Utilidad de la determinación del pH vaginal para el diagnóstico de las vulvovaginitis y su relación con la patología obstétrica

Garay, G.; Fraca, Mercedes; Martinez, I Pinazo; Silva, Andrea da; López‐Valverde, M. Á.; Esteban, Valentín; Ezpeleta, Guillermo; Cisterna, R

doi:10.1016/j.pog.2011.07.001

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Reporting about symptom in terms of self-reported or clinician-observed symptoms and the level of detail varied between studies. Of the 22 studies, eight studies reported symptoms observed by the clinician [ 42 , 45 , 46 , 54 , 59 , 67 , 69 , 77 ], two only self-reported [ 43 , 78 ], five studies both [ 29 , 58 , 65 , 79 , 82 ] and seven did not reported if the symptoms were self-reported or clinician-observed [ 24 , 39 , 47 , 55 – 57 , 70 , 83 ]. Of the 17 studies which included participants with symptoms, six studies report proportions of different types of vaginal discharge and other symptoms which are associated with genital tract infections [ 29 , 43 , 47 , 54 , 65 , 67 ], ten reported if symptoms from a defined group of symptoms were present or absent [ 24 , 39 , 42 , 45 , 58 , 59 , 69 , 77 – 79 ], one did not report the type or definition of symptoms [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…Our findings are consistent with those of Schuster et al, who combined 15 studies and found no association between pregnant women with asymptomatic Candida colonisation and preterm birth (OR 1.10, 95% CI 0.99–1.22) [ 13 ]. In our review, we found that 11 studies in the meta-analysis by Schuster et al included some women with symptoms of yeast infection, or in which the presence or absence of symptoms was not reported [ 45 , 46 , 49 , 50 , 60 , 61 , 63 , 67 , 85 – 87 ]. The second systematic review examined the effect of screening and treating women for asymptomatic vulvovaginal candidiasis during pregnancy [ 88 ].…”

Section: Discussionmentioning

confidence: 99%

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Vulvovaginal yeast infections during pregnancy and perinatal outcomes: systematic review and meta-analysis

et al. 2023

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Background Vulvovaginal yeast infections in pregnancy are common and can cause extensive inflammation, which could contribute to adverse pregnancy outcomes. Symptomatic yeast infections are likely to cause more inflammation than asymptomatic. The objective of this study was to investigate associations between symptomatic and asymptomatic vulvovaginal yeast infections in pregnancy and perinatal outcomes. Methods We did a systematic review and searched eight databases until 01 July 2022. We included studies reporting on pregnant women with and without laboratory confirmed vulvovaginal yeast infection and preterm birth or eight other perinatal outcomes. We used random effects meta-analysis to calculate summary odds ratios (OR), 95% confidence intervals (CI) and prediction intervals for the association between yeast infection and outcomes. We described findings from studies with multivariable analyses. We assessed the risk of bias using published tools. Results We screened 3909 references and included 57 studies. Only 22/57 studies reported information about participant vulvovaginal symptoms. Preterm birth was an outcome in 35/57 studies (49,161 women). In 32/35 studies with available data, the summary OR from univariable analyses was 1.01 (95% CI 0.84–1.21, I2 60%, prediction interval 0.45–2.23). In analyses stratified by symptom status, we found ORs of 1.44 (95% CI 0.92–2.26) in two studies with ≥ 50% symptomatic participants, 0.84 (95% CI 0.45–1.58) in seven studies with < 50% symptomatic participants, and 1.12 (95% CI 0.94–1.35) in four studies with asymptomatic participants. In three studies with multivariable analysis, adjusted ORs were greater than one but CIs were compatible with there being no association. We did not find associations between vulvovaginal yeast infection and any secondary outcome. Most studies were at high risk of bias in at least one domain and only three studies controlled for confounding. Conclusions We did not find strong statistical evidence of an increased risk for preterm birth or eight other adverse perinatal outcomes, in pregnant women with either symptomatic or asymptomatic vulvovaginal yeast infection. The available evidence is insufficient to make recommendations about testing and treatment of vulvovaginal yeast infection in pregnancy. Future studies should assess vulvovaginal symptoms, yeast organism loads, concomitant vaginal or cervical infections, and microbiota using state-of-the-art diagnostics. Systematic review registration PROSPERO CRD42020197564

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vulvovaginal yeast infections during pregnancy and perinatal outcomes: systematic review and meta-analysis

et al. 2023

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“…Que se acompaña por un incremento de las bacterias anaerobias, agrupado con gardnerella vaginalis. 29 Al ausentar el apoyo de los lactobacilos, este degrada la conglomercin de H2O2 y en el tejido o flora vaginal promoviendo una menor concentración de O2, lo que ayuda a la proliferación de microorganismos anaerobios y gardnerella vaginalis, que en su mayoría se encuentran en la vagina a concentraciones no relvador…”

Section: Marco Conceptualunclassified

Factores de riesgo de leucorrea en gestantes del Centro de Salud San Joaquín en el 2018

Gómez Vargas

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Objetivo: Establecer los factores de riesgo de las gestantes atendidas en el Centro de Salud San Joaquín que presentan leucorrea en el 2018. Metodología: Es un estudio observacional, retrospectivo, trasversal y analítico. De un nivel correlacional entre los factores de riesgo y leucorrea en la gestación. En el cual tuvo una población de 1139 gestantes. Resultados: En la investigación se obtuvo una prevalencia de 59,26% de nuestra población, En donde se encontró que la edad promedio de nuestra gestantes con leucorrea fue de ≈ 26 años( O.R =0,99 y un P valor de 0,18), con un 57,68% de zona rural (valor P= 0,16), un 23,18% de estado civil soltero (P valor de 0,00), un grado de instrucción primaria de 1,14% (P valor de 0,00), un trimestre gestacional de tercer trimestre en un 30,11% (p valor de 0,00), un tipo de gestación única 57,94% (un P valor de 0,70), un periodo intergenésico aceptable de 55,31% (P valor de 0,06), con un 0,88% con mas de 2 abortos (valor P de 0,015), numero de gestaciones de primigestas con un 44,78%(P valor de 0,037) y una edad gestacional promedio de ≈23 (P valor de 0,00 y un OR de 0,97). Conclusión: Los factores de riesgo para la presencia de leucorrea son un estado civil de soltero, menor grado de instrucción, el tercer trimestre gestacional, la edad gestacional de ≈28 semanas, gestantes con mayor numero de abortos y las primigestas. La prevalencia de leucorrea en gestantes en el Centro se Salud San Joaquín es de 59,26%.

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Asymptomatic vaginal Candida colonization and adverse pregnancy outcomes including preterm birth: a systematic review and meta-analysis

Schuster

Jonghe

Limpens

et al. 2020

American Journal of Obstetrics & Gynecology MFM

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During pregnancy, vaginal colonization by Candida spp is common. Some studies suggest an association between asymptomatic vaginal Candida colonization and adverse pregnancy outcomes, but the evidence is inconsistent. This review aimed to systematically review the association between asymptomatic vaginal colonization by Candida spp and adverse pregnancy outcomes, including preterm birth. DATA SOURCES: We searched Ovid MEDLINE, Ovid Embase, and the Cochrane Central Register of Controlled Trials from inception to May 6, 2020 for published studies on vaginal Candida/yeast and pregnancy outcomes. STUDY ELIGIBILITY CRITERIA: Cohort studies, case-control studies, and randomized controlled trials that included pregnant women who were tested for asymptomatic vaginal Candida colonization and reported on adverse pregnancy outcomes were eligible. STUDY APPRAISAL AND SYNTHESIS METHODS: Two reviewers independently selected and extracted the data. Critical appraisal was performed using the Newcastle-Ottawa Quality Assessment Scale for cohort and case-control studies and the revised Cochrane risk-of-bias tool for randomized controlled trials. RESULTS: We found no significant difference in preterm birth rate between Candidapositive and Candida-negative women (odds ratio, 1.10; 95% confidence interval, 0.99e1.22; I 2 , 0%) in 15 studies among 33,321 women for either spontaneous preterm birth only (odds ratio, 1.13, 95% confidence interval, 0.97e1.31; I 2 , 0%) or all preterm birth (odds ratio, 1.04; 95% confidence interval, 0.79e1.35; I 2 , 21%). Subgroup analyses for a treatment strategy including only studies reporting on spontaneous preterm birth did not reveal any statistically significant associations either, although the odds ratio was increased for the untreated Candida-positive women (odds ratio, 1.28; 95% confidence interval, 0.90e1.81; I 2 , 13%) in 3 studies among 5175 women. Asymptomatic vaginal Candida colonization was not associated with small for gestational age, perinatal mortality, or any other adverse pregnancy outcome. CONCLUSION: Asymptomatic vaginal Candida colonization is not associated with preterm birth and other adverse pregnancy outcomes. Previous studies reported that treatment of this microorganism reduces preterm birth rate. Our results suggest that this effect is unlikely to rely on treatment of vaginal Candida.

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Utilidad de la determinación del pH vaginal para el diagnóstico de las vulvovaginitis y su relación con la patología obstétrica

Cited by 4 publications

References 14 publications

Vulvovaginal yeast infections during pregnancy and perinatal outcomes: systematic review and meta-analysis

Vulvovaginal yeast infections during pregnancy and perinatal outcomes: systematic review and meta-analysis

Factores de riesgo de leucorrea en gestantes del Centro de Salud San Joaquín en el 2018

Asymptomatic vaginal Candida colonization and adverse pregnancy outcomes including preterm birth: a systematic review and meta-analysis

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