Healthy vaginal flora is populated mainly by lactobacilli with an important role in protecting the host from urogenital infections. Conventional antimicrobial treatments have the risk of damaging healthy vaginal flora, which subsequently translates into significant recurrence rates. The aim of the study was to investigate if vaginal administration of α-glycooligosaccharides prebiotics, as specific nutritional support for lactobacilli, along with xylitol and hyaluronic acid could be considered as single treatment of uncomplicated vaginal infections (vaginitis or vaginosis) compared with classical antimicrobial preparations. The open-label, randomized, comparative study included 164 women between 18 and 66 years of age diagnosed with uncomplicated vaginal fungal or bacterial infections. Patients were randomized into 2 treatment groups: a prebiotic complex of α-glyco-oligosaccharides, hyaluronic acid, xylitol, herbal extracts, vitamin C and E for vaginal administration -group A, classic antimicrobial treatment with antibiotic and/or antifungal -group B. Patients have been evaluated before and 10 days after the start of treatment for symptomatic parameters (pruritus, burning, dyspareunia, dysuria, oedema, erythema, appearance and odour of vaginal secretions), microbiologic and microscopic analysis of vaginal secretions to identify pathogens, to assess the intensity of the inflammatory reaction (by polymorphonuclear cell density), and the density of the lactobacilli flora. The results showed that the vaginal administration of the prebiotic complex, xylitol and hyaluronic acid effectively controls the symptoms and pathogenic microbial load and, in unlike to the classic antibiotic and/or antifungal treatment, restores the healthy flora of lactobacilli and thus prevents the opportunistic development of Candida.
RezumatFlora vaginală sănătoasă este populată în special de lactobacili care joacă un important în protecția gazdei față de infecțiile urogenitale. Tratamentele antimicrobiene clasice prezintă riscul afectării florei vaginale sănătoase ceea ce se transpune ulterior în rate de recidivă importante. Scopul studiului a fost acela de a investiga daca administrarea vaginală de prebiotice din grupul α-glico-oligozaharide, ca suport nutritiv specific pentru lactobacili, împreuna cu xilitol si acid hialuronic poate reprezenta un tratament de sine stătător împotriva infecțiilor vaginale necomplicate comparativ cu tratamentul cu preparate antimicrobiene clasice. Studiul deschis, randomizat și comparativ a inclus 164 de femei cu vârste între 18 și 66 de ani, diagnosticate cu infecții vaginale fungice sau bacteriene (vaginite sau vaginoze) necomplicate. Pacientele au fost distribuite randomizat în 2 grupuri de tratament: un complex prebiotic de α-glico-oligozaharide, acid hialuronic, xilitol, extracte vegetale, vitamina C si E pentru administrare vaginalăgrupul A, tratament medicamentos clasic cu antibiotic și/sau antifungic -grupul B. Pacientele au fost evaluate înainte și după 10 zile de la începerea tratamentului pentru par...