- Modern aspects of bacterial vaginosis and medical tactics
Modern aspects of bacterial vaginosis and medical tactics
HEALTH OF WOMAN. 2019.2(138): 53–55; doi 10.15574/HW.2019.138.53
Ayzyatulov R. F. , Ayzyatulova E. M.
Donetsk National Medical University, Liman
The objective: find out some etiopathogenetic aspects of bacterial vaginosis and develop optimal treatment methods to preserve the active reproductive potential of women.
Materials and methods. The diagnosis of bacterial vaginosis was made on the basis of data from clinical and laboratory research methods. The following criteria were taken into account: homogeneous vaginal discharge, increased pH of the contents of the vagina, positively modified test, key cells in smears. Conducted microscopy of the contents of the vagina, aminotest, pH of the contents of the vagina, microbiological examination.
Results. In making a diagnosis, along with the symptoms of the disease, microbiological research methods play a leading role. Modern approaches to the treatment of patients with bacterial vaginosis, currently considered as a violation of the microecology of the vagina, are somewhat different from those in the treatment of patients with urogenital infections. For complete treatment, it is necessary to identify microorganisms that are involved in the formation of bacterial vaginosis. Of particular difficulty is the treatment of bacterial vaginosis when combined with sexually transmitted infections, which requires antibiotic therapy, which further enhances the process of vaginal dysbiosis.
Conclusion. Bacterial vaginosis is a violation of the vaginal ecosystem, requires timely diagnosis, adequate therapy and preventive measures. It is necessary to identify and eliminate endogenous or exogenous factors leading to changes in the vaginal ecosystem.
Key words: bacterial vaginosis, etiology, pathogenesis, diagnosis, clinic, treatment.
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