Современные подходы и направления антимикробной терапии бактериального вагиноза

Клиническая Микробиология и Антимикробная Химиотерапия. 2009; 11(3):196-210

​ Решетько О.В., Луцевич К.А.
бактериальный вагиноз рецидив преждевременные роды антимикробная терапия
Раздел
Болезни и возбудители
Тип
Журнальная статья
Публикация
Клиническая Микробиология и Антимикробная Химиотерапия. 2009; 11(3):196-210

Аннотация

Оценка эффективности режимов антимикробной терапии у женщин с бактериальным вагинозом (БВ) как вне беременности, так и во время беременности остается сложной задачей из­за вариабельности критериев диагностики и излеченности, используемых в клинических исследованиях. Данная статья представляет собой обзор исследований по применению различных режимов местной и системной терапии БВ. Показано, что антибактериальная терапия у женщин с БВ значительно уменьшает риск персистирования инфекции по сравнению с плацебо. В статье обсуждается поиск специфических режимов лечения рецидивов БВ, а также эффективность применения пробиотиков при данном состоянии. Рассматривается взаимосвязь между БВ и риском гинекологических и акушерских осложнений, а также связанная с этим необходимость лечения женщин с бессимптомным течением БВ. В то же время результаты лечения БВ у беременных с целью уменьшения риска преждевременных родов остаются противоречивыми.

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