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Streptococcus agalactiae: a vaginal pathogen?

A N Maniatis1, J Palermos, M Kantzanou

  • 1Department of Microbiology, Medical School, University of Athens, Greece.

Journal of Medical Microbiology
|March 1, 1996
PubMed
Summary
This summary is machine-generated.

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Streptococcus agalactiae (group B Strep) is a significant cause of vaginitis in symptomatic women. This pathogen was isolated in 10.1% of cases and often presented as the sole infectious agent.

Area of Science:

  • Gynecology
  • Microbiology
  • Infectious Diseases

Background:

  • Vaginitis is a common condition in women, often caused by various microorganisms.
  • The etiological role of Streptococcus agalactiae in vaginitis requires further clarification.

Purpose of the Study:

  • To evaluate the significance of Streptococcus agalactiae as a causative agent of vaginitis in symptomatic women.
  • To compare the prevalence of S. agalactiae with other common vaginal pathogens.

Main Methods:

  • Analysis of 6226 vaginal samples from women with symptoms.
  • Microscopic examination for leucocytes (>10/h.p.f.) to define active infection.
  • Isolation and identification of S. agalactiae, Candida spp., Gardnerella vaginalis, and Trichomonas spp.

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Main Results:

  • S. agalactiae was isolated in 10.1% of symptomatic women with evidence of inflammation.
  • In 83% of cases, S. agalactiae was the sole pathogen identified.
  • S. agalactiae infection showed a relative risk of 2.38 in patients with purulent discharge.

Conclusions:

  • S. agalactiae is a significant etiological agent in vaginitis among symptomatic women with inflammation.
  • The findings support considering S. agalactiae as a cause of vaginitis, particularly when it is the sole pathogen detected.