在有症状的男性中使用Gardnerella vaginalis:流行率,负载和并发症
Ali Egemen Avci1, Hakan Cakir2
1Department of Urology, Üsküdar University, Istanbul, TUR.
Cureus
|October 20, 2025
概括
阴道菌 (Gardnerella vaginalis) 是男性尿道症状的常见病原体,通常与其他感染一起发现. 这项研究强调了它的重要性,并建议将其纳入男性的性传播感染 (STI) 测试中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 微生物学 微生物学
- 传染性疾病 传染性疾病
背景情况:
- 传统上与女性细菌性阴道炎相关的Gardnerella vaginalis,越来越多地在男性中被发现具有尿道症状.
- 在男性中,G. vaginalis的临床意义和常见的共同感染模式仍然不充分理解.
- 这项研究旨在确定G. vaginalis在男性泌尿器官感染中的作用.
研究的目的:
- 为了确定Gardnerella vaginalis在有症状的男性中的流行率和定量负载.
- 为了在这个人群中识别与其他泌尿器官病原体的共感染.
- 评估G. vaginalis在男性尿道症状中的临床相关性.
主要方法:
- 追溯分析了418名有症状的男性患者.
- 使用多重聚合酶链反应 (PCR) 检测了21种泌尿器官病原体.
- 病原体负载量为<104或≥104个副本/毫升.
主要成果:
- 在57.2%的患者中检测到至少一种病原体.
- 最常被发现的病原体是Gardnerella vaginalis (21.5%),其次是Chlamydia trachomatis (15.1%).
- 在90名患者中发现了显著的G. vaginalis负载 (≥104副本/毫升),多微生物感染很常见 (19.5%).
结论:
- 阴道菌 (Gardnerella vaginalis) 是症状男性的主要病原体,通常存在于高负载下.
- 涉及G. vaginalis的同时感染很常见,特别是在Ureaplasma物种中.
- 建议将G. vaginalis常规纳入男性性传播感染 (STI) 诊断面板中.
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