吸烟背景下条件致病性微生物对育龄妇女泌尿生殖系统感染的影响

O. Starishko, T. Turytska, Anastasia Ovcharenko
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摘要

目的:研究第聂伯罗地区育龄妇女泌尿生殖道微生物群的变化,这是由吸烟背景下的条条性致病微生物引起的。材料和方法:申请第聂伯罗地区检验医学PE“VIS-MEDIC”中心的患者的生物材料(从泌尿生殖道刮取)。我们分析了2018年至2021年期间被调查群体女性阴道微生物群的组成(年龄和吸烟的迹象)。为了在分析中使用,微生物群数据是使用Femoflor Screen测试系统获得的。结果。对研究结果的分析显示,妇女生殖道微生物群的组成依赖于烟草制品的使用。条件致病性微生物的指标有所增加。在生物材料样本中,人支原体水平升高的检出率在6- 8%之间变化,但没有在所有女性研究组中记录。在生物材料样品中检测到高水平解脲脲和细小脲的频率也有所增加,其值从9%到50%不等。结论。所获得的数据使我们能够评估烟草对妇女泌尿生殖道微生物群组成的影响,并使我们有可能在社会和预防工作措施中使用这些数据,作为一个无可争辩的事实来戒烟。因此,有必要进行进一步的研究,以确定在使用和不使用烟草制品的妇女炎症过程后,微生物在恢复微生物群组成中所起的作用。这些结果可能与炎性疾病的诊断、育龄妇女泌尿生殖道机会性病原体引起的过程、不孕症的潜在危险发生和发展以及吸烟背景的妇女的社会和预防工作的基础有关
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Urogenital infections of women of reproductive age caused by conditionally pathogenic microorganisms on the background of tobacco smoking
The aim: to study changes in the microbiota of the urogenital tract of women of reproductive age in the Dnipro region, which is caused by conditionally pathogenic microorganisms on the background of smoking. Material and methods: biomaterial of patients (scraping from the urogenital tract) who applied to the Center for Laboratory Medicine PE “VIS-MEDIC” in Dnipro region. We analyzed the components of the microbiota of the vagina of women of the surveyed groups (sign of age and smoking) in the period from 2018 to 2021. For the use in an analysis, microbiota data were obtained using the test system Femoflor Screen. Results. Analysis of the results of the study revealed the dependence of the composition of the microbiota of the reproductive tract of women on the use of tobacco products. An increase in indicators for conditionally pathogenic microorganisms was shown. The rate of detection of elevated levels of M. hominis in samples of biological material varied between 6-8 % but was not recorded in all study groups of women. There was also an increase in the frequency of detection of elevated levels of U. urealyticum, U. parvum in samples of biological material, the values of which ranged from 9 to 50 %. Conclusions. The obtained data allowed to assess the effect of tobacco on the composition of the microbiota of the urogenital tract of women and made it possible to use them in measures of social and preventive work, as an indisputable fact to quit smoking. Therefore, there is a need for further research to establish the role of microorganisms involved in restoring the composition of the microbiota after inflammatory processes in women who use and do not use tobacco products. The results may be relevant for the diagnosis of inflammatory diseases, processes caused by opportunistic pathogens of the urogenital tract of women of reproductive age, potentially dangerous occurrence and development of infertility and the basis for social and preventive work among women on the background of smoking
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