Document Detail


Influence of phenoxymethylpenicillin on the vaginal ecosystem.
MedLine Citation:
PMID:  1563656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effects of phenoxymethylpenicillin on the bacterial flora of the vagina were investigated in 6 women who fulfilled the criteria of 'normality': predominance of lactobacilli, and absence of Enterobacteriaceae and fungi. Fourteen healthy women were enrolled and followed longitudinally; 8 of these were subsequently excluded because of divergence from normality. Following penicillin treatment, Gram-negative rods appeared in 4 of the remaining 6 women, and in 1 subject heavy growth of Candida albicans resulted. In 5 of the women there was no change in the lactobacillus count and a rise in pH was found in 4 subjects. In 1 woman, lactobacilli disappeared completely and were replaced by Escherichia coli. Concomitantly, high concentrations of endotoxins were found in the vaginal fluid. Treatment with penicillin may interfere with the normal vaginal bacterial flora and provide an environment favorable for Enterobacteriaceae and fungi.
Authors:
I Sjöberg; E Grahn; S Håkansson; S E Holm
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Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  33     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1992  
Date Detail:
Created Date:  1992-05-19     Completed Date:  1992-05-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  42-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University Hospital, Umeå, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Candida albicans / drug effects*,  growth & development,  isolation & purification,  pathogenicity
Candidiasis, Vulvovaginal / etiology*
Colony Count, Microbial
Drug Resistance, Microbial
Ecology
Escherichia coli / drug effects*,  growth & development,  isolation & purification,  pathogenicity
Escherichia coli Infections / etiology*
Female
Humans
Lactobacillus / drug effects*,  growth & development,  isolation & purification
Penicillin V / administration & dosage,  pharmacology*
Time Factors
Vagina / drug effects,  microbiology*
Chemical
Reg. No./Substance:
87-08-1/Penicillin V

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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