Bacterial Vaginosis
- PMID: 29083654
- Bookshelf ID: NBK459216
Bacterial Vaginosis
Excerpt
Bacterial vaginosis is a condition caused by an overgrowth of normal vaginal flora. Most commonly, this presents clinically with increased vaginal discharge that has a fish-like odor. The discharge itself is typically thin and either gray or white. After being diagnosed with bacterial vaginosis, patients have an increased risk of acquiring sexually transmitted infections (STI), and pregnant patients may have an increased risk of early delivery. Previously, bacterial vaginosis was known as Gardnerella vaginitis, attributing the condition solely to Gardnerella bacteria. However, the term bacterial vaginosis, more accurately, acknowledges the potential overgrowth of various anaerobic bacteria in the vaginal ecosystem. This imbalance serves as the underlying cause of bacterial vaginosis. Renaming it bacterial vaginosis underscores the understanding that multiple bacteria naturally present in the vagina may proliferate excessively, leading to this condition.
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Conflict of interest statement
Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Greenbaum S, Greenbaum G, Moran-Gilad J, Weintraub AY. Ecological dynamics of the vaginal microbiome in relation to health and disease. Am J Obstet Gynecol. 2019 Apr;220(4):324-335. - PubMed
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- Russo R, Karadja E, De Seta F. Evidence-based mixture containing Lactobacillus strains and lactoferrin to prevent recurrent bacterial vaginosis: a double blind, placebo controlled, randomised clinical trial. Benef Microbes. 2019 Feb 08;10(1):19-26. - PubMed
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- Javed A, Parvaiz F, Manzoor S. Bacterial vaginosis: An insight into the prevalence, alternative treatments regimen and it's associated resistance patterns. Microb Pathog. 2019 Feb;127:21-30. - PubMed
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- Hartmann AA. [Gardnerella vaginalis infection. Clinical aspects, diagnosis and therapy]. Urologe A. 1987 Sep;26(5):252-5. - PubMed
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