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A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology
Mycoplasma species relevant to the urogenital tract include mycoplasma hominis, mycoplasma genitalia and ureaplasma urealyticum. Their occurrence in the context of urogynaecological disease has been demonstrated in urethritis, cystitis and upper renal tract infections. Their role in hyperactive blad...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734936/ https://www.ncbi.nlm.nih.gov/pubmed/29269957 http://dx.doi.org/10.1055/s-0043-119687 |
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author | Combaz-Söhnchen, Nina Kuhn, Annette |
author_facet | Combaz-Söhnchen, Nina Kuhn, Annette |
author_sort | Combaz-Söhnchen, Nina |
collection | PubMed |
description | Mycoplasma species relevant to the urogenital tract include mycoplasma hominis, mycoplasma genitalia and ureaplasma urealyticum. Their occurrence in the context of urogynaecological disease has been demonstrated in urethritis, cystitis and upper renal tract infections. Their role in hyperactive bladder and interstitial cystitis/painful bladder syndrome is controversial. All the above-mentioned microorganisms can occur as commensals or as potential pathogens. In most cases their role in any particular pathology cannot be proven, only presumed. The aim of this systematic review was to summarise current knowledge on the influence of mycoplasma and ureaplasma in urogynaecological pathology and to provide clinical guidance on diagnosis (when and how is pathogen detection indicated?) and treatment. 377 relevant articles were analysed. In summary: a urethral swab for PCR analysis of the three bacteria should be performed in the context of symptomatic sterile leukocyturia, chronic urethritis and suspected hyperactive bladder or interstitial cystitis/painful bladder syndrome. Symptomatic women should be treated strictly according to results of the antibiogram. |
format | Online Article Text |
id | pubmed-5734936 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-57349362017-12-19 A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology Combaz-Söhnchen, Nina Kuhn, Annette Geburtshilfe Frauenheilkd Mycoplasma species relevant to the urogenital tract include mycoplasma hominis, mycoplasma genitalia and ureaplasma urealyticum. Their occurrence in the context of urogynaecological disease has been demonstrated in urethritis, cystitis and upper renal tract infections. Their role in hyperactive bladder and interstitial cystitis/painful bladder syndrome is controversial. All the above-mentioned microorganisms can occur as commensals or as potential pathogens. In most cases their role in any particular pathology cannot be proven, only presumed. The aim of this systematic review was to summarise current knowledge on the influence of mycoplasma and ureaplasma in urogynaecological pathology and to provide clinical guidance on diagnosis (when and how is pathogen detection indicated?) and treatment. 377 relevant articles were analysed. In summary: a urethral swab for PCR analysis of the three bacteria should be performed in the context of symptomatic sterile leukocyturia, chronic urethritis and suspected hyperactive bladder or interstitial cystitis/painful bladder syndrome. Symptomatic women should be treated strictly according to results of the antibiogram. Georg Thieme Verlag KG 2017-12 2017-12-18 /pmc/articles/PMC5734936/ /pubmed/29269957 http://dx.doi.org/10.1055/s-0043-119687 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Combaz-Söhnchen, Nina Kuhn, Annette A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology |
title | A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology |
title_full | A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology |
title_fullStr | A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology |
title_full_unstemmed | A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology |
title_short | A Systematic Review of Mycoplasma and Ureaplasma in Urogynaecology |
title_sort | systematic review of mycoplasma and ureaplasma in urogynaecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734936/ https://www.ncbi.nlm.nih.gov/pubmed/29269957 http://dx.doi.org/10.1055/s-0043-119687 |
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