with bacterial vaginosis. Obstet Gynecol. 1986;68:682-5. MedlineGoogle Scholar12. CrudenGalask DR. Reduction of trimethylamine oxide to trimethylamine by mobiluncus strains isolated from patients with bacterial vaginosis. Microbiol Ecology in Health and Disease. 1988;1:95-100. CrossrefGoogle Scholar13. CookReidPondSchmittSobel RGDCJ. Clue cells in bacterial vaginosis: immunofluorescent identification of the adherent gram-negative bacteria as Gardnerella vaginalis. J Infect Dis. 1989;160:490-6. CrossrefMedlineGoogle Scholar14. HammerschlagAlbertRosener MSJ. Microbiology of the vagina in children: normal and potentially pathogenic organisms. Pediatrics. 1978;62:57-63. MedlineGoogle Scholar15. Mengel M. Effectiveness of single dose metronidazole therapy for patients and their partners with bacterial vaginosis. Masters, Public Health Thesis, University of Washington, May 1986. Google Scholar16. BumpZuspanBueschingAyersStephens RFWLT. The prevalence, 6-month persistence, and predictive values of laboratory indicators of bacterial vaginosis (non-specific vaginitis) in asymptomatic women. Am J Obstet Gynecol. 1984;150:917-24. CrossrefMedlineGoogle Scholar17. BlackwellFoxPhillipsBarlow AAID. Anaerobic vaginosis (non-specific vaginitis): clinical, microbiological and therapeutic findings. Lancet. 1982;2:1379-82. MedlineGoogle Scholar18. GravettNelsarDeRouen MHT. Independent association of bacterial vaginosis and Chlamydia trachomatis infection with adverse pregnancy outcome. JAMA. 1986;256:1899-62. CrossrefMedlineGoogle Scholar19. GravettHumnelEschenbachHolmes MDDK. Preterm labor associated with subclinical amniotic fluid infection with bacterial vaginosis. Obstet Gynecol. 1986;67:229-37. CrossrefMedlineGoogle Scholar20. HillierMartiusKrohnKiviatHolmesEschenbach SJMNKD. A case-control study of chorioamnionic infection and histologic chorioamnionitis in prematurity. N Engl J Med. 1988;319:972-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Jack D. 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