Sánchez-Hernández JA, Meléndez-García I, Muñoz-Zurita G

Language: Spanish
References: 26
Page: 121-125
PDF size: 1056.97 Kb.

ABSTRACT

Objective: to identify the type of microorganisms that are associated to cervix erosion. Methods: exfoliative cervix-vaginal cytology were reviewed of patients who went to the Cell Biology Laboratory of the Faculty of Medicine of the Benemérita Universidad Autónoma de Puebla (fmbuap), from 2007 to 2016. Results: 1 260 exfoliative cytology were observed, 254 (20.15%) met the inclusion criteria to cervical erosion. Looking at the microscope 254 exudates were recorded in 223 patients (87.79%) with the following findings: 186 samples (73.22%) revealed the presence of flora coccoid; 27 patients (10.62%) Lactobacillus spp., 5 (1.90%) showed Candida spp., 3 (1.18%) with Gardnerella vaginalis (clue cells) and two Pap smears (0.78%) reported Trichomonas vaginalis. Finally, in 31 samples (12.20%) the presence of microorganisms were not found. Conclusion: the following microorganisms associated to cervix erosion: excess of coccoid flora, Candida spp., G. vaginalis and T. vaginalis.

REFERENCES

1. Cano LH, Cano AHE, Cano AFD. Criocirugía cervical: reporte de mil casos. Ginecol Obstet Mex. 2014;82(1):518-22.

2. Sánchez A, Rivera A, Castillo F, Ortiz SS. Cervical erosion as result of infectious vaginitis. Eur J Exp Bio. 2012;2(5):1659-63.

3. Fosch S, Fogolín N, Azzaroni N, Pairetti E, D’ana L, Minacori H, et al. Vulvovaginitis: correlación con factores predisponentes, aspectos clínicos y estudios microbiológicos. Revist Argent de Microbiol. 2006;38(1):202-5.

4. Wright OK, Mohammed AS, Salisu-Olatunji O, Kuyinu YA. Cervical Ectropion and Intra- Uterine Contraceptive Device (iucd): a fiveyear retrospective study of family planning clients of a tertiary health institution in Lagos Nigeria. bmc Research Notes. 2014;7(1):946.

5. Casey P, Long E, Marnach L, Abnormal Cervical Appearance: What to Do, When to Worry? Mayo Clin Proc. 2011;86(2):147-51.

6. Trejo SO, Solórzano CJ, Lopez VJ, Silva RD, García MM, Tolentino LJ, et al. Ectropión cervical: factor de riesgo para lesiones precursoras y cáncer cérvico uterino. Archivos Médicos de Actualización en Tracto Genital Inferior. 2014;(1):11.

7. Petrova I, Van BM, Balzarini J, Vanderleyden J, Lebeer S. Vaginal microbiota and its role in hiv transmission and infection. fems Microbiol Rev. 2013;37(1):762-92.

8. Lee V, Tobin J, Foley E. Relationship of cervical ectopy to chlamydia infection in young women. J Fam Plann Reprod Health Care. 2006;32(2):104-6.

9. Morrison C, Bright P, Wong L, Kwok C, Yacobson I, Gaydos A, et al. Hormonal Contraceptive Use, Cervical Ectopy, and the Acquisition of Cervical Infections. Sex Transm Dis. 2004;31(9):561-7.

10. Angotti BL, Lambert CL, Soper ED. Vaginitis: Making Sense of Over the CounterTreatment Options. Infect Dis Obstet Gynecol. 2007;(1):4.

11. Belkaid Y, Hand T. Role of the Microbiota in Immunity and inflammation. Cell. 2014;157(1):121-41.

12. Romero R, Hassan S, Gajer P, Tarca L, Fadrosh W, Nikita L, et al. The composition and stability of the vaginal microbiota of normal pregnant women is different from that of non-pregnant women. Microbiome. 2014;2(4):1-19.

13. Bukhari M, Majeed M, Qamar S, Niazi S, Syed Z, Yusuf W. Clinicopathological Study of Papanicolaou (Pap) Smears for Diagnosing of Cervical Infections. Diagnostic Cytopathology. 2010;40(1):35-41.

14. Turovskiy Y, Noll Sutyak K, Chikindas L. The etiology of bacterial vaginosis. J Appl Microbiol. 2011;110(5):1105-28.

15. Donati L, Di V, Nucci M, Quagliozzi L, Spagnuolo T, Labianca A, et al. Vaginal microbial flora and outcome of pregnancy. Arch. Gynecol. Obstet. 2010;281(1):589-600.

16. Bright L, Turner N, Morrison S, Wong L, Kwok C, Yacobson I, et al. Hormonal contraception and area of cervical ectopy: a longitudinal assessment. Contraception. 2011;84(5):512-9.

17. Aldunate M, Tyssen D, Johnson A, Zakir T, Sonza S, Moench T, et al. Vaginal concentrations of lactic acid potently inactivate hiv. J Antimicrob Chemother. 2013;68(1):2015-25.

18. Martínez PM, Castro EG, Aguilera AM. Lactobacillus species isolated from vaginal secretions of healthy and bacterial vaginosisintermediate Mexican women: a prospective study. bmc Infect Dis. 2013;26(13):189.

19. 19.Verstraelen H, Verhelst R, Vaneechoutte M, Temmerman M. The epidemiology of bacterial vaginosis in relacion to sexual behaviour. bmc Infectious Diseases. 2010;10(1):81.

20. Van WJ, Borgdorff H, Verhelst R, Crucitti T, Francis S, Verstraelen H, et al. The vaginal microbiota: what have we learned after a decade of molecular characterization. PLoS one. 2014;9(8):1-10.

21. Murat EA, Zozaya M, Taylor M, Dowd S, Martin H, Ferris J. Exploring the Diversity of Gardnerella vaginalis in the Genitourinary Tract Microbiota of Monogamous Couples Through Subtle Nucleotide Variation. PLoS one. 2011;6(10):26732

22. Mayer LF, Wilson D, Hube B. Candida albicans pathogenicity mechanisms. Virulence. 2013;4(2):119-128.

23. Hernández F. Gardenerella vaginalis y mobiluncus en la etiología de la vaginosis bacteriana. Rev. costarric. cienc. méd. 1998; 19(1-2):107-16.

24. Patterson JL, Lane AS, Girerd PH, Jefferson KK. Analysis of adherence, biofilm formation and cytotoxicity suggests a greater virulence potential of Gardnerella vaginalis relative to other bacterial vaginosis-associated anaerobes. Microbiology 2010;156(2):392-9.

25. Lustig G, Ryan CM, Secor WE, Johnsona PJ. Trichomonas vaginalis Contact-Dependent Cytolysis of Epithelial Cells. Infection and Immunity 2013;81(5):1411-9.

26. Huang KY, Huang PJ, Ku FM, Lin R, Alderete JF, Tang P. Comparative Transcriptomic and Proteomic Analyses of Trichomonas vaginalisfollowing Adherence to Fibronectin. Infect Immun. 2012;80(11): 3900-11.