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Related Experiment Videos

Bacterial vaginosis: a review.

A D Winefield1, S A Murphy

  • 1Rivier College, Nashua, New Hampshire, USA.

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|August 24, 1999
PubMed
Summary

Bacterial vaginosis (BV), an imbalance in vaginal bacteria, is linked to serious health issues like obstetric complications and pelvic infections. Management of asymptomatic cases, particularly during pregnancy, remains a clinical challenge.

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Area of Science:

  • Gynecology
  • Microbiology
  • Public Health

Background:

  • Bacterial vaginosis (BV) is a common vaginal condition often diagnosed in primary care.
  • Historical changes in nomenclature and treatment have led to confusion regarding BV.
  • BV involves a shift from beneficial aerobic bacteria to anaerobic bacteria, causing malodorous discharge, though many patients are asymptomatic.

Purpose of the Study:

  • To review the historical perspective of Bacterial vaginosis.
  • To summarize recent research linking BV to adverse health outcomes.
  • To discuss clinical practice concerns arising from BV research.

Main Methods:

  • Literature review of historical and recent research on Bacterial vaginosis.
  • Analysis of studies implicating BV-associated anaerobes in various infections.
  • Discussion of clinical implications and practice issues.

Main Results:

  • Recent evidence links anaerobic bacteria associated with BV to obstetric complications, postoperative pelvic infections, and pelvic inflammatory disease.
  • Over half of clinically diagnosed BV patients are asymptomatic.
  • BV is increasingly recognized as a potential risk factor for serious medical conditions.

Conclusions:

  • Bacterial vaginosis is associated with significant obstetric and gynecologic health risks.
  • The role of asymptomatic BV in adverse outcomes necessitates further research and clinical guidance.
  • Managing BV, especially in pregnant women, presents ongoing practice challenges.

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