Vulvovaginal infection is the most common gynecologic problem encountered in the United States in primary care resulting
in more than 10 million offi
ce visits per year.It has been reported that more than 23% of women of childbearing age are
ected by bacterial vaginosis. What is the state of the ar
t regarding the knowledge and treatment of this condition?
e microbial fl
ora that colonize the vagina play an important role in maintaining vaginal health, preventing vaginal
infections and averting intrauterine infections.
erent methods have been used to identify the vaginal microfl
Recently the advent of qPCR has made that identifi
cation not only increasingly reliable, but also aff
ora is dominated by lactobacillus; they contribute to the acidifi
cation of the vaginal milieu by producing lactic acid and
hydrogen peroxide. We have acquired more information regarding the physiology and pathophysiology of this microfl
Additionally we have made substantial progress in the un
derstanding of vaginal immunity and now have additional
understanding about why lactobacilli do not protect the vagina from fungal infections.
An alteration of the vaginal microfl
ora with overpopulation of anaerobic bacteria and lactobacilli depletion is the ingredient
to develop bacterial vaginosis. In recent ti
mes it was reported the formation of biofi
lm by those anaerobic bacterial population.
e purpose of this presentation is to discuss these 3 new important fi
ndings. Furthermore, we would like to update the
audience regarding the implications for prevention and manage
ment of vaginal infections in
cluding bacterial vaginosis and
Dr. Gary ventolini graduated medical school from the university of padova in Italy. He completed Residency training in family p ractice and obstetrics & gynecology in the USA later becoming a fellow of both Organizations. He has been professor and chair of the obstetrics and gyne cology department at Wright State university, Dayton, Ohio, .since his appointment in 2006.he has published over 60 papers in peer Reviewed journ als and more than 10 manuscripts in journals as per editors requests. He has presented more than 50 abstracts at national and international meeti ngs and has authored several book chapters, books and manuals.
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