Vaginite

Em gestantes, a vaginose bacteriana e a tricomoníase têm sido associadas a partos prematuros.[61]Svare JA, Schmidt H, Hansen BB, et al. Bacterial vaginosis in a cohort of Danish pregnant women: prevalence and relationship with preterm delivery, low birthweight and perinatal infections. BJOG. 2006 Dec;113(12):1419-25. http://www.ncbi.nlm.nih.gov/pubmed/17010117?tool=bestpractice.com [62]McGregor JA, French JI, Parker R, et al. Prevention of premature birth by screening and treatment for common genital tract infections: results of a prospective controlled evaluation. Am J Obstet Gynecol. 1995 Jul;173(1):157-67. http://www.ncbi.nlm.nih.gov/pubmed/7631673?tool=bestpractice.com Entretanto, as recomendações atuais não aconselham rastreamento de rotina para vaginose bacteriana em gestantes com risco de parto prematuro.[63]US Preventive Services Task Force. Screening for bacterial vaginosis in pregnancy to prevent preterm delivery: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2008 Feb 5;148(3):214-9. http://annals.org/aim/fullarticle/739245/screening-bacterial-vaginosis-pregnancy-prevent-preterm-delivery-u-s-preventive http://www.ncbi.nlm.nih.gov/pubmed/18252683?tool=bestpractice.com [64]Brocklehurst P, Gordon A, Heatley E, et al. Antibiotics for treating bacterial vaginosis in pregnancy. Cochrane Database Syst Rev. 2013 Jan 31;(1):CD000262. http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD000262.pub4/full http://www.ncbi.nlm.nih.gov/pubmed/23440777?tool=bestpractice.com

Parto prematuro

Em gestantes, a vaginose bacteriana e a tricomoníase têm sido associadas à ruptura prematura de membranas.[62]McGregor JA, French JI, Parker R, et al. Prevention of premature birth by screening and treatment for common genital tract infections: results of a prospective controlled evaluation. Am J Obstet Gynecol. 1995 Jul;173(1):157-67. http://www.ncbi.nlm.nih.gov/pubmed/7631673?tool=bestpractice.com

Em gestantes, a vaginose bacteriana e a tricomoníase têm sido associadas a baixo peso ao nascer.[61]Svare JA, Schmidt H, Hansen BB, et al. Bacterial vaginosis in a cohort of Danish pregnant women: prevalence and relationship with preterm delivery, low birthweight and perinatal infections. BJOG. 2006 Dec;113(12):1419-25. http://www.ncbi.nlm.nih.gov/pubmed/17010117?tool=bestpractice.com [62]McGregor JA, French JI, Parker R, et al. Prevention of premature birth by screening and treatment for common genital tract infections: results of a prospective controlled evaluation. Am J Obstet Gynecol. 1995 Jul;173(1):157-67. http://www.ncbi.nlm.nih.gov/pubmed/7631673?tool=bestpractice.com

A vaginose bacteriana aumenta os riscos de infecções por Neisseria gonorrhoeae, HIV, Chlamydia trachomatis e vírus do herpes simples 2; a tricomoníase aumenta o risco de aquisição de HIV-1 em 1.52 vezes.[4]Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021 Jul 23;70(4):1-187. https://www.doi.org/10.15585/mmwr.rr7004a1 http://www.ncbi.nlm.nih.gov/pubmed/34292926?tool=bestpractice.com [65]St John E, Mares D, Spear GT. Bacterial vaginosis and host immunity. Curr HIV/AIDS Rep. 2007 Feb;4(1):22-8. http://www.ncbi.nlm.nih.gov/pubmed/17338857?tool=bestpractice.com [66]McClelland RS, Sangaré L, Hassan WM, et al. Infection with Trichomonas vaginalis increases the risk of HIV-1 acquisition. J Infect Dis. 2007 Mar 1;195(5):698-702. https://academic.oup.com/jid/article/195/5/698/843132 http://www.ncbi.nlm.nih.gov/pubmed/17262712?tool=bestpractice.com

Visão geral do vírus da imunodeficiência humana (HIV)