Vaginal Microbiota and the Use of Probiotics

The human vagina is inhabited by a range of microbes from a pool of over 50 species. Lactobacilli are the most common, particularly in healthy women. The microbiota can change composition rapidly, for reasons that are not fully clear. This can lead to infection or to a state in which organisms with...

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Main Authors: Sarah Cribby, Michelle Taylor, Gregor Reid
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Interdisciplinary Perspectives on Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2008/256490
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author Sarah Cribby
Michelle Taylor
Gregor Reid
author_facet Sarah Cribby
Michelle Taylor
Gregor Reid
author_sort Sarah Cribby
collection DOAJ
description The human vagina is inhabited by a range of microbes from a pool of over 50 species. Lactobacilli are the most common, particularly in healthy women. The microbiota can change composition rapidly, for reasons that are not fully clear. This can lead to infection or to a state in which organisms with pathogenic potential coexist with other commensals. The most common urogenital infection in premenopausal women is bacterial vaginosis (BV), a condition characterized by a depletion of lactobacilli population and the presence of Gram-negative anaerobes, or in some cases Gram-positive cocci, and aerobic pathogens. Treatment of BV traditionally involves the antibiotics metronidazole or clindamycin, however, the recurrence rate remains high, and this treatment is not designed to restore the lactobacilli. In vitro studies have shown that Lactobacillus strains can disrupt BV and yeast biofilms and inhibit the growth of urogenital pathogens. The use of probiotics to populate the vagina and prevent or treat infection has been considered for some time, but only quite recently have data emerged to show efficacy, including supplementation of antimicrobial treatment to improve cure rates and prevent recurrences.
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spelling doaj-art-45e50c68852d4e44bea51beec24475c02025-02-03T05:53:44ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-708X1687-70982008-01-01200810.1155/2008/256490256490Vaginal Microbiota and the Use of ProbioticsSarah Cribby0Michelle Taylor1Gregor Reid2Canadian Research and Development Centre for Probiotics, Lawson Health Research Institute, 268 Grosvenor Street, London, ON, N6A 4V2, CanadaCanadian Research and Development Centre for Probiotics, Lawson Health Research Institute, 268 Grosvenor Street, London, ON, N6A 4V2, CanadaCanadian Research and Development Centre for Probiotics, Lawson Health Research Institute, 268 Grosvenor Street, London, ON, N6A 4V2, CanadaThe human vagina is inhabited by a range of microbes from a pool of over 50 species. Lactobacilli are the most common, particularly in healthy women. The microbiota can change composition rapidly, for reasons that are not fully clear. This can lead to infection or to a state in which organisms with pathogenic potential coexist with other commensals. The most common urogenital infection in premenopausal women is bacterial vaginosis (BV), a condition characterized by a depletion of lactobacilli population and the presence of Gram-negative anaerobes, or in some cases Gram-positive cocci, and aerobic pathogens. Treatment of BV traditionally involves the antibiotics metronidazole or clindamycin, however, the recurrence rate remains high, and this treatment is not designed to restore the lactobacilli. In vitro studies have shown that Lactobacillus strains can disrupt BV and yeast biofilms and inhibit the growth of urogenital pathogens. The use of probiotics to populate the vagina and prevent or treat infection has been considered for some time, but only quite recently have data emerged to show efficacy, including supplementation of antimicrobial treatment to improve cure rates and prevent recurrences.http://dx.doi.org/10.1155/2008/256490
spellingShingle Sarah Cribby
Michelle Taylor
Gregor Reid
Vaginal Microbiota and the Use of Probiotics
Interdisciplinary Perspectives on Infectious Diseases
title Vaginal Microbiota and the Use of Probiotics
title_full Vaginal Microbiota and the Use of Probiotics
title_fullStr Vaginal Microbiota and the Use of Probiotics
title_full_unstemmed Vaginal Microbiota and the Use of Probiotics
title_short Vaginal Microbiota and the Use of Probiotics
title_sort vaginal microbiota and the use of probiotics
url http://dx.doi.org/10.1155/2008/256490
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