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2015, Number 5

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Revista Habanera de Ciencias Médicas 2015; 14 (5)

Clinical and laboratory diagnostic aspects of the bacterial vaginosis

Morales PGI

Language: Spanish
References: 43
Page: 611-623
PDF size: 112.60 Kb.


ABSTRACT

Introduction: bacterial vaginosis (BV) is a public health problem because its gynecology obstetric complications. It is present in 25-35 % of patients attending gynecological consultations and approximately 50 % of asymptomatic cases.
Objective: an update about bacterial vaginosis was performed to document the historical background of this entity, etiology, risk factors, gynecological and obstetric complications, clinical manifestations, clinical diagnosis and treatment. In addition, suggestions to help reduce the risk factors involved in the acquisition of this infection are given.
Materials and methods: the literature reviewed was performed using the electronic databases Medline, SciELO, Lilacs, Pubmed. Matching the keywords bacterial vaginosis, Amsel criteria, parameters Nugent and G. vaginalis were used. Review articles and original papers that have been published in the last five years with the exception of those whose importance had to be independently documented the date of publication were collected.
Development: BV is a polymicrobial infection characterized by a change in vaginal flora, replaced with anaerobic bacteria and type G. vaginalis, Prevotella species, Bacteroides, Mobiluncus among others. It is a multifactorial disease and produces a wide variety of gynecological and obstetric complications. The diagnosis is made microscopically by Amsel criteria and quantification of bacterial morphotypes, establish parameters that allow early treatment.
Conclusions: it is important to an accurate diagnosis of bacterial vaginosis to prevent obstetric or gynecological complications therapeutic adverse drug reaction employed.


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