CORRELATION BETWEEN RECURRENT VULVOVAGINITIS AND SEXUALLY TRANSMITTED INFECTIONS

Authors

DOI:

https://doi.org/10.54620/cadesp.v18i1.1939

Keywords:

Sexually Transmitted Infections, Bacterial Vaginosis, Vulvovaginal Candidiasis, Multiplex Polymerase Chain Reaction

Abstract

The objective of this study was to correlate recurrent vulvovaginitis and Sexually Transmitted Infections (STIs) and analyze the importance of adding the Polymerase Chain Reaction (PCR) test for STIs to the diagnostic work-up of recurrent vulvovaginitis. The descriptive, cross-sectional, observational and retrospective research method was adopted. The medical records of 115 patients treated at a gynecological office were evaluated, who had positive PCR tests for STIs with some microorganism from August 2021 to October 2023. A large number of these patients, corresponding to 26%, had repeated discharges and at least 50% of them were proven to be cured of these discharges after STI treatment. It appears that there may be a relationship between recur-rent vulvovaginitis and STIs, however, it is important to expand this research topic, as the study has limitations.

Downloads

Download data is not yet available.

Author Biographies

Mariana Aroucha Carneiro, Escola de Saúde Pública do Ceará, Fortaleza/CE - Brasil.

Título de Especialista em Ginecologia e Obstetrícia/ FEBRASGO - TEGO 0168/ 2021/ Supervisora do Programa de Residência Médica de Ginecologia e Obstetrícia da ESP/ SMS (2019 - 2021)/ Preceptora do Internato Médico em Saúde da Mulher da Universidade de Fortaleza/ UNIFOR (2019 - 2023)/ Mestre em Saúde Coletiva pela Universidade de Fortaleza/ UNIFOR/ Residência Médica em Ginecologia e Obstetrícia pela Escola de Saúde Pública do Ceará/ ESP

Talita dos Santos Nascimento, Escola de Saúde Pública do Ceará, Fortaleza/CE - Brasil.

Residência Médica em Ginecologia e Obstetrícia pela Escola de Saúde Pública do Ceará/ ESP / Pós-graduação em preceptoria médica pelo hospital Sírio Libanês / Preceptora do internato médico em saúde da mulher pelo hospital São Camilo- UniChristus /Supervisora do programa de residência Médica em Ginecologia e Obstetrícia da ESP/SMS/ Mestranda em processo de conclusão em Ciências Médicas pela Universidade de Fortaleza- UNIFOR.

Felipe Bezerra Frota, Escola de Saúde Pública do Ceará, Fortaleza/CE - Brasil.

Título de Especialista em Ginecologia e Obstetrícia/ FEBRASGO - TEGO 0101/ 2020/ Coordenador Médico da Obstetrícia- Hospital São Camilo Cura d'Ars / Ginecologista e Obstetra pela escola de Saúde Pública do Ceará/ Graduação médica pela Universidade de Fortaleza/ UNIFOR.

References

Linhares IM, Amaral RL, Robial R, Eleutério Junior J. Vaginites e vaginoses. São Paulo: Federação Brasileira das Associações de Ginecologia e Obstetrícia (Febrasgo), 2018. (Protoco-lo Febrasgo – Ginecologia, nº 24/ Comissão Nacional Especializada em Doenças Infectoconta-giosas).

Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis – IST [recurso eletrônico] / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Doenças de Condições Crônicas e Infecções Sexual-mente Transmissíveis. – Brasília : Ministério da Saúde, 2022.

Yuk YS, Choi JE, Kim JK. Age and sex trends of Gardnerella vaginalis infection in patients with sexually transmitted infections in Korea. Iranian Journal of Microbiology. 2021 Dec 22; DOI: https://doi.org/10.18502/ijm.v13i6.8079

Baek J-C, Jo H-C, Lee S-M, Park J-E, Cho I-A, Sung J-H. Prevalence of Pathogens and Other Microorganisms in Premenopausal and Postmenopausal Women with Vulvovaginal Symptoms: A Retrospective Study in a Single Institute in South Korea. Medicina. 2021 Jun 4;57(6):577. DOI: https://doi.org/10.3390/medicina57060577

Nardis C, Mosca L, Mastromarino P. Vaginal microbiota and viral sexually transmitted dis-eases. Ann Ig. 2013 Sep-Oct;25(5):443-56.

Faught BM, Reyes S. Characterization and Treatment of Recurrent Bacterial Vaginosis. Journal of Women’s Health. 2019 Sep 1;28(9):1218–26. DOI: https://doi.org/10.1089/jwh.2018.7383

Freitas F, Carlos Henrique Menke, Waldemar Augusto Rivoire, Eduardo Pandolfi Passos, Al E. Rotinas em ginecologia. Porto Alegre Artmed Editora; 2011.

Rosati D, Bruno M, Jaeger M, ten Oever J, Netea MG. Recurrent Vulvovaginal Candidia-sis: An Immunological Perspective. Microorganisms. 2020 Jan 21;8(2):144. DOI: https://doi.org/10.3390/microorganisms8020144

Lewis FMT, Bernstein KT, Aral SO. Vaginal Microbiome and Its Relationship to Behavior, Sexual Health, and Sexually Transmitted Diseases. Obstetrics & Gynecology [Internet]. 2017 Apr;129(4):643–54. DOI: https://doi.org/10.1097/AOG.0000000000001932

Van Houdt R, Ma B, Bruisten SM, Speksnijder AGCL, Ravel J, de Vries HJC. Lactobacil-lus iners-dominated vaginal microbiota is associated with increased susceptibility to Chlamyd-ia trachomatis infection in Dutch women: a case–control study. Sexually Transmitted Infec-tions. 2017 Sep 25;94(2):117–23. DOI: https://doi.org/10.1136/sextrans-2017-053133

Bardin MG, Giraldo PC, Benetti-Pinto CL, Sanches JM, Araujo CC de, Amaral RLG do. Habits of Genital Hygiene and Sexual Activity among Women with Bacterial Vaginosis and/or Vulvovaginal Candidiasis. Revista Brasileira de Ginecologia e Obstetrícia [Internet]. 2022 Apr 8;44:169–77 DOI: https://doi.org/10.1055/s-0041-1741536

Kebbi-Beghdadi C, Aeby S, Baud D, Greub G. Evaluation of a Multiplex Real-Time PCR Assay for Detecting Chlamydia trachomatis in Vaginal Samples. Diagnostics. 2022 May 4;12(5):1141. DOI: https://doi.org/10.3390/diagnostics12051141

Lima L deMiranda, Hoelzle CR, Simões RT, Lima MI de M, Fradico JRB, Mateo ECC, et al. Sexually Transmitted Infections Detected by Multiplex Real Time PCR in Asymptomatic Women and Association with Cervical Intraepithelial Neoplasia. Revista Brasileira de Gineco-logia e Obstetrícia [Internet]. 2018 Sep 1 [cited 2022 Nov 17];40:540–6 DOI: https://doi.org/10.1055/s-0038-1669994

Lins dos Santos R, Tonin Beneli Fontanezi C, da Silva Negreiros FD, Maria Correia Pequeno A. PERFIL CLÍNICO-EPIDEMIOLÓGICO DE PACIENTES ATENDIDOS EM UMA CLÍNICA ESCOLA DE UM CENTRO UNIVERSITÁRIO DE FORTALEZA. Cadernos ESP [Internet]. 29º de junho de 2020;14(1):30-7.

Marconi C, El-Zein M, Ravel J, Ma B, Lima MD, Carvalho NS, et al. Characterization of the vaginal microbiome in women of reproductive age from five regions in Brazil. Sexually Transmitted Diseases. 2020 Jun 8;Publish Ahead of Print. DOI: https://doi.org/10.1097/OLQ.0000000000001204

Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig SSK, McCulle SL, et al. Vaginal microbiome of reproductive-age women. Proceedings of the National Academy of Sciences [Internet]. 2010 Jun 3;108(Supplement_1):4680–7. DOI: https://doi.org/10.1073/pnas.1002611107

Choe HS, Lee DS, Lee SJ, Hong SH, Park DC, Lee MK, et al. Performance of Any-plexTM II multiplex real-time PCR for the diagnosis of seven sexually transmitted infections: comparison with currently available methods. International Journal of Infectious Diseases. 2013 Dec;17(12):e1134–40. DOI: https://doi.org/10.1016/j.ijid.2013.07.011

Tamarelle J, Thiébaut ACM, de Barbeyrac B, Bébéar C, Ravel J, Delarocque-Astagneau E. The vaginal microbiota and its association with human papillomavirus, Chlamydia tracho-matis, Neisseria gonorrhoeae and Mycoplasma genitalium infections: a systematic review and meta-analysis. Clinical Microbiology and Infection. 2019 Jan;25(1):35–47. DOI: https://doi.org/10.1016/j.cmi.2018.04.019

Jonduo ME, Vallely LM, Wand H, Sweeney EL, Egli-Gany D, Kaldor J, et al. Adverse pregnancy and birth outcomes associated hominis, Ureaplasma urealyticum and Ureaplasma parvum: a systematic review and meta-analysis. BMJ Open. 2022 Aug;12(8):e062990. DOI: https://doi.org/10.1136/bmjopen-2022-062990

Xu Y, Hu J, Huang Y, Shi L. Maternal Ureaplasma exposure during pregnancy and the risk of preterm birth and BPD: a meta-analysis. Archives of Gynecology and Obstetrics. 2022 Mar 12;306(6):1863–72. DOI: https://doi.org/10.1007/s00404-022-06491-7

Published

2024-08-01

How to Cite

1.
Kirniew Ximenes EAM, Carneiro MA, Nascimento T dos S, Bezerra Frota F. CORRELATION BETWEEN RECURRENT VULVOVAGINITIS AND SEXUALLY TRANSMITTED INFECTIONS. Cadernos ESP [Internet]. 2024 Aug. 1 [cited 2024 Dec. 3];18(1):e1939. Available from: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/1939
Received 2024-03-13
Accepted 2024-07-12
Published 2024-08-01