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Ureaplasma Urealyticum as a Cause of Chronic Vaginal Discharge


Authors: MUDr. Radan Doubek;  MUDr. Denisa Petrovová
Authors‘ workplace: Gynekologicko-porodnická klinika LF MU a FN Brno
Published in: Prakt Gyn 2006; 10(3): 108-110

Overview

Objective:
Presentation of the proportion of Ureaplasma urealyticum infections in cases of chronic vaginal discharge.

Classification of the study:
A retrospective study.

Name and location of the institute:
Obstetrics and Gynaecology Clinic, Faculty of Medicine at Masaryk University, Teaching Hospital Brno, Czech Republic.

Methodology:
The study accomplishes a retrospective analysis of the proportion of Ureaplasma infections in 157 female patients with persisting vaginal discharge. Other factors followed in the study were the age of patients and the possibilities and the efficacy of treatment.

Results:
49% of cases of chronic vaginal discharge in women were caused by Ureaplasma urealyticum species. The highest incidence was documented among women 25–30 years old. Doxycycline and Clarithromycin proved to be the 1st choice medicaments during a 10 day treatment scheme of ureaplasmal infection with nearly 95% efficacy.

Conclusion:
Ureaplasma urealyticum is an often neglected cause of chronic vaginal discharge, primarily in young women, although its diagnostics and therapy are simple and considerably successful.

Key words:
chronic vaginal discharge – ureaplasma urealyticum – cultivation – doxycycline – clarithromycin


Sources

1. Cassel GH, Waites KB, Watson HL et al. Ureaplasma urealyticum intrauterine infection: role in prematurity and diestase in newborns. Clin Microbiol Rev 1993; 6: 69-87.

2. Deguchi T, Yoshida T, Miyazawa T et al. Assotiation of Ureaplasma urealyticum (biovar 2) with nongonococcal uretritis. Sex Transm Dis 2004; 31 (3): 192-195.

3. Kriška M, Božeková L et al. Farmakológia antimikrobiálnych látok. Bratislava: Asklepios 1997: 88.

4. Votava M. Kultivační půdy v lékařské mikrobiologii. Brno: Hortus 2000: 408.

5. Votava M et al. Lékařská mikrobiologie speciální. Brno: Neptun 2003: 495.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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