Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)

The article presents literature data on modern approaches to diagnosis and treatment of vaginal dysbiosis caused by fungi of the genus Candida and personal data on the effectiveness of vaginal dysbiosis treatment in women with recurrent miscarriage occurring in ART cycles by combined local therapy w...

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Main Authors: O. M. Nosenko, K. P. Golovatyuk
Format: Article
Language:English
Published: Kazimierz Wielki University 2017-06-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/24042
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author O. M. Nosenko
K. P. Golovatyuk
author_facet O. M. Nosenko
K. P. Golovatyuk
author_sort O. M. Nosenko
collection DOAJ
description The article presents literature data on modern approaches to diagnosis and treatment of vaginal dysbiosis caused by fungi of the genus Candida and personal data on the effectiveness of vaginal dysbiosis treatment in women with recurrent miscarriage occurring in ART cycles by combined local therapy with sertaconazole and povidone-iodine. 240 patients of reproductive age with habitual miscarriage of pregnancy after ART and 30 conditionally healthy fertile women were examined. The state of vaginal microbiota was studied using PCR and culture. It were carried out a species identification of the fungi of the genus Candida and their susceptibility to antimycotics. It has been established that among women with a recurrent miscarriage after cycles of ART that repeatedly receive antibacterial therapy in preparation in the ART cycles and after abortion, in the vaginal microbiota Vaginal dysbiosis was observed in 54.58% of the cases, in which increased colonization by bacterial-fungal associates was noted in 67.18% of individuals. The authors prove that Sertaconazole in combination with povidone iodine is a highly effective regimen of vaginal microbiota normalization in patients with ART with a recurrent miscarriage, even in individuals with the development of cross-resistance to antimycotic therapy.
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spelling doaj.art-621e6a33c21249b7b586d23909584ee82022-12-22T02:35:14ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062017-06-0176Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)O. M. Nosenko0K. P. Golovatyuk1Odessa National Medical UniversityOdessa National Medical UniversityThe article presents literature data on modern approaches to diagnosis and treatment of vaginal dysbiosis caused by fungi of the genus Candida and personal data on the effectiveness of vaginal dysbiosis treatment in women with recurrent miscarriage occurring in ART cycles by combined local therapy with sertaconazole and povidone-iodine. 240 patients of reproductive age with habitual miscarriage of pregnancy after ART and 30 conditionally healthy fertile women were examined. The state of vaginal microbiota was studied using PCR and culture. It were carried out a species identification of the fungi of the genus Candida and their susceptibility to antimycotics. It has been established that among women with a recurrent miscarriage after cycles of ART that repeatedly receive antibacterial therapy in preparation in the ART cycles and after abortion, in the vaginal microbiota Vaginal dysbiosis was observed in 54.58% of the cases, in which increased colonization by bacterial-fungal associates was noted in 67.18% of individuals. The authors prove that Sertaconazole in combination with povidone iodine is a highly effective regimen of vaginal microbiota normalization in patients with ART with a recurrent miscarriage, even in individuals with the development of cross-resistance to antimycotic therapy. https://apcz.umk.pl/JEHS/article/view/24042vaginal dysbiosiscandidiasisARTmiscarriagesertaconazolepovidone-iodine.
spellingShingle O. M. Nosenko
K. P. Golovatyuk
Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)
Journal of Education, Health and Sport
vaginal dysbiosis
candidiasis
ART
miscarriage
sertaconazole
povidone-iodine.
title Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)
title_full Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)
title_fullStr Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)
title_full_unstemmed Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)
title_short Complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment (ART)
title_sort complex treatment of vaginal dysbiosis in women with recurrent miscarriage in assisted reproductive treatment art
topic vaginal dysbiosis
candidiasis
ART
miscarriage
sertaconazole
povidone-iodine.
url https://apcz.umk.pl/JEHS/article/view/24042
work_keys_str_mv AT omnosenko complextreatmentofvaginaldysbiosisinwomenwithrecurrentmiscarriageinassistedreproductivetreatmentart
AT kpgolovatyuk complextreatmentofvaginaldysbiosisinwomenwithrecurrentmiscarriageinassistedreproductivetreatmentart