Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion

Chronic endometritis (CE) is a persistent inflammatory condition of the endometrium characterized by abnormal infiltration of plasma cells into the endometrial stroma. Frequently associated with repeated implantation failure, recurrent pregnancy loss, and infertility, CE significantly impacts women’...

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Main Authors: Francesco Di Gennaro, Giacomo Guido, Luisa Frallonardo, Laura Pennazzi, Miriana Bevilacqua, Pietro Locantore, Amerigo Vitagliano, Annalisa Saracino, Ettore Cicinelli
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/13/1/197
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author Francesco Di Gennaro
Giacomo Guido
Luisa Frallonardo
Laura Pennazzi
Miriana Bevilacqua
Pietro Locantore
Amerigo Vitagliano
Annalisa Saracino
Ettore Cicinelli
author_facet Francesco Di Gennaro
Giacomo Guido
Luisa Frallonardo
Laura Pennazzi
Miriana Bevilacqua
Pietro Locantore
Amerigo Vitagliano
Annalisa Saracino
Ettore Cicinelli
author_sort Francesco Di Gennaro
collection DOAJ
description Chronic endometritis (CE) is a persistent inflammatory condition of the endometrium characterized by abnormal infiltration of plasma cells into the endometrial stroma. Frequently associated with repeated implantation failure, recurrent pregnancy loss, and infertility, CE significantly impacts women’s health, contributing to conditions such as abnormal uterine bleeding and endometriosis. Treatment typically involves antibiotic therapy; however, the efficacy of these treatments is increasingly compromised by the rise of antimicrobial resistance (AMR). This paper examines the critical links between AMR and CE, proposing strategies to enhance clinical management and optimize treatment outcomes.
format Article
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institution Kabale University
issn 2076-2607
language English
publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj-art-2776f3ab6daa44b596802220919f156e2025-01-24T13:43:01ZengMDPI AGMicroorganisms2076-26072025-01-0113119710.3390/microorganisms13010197Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert OpinionFrancesco Di Gennaro0Giacomo Guido1Luisa Frallonardo2Laura Pennazzi3Miriana Bevilacqua4Pietro Locantore5Amerigo Vitagliano6Annalisa Saracino7Ettore Cicinelli8Clinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Piazza Giulio Cesare n. 11, Cap 70124 Bari, ItalyClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Piazza Giulio Cesare n. 11, Cap 70124 Bari, ItalyClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Piazza Giulio Cesare n. 11, Cap 70124 Bari, ItalyStudio Ostetrico/Nutrizionale DeaLuce, Cap 00168 Rome, ItalyClinic of Obstetrics & Gynaecology, University of “Aldo Moro”, Cap 70124 Bari, ItalyUnit of Endocrinology, Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, Fondazione Policlinico “A. Gemelli” IRCCS, Cap 00168 Rome, ItalyClinic of Obstetrics & Gynaecology, University of “Aldo Moro”, Cap 70124 Bari, ItalyClinic of Infectious Diseases, Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari “Aldo Moro”, Piazza Giulio Cesare n. 11, Cap 70124 Bari, ItalyClinic of Obstetrics & Gynaecology, University of “Aldo Moro”, Cap 70124 Bari, ItalyChronic endometritis (CE) is a persistent inflammatory condition of the endometrium characterized by abnormal infiltration of plasma cells into the endometrial stroma. Frequently associated with repeated implantation failure, recurrent pregnancy loss, and infertility, CE significantly impacts women’s health, contributing to conditions such as abnormal uterine bleeding and endometriosis. Treatment typically involves antibiotic therapy; however, the efficacy of these treatments is increasingly compromised by the rise of antimicrobial resistance (AMR). This paper examines the critical links between AMR and CE, proposing strategies to enhance clinical management and optimize treatment outcomes.https://www.mdpi.com/2076-2607/13/1/197antibiotic treatmentchronic endometritisfertilitymultidrug resistancepersistent chronic endometritis
spellingShingle Francesco Di Gennaro
Giacomo Guido
Luisa Frallonardo
Laura Pennazzi
Miriana Bevilacqua
Pietro Locantore
Amerigo Vitagliano
Annalisa Saracino
Ettore Cicinelli
Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion
Microorganisms
antibiotic treatment
chronic endometritis
fertility
multidrug resistance
persistent chronic endometritis
title Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion
title_full Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion
title_fullStr Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion
title_full_unstemmed Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion
title_short Chronic Endometritis and Antimicrobial Resistance: Towards a Multidrug-Resistant Endometritis? An Expert Opinion
title_sort chronic endometritis and antimicrobial resistance towards a multidrug resistant endometritis an expert opinion
topic antibiotic treatment
chronic endometritis
fertility
multidrug resistance
persistent chronic endometritis
url https://www.mdpi.com/2076-2607/13/1/197
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