detection of fastidious vaginal bacteria in women with hiv infection and bacterial vaginosis
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ID: 224204
2009
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Abstract
Background. Fastidious bacteria have been associated with bacterial vaginosis (BV) using PCR methods. We assessed the prevalence of these bacteria in HIV-1 infected women and their relationship with vaginal pH and shedding of HIV-1 RNA. Methods. 64 cervicovaginal lavage (CVL) samples were collected from 51 women. Vaginal microbiota were characterized using 8 bacterium-specific quantitative PCR assays.
Results. Women with the fastidious bacteria Bacterial Vaginosis Associated Bacterium (BVAB) 1, 2, and 3 showed a trend to increased HIV-1 shedding (OR 2.59–3.07, P=.14–.17). Absence of Lactobacillus crispatus (P<.005) and presence of BVAB2 (P<.001) were associated with elevated vaginal pH. BVAB1, 2, and 3 were highly specific indicators of BV in HIV-infected women, with specificities of 89%–93%. Conclusions. Fastidious bacteria (BVAB 1, 2, and 3) remain specific indicators of BV in HIV-infected women, and BVAB2 may contribute to the elevated vaginal pH that is a hallmark of this syndrome.
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| Reference Key |
mitchell2009infectiousdetection
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|---|---|
| Authors | ;Caroline Mitchell;Carla Moreira;David Fredricks;Kathleen Paul;Angela M. Caliendo;Jaclynn Kurpewski;Jessica Ingersoll;Susan Cu-Uvin |
| Journal | rare earth coordination chemistry: fundamentals and applications |
| Year | 2009 |
| DOI |
10.1155/2009/236919
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| URL | |
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