Agents of Female Genital Infections

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In women, a urethral infection usually coincides with a bladder infection. We independently monitor infections of the vulva, vagina and cervix, uterus, ovaries and fallopian tubes.

Vulvovaginitis[edit | edit source]

  • 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]

  • blisters on the genitals, later pustules;
  • unpleasant benign disease, dangerous in pregnancy;
  • dg: clinical signs, virus culture, PCR;
  • therapy: aciclovir.

Bacterial Vaginosis[edit | edit source]

  • Common disease, consequence of vaginal dysmicrobia;
  • reduction of the amount of lactobacilli in vaginal secretion, overgrowth of other bacteria, especially anaerobes (bacteroids, eptostreptococci, fusobacteria);
  • 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.