Agents of Female Genital Infections
- Itching, burning, discharge;
- previously the disease was classified according to the findings in the VMI (Vaginal Microbial Image), today more according to aetiology.
Viral Vaginosis[edit | edit source]
- Herpes genitalis, HSV-2, HSV-1;
- blisters on the genitals, later pustules;
- unpleasant benign disease, dangerous in pregnancy;
- dg: clinical signs, virus culture, PCR;
- therapy: aciclovir.
- Common disease, consequence of vaginal dysmicrobia;
- reduction of the amount of lactobacilli in vaginal secretion, overgrowth of other bacteria, especially anaerobes (bacteroids, eptostreptococci, fusobacteria);
- Gardnerella vaginalis, Mobiluncus;
- dg: Amsel's criteria - typical discharge, positive amine test (fish odor), microbiological examination of discharge - finding altered epithelia covered with bacteria, vaginal pH> 4.5;
- therapy: metronidazole; untreated vaginosis can result in pelvic inflammation.
Aerobic vaginitis - dysmicrobia, aerobic species predominate, especially E. coli, enterobacteria, candidas.
Lactobacillosis - pathogenic strains of lactobacilli.
Vulvovaginal candidiasis - predisposition: decompensated DM, immune disorders, corticosteroids, ATB treatment.
Trichomoniasis[edit | edit source]
- Trichomonas vaginalis;
- foaming, yellow-green discharge;
- dg: vaginal pH, amine test, detection of trichomonas Ag in secretion (ELISA), therapy is necessary even for sexual partners.
Cervicitis[edit | edit source]
- N. gonorrhoeae, Chlamydia trachomatis, HSV, HPV and others;
- dg: gonococcus - culture, chlamydia - direct diagnostics (chlamydial Ag - ELISA, immunofluorescence methods, PCR).
Uterus infection[edit | edit source]
- Mostly as a result of abortion, childbirth, instrumentation;
- begins as endometritis, further affects the myometrium, parametrium to the small pelvis, sepsis;
- pyogenic bacteria, often nosocomial strains (S. pyogenes, S. agalactiae, S. aureus);
- therapy: ATB, pus drainage.
Pelvic inflammatory disease[edit | edit source]
- Chlamydia trachomatis, E. coli, bacteroids, peptostreptococci, anaerobic bacteria, Haemophilus influenzae, aerobic streptococci, Mycoplasma hominis, Ureaplasma urealyticum, N. gonorrhoeae, Actinomyces israeli;
- usually more pathogens, identification of the primary agent is problematic;
- dg: USG, fluid puncture (microbiological examination).
Links[edit | edit source]
References[edit | edit source]
- BENEŠ, Jiří, et al. Infectious medicine. 1. edition. Galen, 2009. 651 pp. ISBN 978-80-7262-644-1.