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Bacterial Vaginosis and Post-Operative Pelvic Infections
Afroditi Ziogou1, Eleftherios Ziogos2, Ilias Giannakodimos1
1School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Healthcare (Basel, Switzerland)
|May 13, 2023
Summary
Bacterial vaginosis (BV) disrupts vaginal flora, increasing risks for obstetric and gynecologic complications. Treating BV in surgical patients is crucial for preventing post-operative infections.
Area of Science:
- Gynecology
- Obstetrics
- Microbiology
Background:
- Bacterial vaginosis (BV) involves the replacement of protective Lactobacilli with anaerobic bacteria.
- BV is linked to adverse obstetric and gynecologic outcomes, including increased susceptibility to sexually transmitted infections.
Purpose of the Study:
- To review bacterial vaginosis and its association with post-operative pelvic infections.
Main Methods:
- Literature review of bacterial vaginosis and its impact on obstetric and gynecologic health outcomes.
Main Results:
- Obstetric complications associated with BV include preterm delivery, miscarriage, preterm premature rupture of membranes, chorioamnionitis, and postpartum infections.
- Gynecologic complications include an increased risk of post-hysterectomy infections like pelvic inflammatory disease (PID), vaginal cuff cellulitis, and pelvic abscess.
- BV can be asymptomatic, self-resolve, or relapse, necessitating targeted treatment.
Conclusions:
- BV screening and treatment are recommended for women at risk of preterm delivery and those undergoing gynecological surgery to prevent post-operative infections.
- Metronidazole and clindamycin are primary treatments, but pre-surgery screening protocols are not standardized.
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