Gardnerella: diagnosis and treatment


Health And Medical Video: What Is Bacterial Vaginosis? | Infectious Diseases | Nclex-Rn | Khan Academy (August 2018).



Timely detection and treatment of gardnerellosis is important for the health of women.

Gardnerellosis, or bacterial vaginosis, is one of the variants of vaginal dysbiosis, in which the number of Gardnerella vaginalis increases. These bacteria are present in the normal microflora of the mucous membrane, but their content is very small.

Diagnosis of gardnerellosis

When diagnosing the disease, first of all, pay attention to complaints when applying to a gynecologist: whitish-yellow discharge from the vagina with a sharp unpleasant smell of rotten fish. This allows you to suspect gardnerellosis and conduct an appropriate examination.

Since gardnerelli are present in the vagina and in healthy women, the polymerase chain reaction (PCR) method for the diagnosis of gardnerellosis is not appropriate. It determines only the qualitative presence of bacteria, and not their quantity. However, PCR is widely used in the examination of men, since for them in norm gardnereli are not peculiar.

The main methods of diagnosis in women are the smear from the vagina and the urethra and plant on the flora. In the smear, the presence of so-called key cells is detected. They represent cells of the epithelium of the mucous membrane of the vagina, surrounded by sticks (Gardnerella).

Sowing on the flora allows you to determine the quantitative increase in bacteria. Also, determine the hydrogen index (pH) of the medium in the vagina. When bacterial vaginosis the environment becomes alkaline due to the life of the gardnerelles and other anaerobic bacteria.

In addition, carry out an amine test. For this, a few drops of potassium hydroxide are added to a small amount of specimens on a slide glass. With a positive result there is a sharp smell of fish. If you have already been treated for Gardnerella, it is advisable to have an antibiotic sensitivity test.

Treatment of bacterial vaginosis

When treating gardnerellosis it is necessary to provide three important points: reduce the number of gardnerel, restore local immunity to the vagina and populate its normal lactoflora.

At the first stage antibacterial therapy is performed. Antibiotics are prescribed in tablets for oral intake and topically - in the form of candles and creams.

Active therapy can provoke the development of candidiasis. To avoid this, antifungal agents are used. Very important sanitation of the vagina using various antiseptics. They allow faster suppressing pathogenic microflora and proceed to the next stage.

On the second, the most important stage is the placement of the mucous membrane of the vagina with normal lactoflora and the restoration of local immunity. To do this, use different eubiotics as a systemic action, and local. If intestinal dysbiosis is detected, it should also be corrected. Immunity is normalized with immunomodulators.

Pregnancy treatment has its own peculiarities. It is impossible to neglect gardnerellosis in pregnant women, since in some cases it can cause complications during pregnancy and childbirth.

However, it is the physiological reduction of immunity while waiting for a child contributes to the development of Gardnerella, so it is not possible to cure it during this period. It is necessary to restrict the local vaginal rehabilitation procedures and to strictly control the number of gardnerellae.

Men treating men according to the same principles. Especially it is necessary, if the sexual partner, in spite of adequate therapy, there are constant recurrence of BV.

Prevention of the disease

It is advisable to have one sexual partner. For occasional sexual intercourse, you should use a condom. It is better to refuse the use of local contraceptives in the form of tablets and candles.

Do not abuse dipping, especially with disinfectant solutions based on chlorine.

Gardnerella: diagnosis and treatment

Category Of Medical Issues: Diseases