Is Bacterial Vaginosis a Sexually Transmitted Disease?

Larsson, Per‐Göran; Platz-Christensen, JJ; Sundström, Ewa

doi:10.1177/095646249100200511

Cited by 52 publications

(30 citation statements)

References 8 publications

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“…13 Previous studies have reported that the prevalence of BV also rises with the number of lifetime sexual partners and is more common in those with a lower age of first intercourse. 18 In this study the risk of BV was greatest among those reporting more than one partner in the past 3 months reflecting the pattern reported for the known STIs, gonorrhoea, and Chlamydia trachomatis. This suggests that a diagnosis of BV is associated with a recent partner change.…”

Section: Discussionsupporting

confidence: 72%

Is bacterial vaginosis a sexually transmitted infection?

Morris¹,

Rogers²,

Kinghorn³

2001

Sexually Transmitted Infections

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Objectives: To determine whether the risk factors associated with bacterial vaginosis (BV) are consistent with it being a sexually transmitted infection (STI) by comparing the characteristics of women with BV with those of women with infections recognised as being sexually and non-sexually transmitted. Methods: A prospective cross sectional study was conducted among female patients presenting for diagnosis at a genitourinary medicine clinic in SheYeld between January 1996 and September 1998. Demographic and behavioural characteristics were reported from patient records and a standardised questionnaire was administered. Risk factor models for BV, two STIs, and two non-STIs were compiled using a multivariable logistic regression analysis. Results: Among the 8989 females under 45 years eligible for analysis, the prevalence of BV was 12.9%. Risk factors associated with BV included some in common with gonorrhoea and Chlamydia trachomatis and some that were not associated with these two STIs. Risk factors common to BV and the STIs included having had more than one sexual partner in the past 3 months, having a history of a bacterial STI, being of black Caribbean ethnicity, and living in a deprived area. However, BV had a contrasting age profile, being most prevalent among those over the age of 30. BV was also more common in those who were divorced. Conclusions: BV is associated with some factors related to the acquisition of gonorrhoea and Chlamydia trachomatis. However, infection is not only determined by those factors and therefore factors other than sexual activity may be important in the development of the condition. (Sex Transm Inf 2001;77:63-68)

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Section: Discussionsupporting

confidence: 72%

Is bacterial vaginosis a sexually transmitted infection?

Morris¹,

Rogers²,

Kinghorn³

2001

Sexually Transmitted Infections

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“…BV is a syndrome associated with adverse pregnancy outcomes, which is not exclusively considered an STD but which has been demonstrated to be transmitted sexually [44]. BV is characterized by a disturbance of the normal vaginal flora, with a loss of H 2 O 2 -producing Lactobacillus species and an increase in the numbers of gram-variable coccobacilli (Gardnerella vaginalis and Bacteroides spp.…”

Section: Bacterial Vaginosismentioning

confidence: 98%

Rapid tests for sexually transmitted diseases

Gaydos

2006

Curr Infect Dis Rep

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Many molecular diagnostic tests for sexually transmitted diseases (STDs) have been described recently but are not often accessible to clinicians in practice. There is a need for rapid, easy-to-perform, and accurate diagnostic tests for clinicians, especially for use in developing countries, where sophisticated laboratory support is often unavailable. Rapid tests, often termed "point-of-care" (POC) tests, can be performed in less than an hour in the doctor's office, clinic, or in a field setting. If simple laboratory equipment is available, a health care worker or clinician can make an immediate diagnosis of a STD. Progress has been made in the development of POC tests for HIV, syphilis, trichomonas, and bacterial vaginosis, but more work is needed for chlamydia and gonorrhea. Improvements in POCs will allow for faster treatment or provision of interventions in infected persons, in order to prevent transmission to partners or infants, thereby enabling effective control efforts for STDs.

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“…In nonpregnant women [39], BV increases risk of posthysterectomy infections [40,41] and PID [32,42], and risk of acquiring N. gonorrhoeae [8,43,44]. Finally, BV itself may cause endocervical inflammation that manifests as mucopurulent cervicitis [45,46].…”

Section: Introductionmentioning

confidence: 94%

Molecular methodology in determining vaginal flora in health and disease: Its time has come

Fredricks

Marrazzo²

2005

Curr Infect Dis Rep

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The microbial flora of the human vagina can affect the health of women, their fetuses, and newborns. Conventional cultivation methods fail to detect some fastidious vaginal bacteria, leading to an incomplete census. Recent advances in molecular biology have facilitated the detection and identification of bacteria without cultivation, and the advantages and limitations of this approach are described. Molecular studies of the vaginal flora have discovered many uncultivated bacterial species. For instance, several novel bacteria in the Clostridiales order are highly specific indicators of bacterial vaginosis, and bacteria related to Megasphaera, Leptotrichia, Atopobium, and Dialister species are commonly found in subjects with bacterial vaginosis. A more complete understanding of vaginal microbial populations resulting from the adoption of molecular tools may lead to better strategies to maintain healthy vaginal floras and will create opportunities to explore the role of novel bacteria in reproductive tract diseases.

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Is Bacterial Vaginosis a Sexually Transmitted Disease?

Cited by 52 publications

References 8 publications

Is bacterial vaginosis a sexually transmitted infection?

Is bacterial vaginosis a sexually transmitted infection?

Rapid tests for sexually transmitted diseases

Molecular methodology in determining vaginal flora in health and disease: Its time has come

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