Journal of Probiotics & Health
Open Access

Probiotics in the management of bacterial vaginosis

Joint Event on International Conference on Probiotics and Prebiotics & 2^nd Annual Conference on Microbes and Beneficial Microbes

October 31- November 01, 2018 | San Francisco, USA

Arthur C Ouwehand

Danisco, Finland

Keynote: J Prob Health

Abstract :

Bacterial vaginosis (BV) is a common condition that affects most women at some stage. BV is characterised by reduced levels of vaginal lactobacilli and an over growth of e.g. Gardnerella vaginalis and Atopobium vaginae. This imbalance is used in diagnosis with the so-called Nugent-score. Probiotic lactobacilli have been investigated as an adjunct to antibiotic treatment and shown to be successful. However, most studies have investigated the effect of vaginally applied probiotics. Here, I report on the oral use of probiotics in BV. Two-week consumption of a combination of Lactobacillus rhamnosus HN001 and Lactobacillus acidophilus La-14 by healthy women, resulted in vaginal colonisation in 85% of the women. Interestingly, colonisation still increased in the week after consumption was stopped. In vitro studies have shown that both strains and in particular L. acidophilus La-14 produce hydrogen peroxide; an important antimicrobial involved in the stabilisation of a healthy vaginal microbiota. Both strains were also shown to inhibit the growth of G. vaginalis and A. vaginae in vitro and prevented experimental vaginosis in mice. In a subsequent human study, 40 women with borderline BV, as judged by Nugent-score of 4-6 and vaginal symptoms were randomised to receive either probiotic treatment or placebo for 15 days. In the probiotic group, Nugent-score improved to below 3 (no BV) with no change in the placebo group. Symptoms of itching and vaginal discharge also improved significantly in the probiotic group. The combination of L. acidophilus La-14 and L. rhamnosus HN001 is beneficial in the management of BV.

Biography :

Arthur C Ouwehand received his B.Sc. in Biology and Chemistry in Utrecht (the Netherlands) 1987, his M.Sc. degree (1992) in cell biology from Wageningen University (the Netherlands) and his Ph.D. degree (1996) in Microbiology from Göteborg University (Sweden). Since 1999 he is Adjunct Professor in Applied Microbiology at the Turku University (Finland) and since 2004 he has been working for Danisco; now DuPont Nutrition and Health. He is the author of more than 250 journal articles and book chapters; he is the Editor of four books on lactic acid bacteria and the intestinal microbiota and co-inventor on 15 approved patents.

E-mail: arthur.ouwehand@dupont.com