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2013, Número 4

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Revista Cubana de Obstetricia y Ginecología 2013; 39 (4)


Actualización sobre vaginosis bacteriana

Martínez MW

Idioma: Español
Referencias bibliográficas: 52
Paginas: 427-441
Archivo PDF: 157.54 Kb.


RESUMEN

La vaginosis bacteriana es una enfermedad polibacteriana que afecta a muchas mujeres en todo el mundo. La mayor prevalencia se observa en países subdesarrollados y en poblaciones con factores de riesgo como la promiscuidad. La enfermedad se produce cuando los lactobacilos, presentes en la microbiota normal de la vagina de mujeres sanas son reemplazados o superados en número por bacterias Gram negativas o Gram variables, anaerobias estrictas o facultativas presentes en pequeñas cantidades en la vagina sana y en el tracto gastrointestinal. La enfermedad puede cursar de forma asintomática o con leucorrea y ardor vulvar, en algunas pacientes puede ocasionar complicaciones obstétricas y ginecológicas importantes. El diagnóstico de la vaginosis bacteriana ha sido un tema controversial. Aunque existen algunos métodos diagnósticos clínicos y microbiológicos, todavía no se cuenta con un método potente para el diagnóstico eficaz de la vaginosis bacteriana.


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