Extravaginal reservoirs of vaginal bacteria as risk factors for incident bacterial vaginosis.

Marrazzo, Jeanne M.; Fiedler, Tina L.; Srinivasan, Sujatha; Thomas, Katherine K.; Liu, Congzhou; Ko, Daisy; Xie, Hu; Saracino, Misty; Fredricks, David N.

doi:10.1093/infdis/jis242

Cited by 123Reproductive tract infections researchGut microbiota and healthCervical Cancer and HPV Research

Extravaginal reservoirs of vaginal bacteria as risk factors for incident bacterial vaginosis.

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Marrazzo, Jeanne M., Fiedler, Tina L., Srinivasan, Sujatha, Thomas, Katherine K., Liu, Congzhou, Ko, Daisy, Xie, Hu, Saracino, Misty +1 more·2012·The Journal of Infectious Diseases

DOI 10.1093/infdis/jis242PMC PMC3415820

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Abstract

BACKGROUND: Bacterial vaginosis (BV) represents shifts in microbiota from Lactobacillus spp. to diverse anaerobes. Although antibiotics relieve symptoms and temporarily eradicate BV-associated bacteria (BVAB), BV usually recurs. We investigated the role of extravaginal BVAB reservoirs in recurrence. METHODS: Risks for BV acquisition over the course of 1 year were defined. DNA in vaginal, anal, and oral swab samples from enrollment was subjected to quantitative polymerase chain reaction assays targeting 16S ribosomal RNA genes of Gardnerella vaginalis, Lactobacillus crispatus, BVAB1, BVAB2, BVAB3, Megasphaera spp., Lactobacillus jensenii, and Leptotrichia/Sneathia spp. A case-control approach analyzed BVAB detection at enrollment for case patients (BV acquisition) versus controls (none). RESULTS: Of 239 women enrolled without BV, 199 were seen in follow-up, and 40 experienced BV; 15 had all samples for analysis. Detection of G. vaginalis in oral cavity or anal samples and Leptotrichia/Sneathia spp. in anal samples was more common at enrollment among case patients, who also had higher concentrations of these bacteria and Megasphaera relative to 30 controls at each site. In contrast, L. crispatus was detected more frequently in anal samples among controls. CONCLUSIONS: Women who acquire BV are more likely have previous colonization of extravaginal reservoirs with some BVAB, and less likely to have L. crispatus, suggesting that BVAB may be acquired vaginally from extravaginal reservoirs.

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Within a community-based cohort of WSW, extravaginal (i.e., oral and rectal) reservoirs of BV-associated bacteria were a risk factor for incident BV.
“Within a community-based cohort of WSW, extravaginal (i.e., oral and rectal) reservoirs of BV-associated bacteria were a risk factor for incident BV (316).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [316]

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Authors: Marrazzo, J. M., Fiedler, T. L., Srinivasan, S., Thomas, K. K., Liu, C., Ko, D., Xie, H., Saracino, M., & Fredricks, D. N.
Affiliations: University of Washington (US)
Fred Hutch Cancer Center (US)
Corresponding author: Marrazzo, Jeanne M.
ORCID: Marrazzo, Jeanne M.
Fiedler, Tina L.
Srinivasan, Sujatha
Thomas, Katherine K.
Liu, Congzhou
Ko, Daisy
Xie, Hu
Fredricks, David N.
Venue: The Journal of Infectious Diseases
Publisher: Oxford University Press (OUP)
Published: 2012-03-23
Volume: 205
Issue: 10
Pages: 1580-1588
ISSN: 0022-1899 (ISSN-L)
1537-6613
DOI: 10.1093/infdis/jis242
PMC: PMC3415820
OpenAlex: W2139092047
Cited by: 123
References: 36
Citations by year: 2026: 6 · 2025: 7 · 2024: 10 · 2023: 8 · 2022: 5 · 2021: 14 · 2020: 12 · 2019: 10 · 2018: 6 · 2017: 9 · 2016: 8 · 2015: 3 · 2014: 9 · 2013: 9 · 2012: 6
FWCI: 7.47
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: The Journal of Infectious Diseases (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Cancer Institute (P30CA015704)
National Institute of Allergy and Infectious Diseases (R01AI052228, R01AI061628, R01 AI 52228-01)
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
Keywords: bacterial vaginosis, Gardnerella vaginalis, Megasphaera, Lactobacillus crispatus, Lactobacillus jensenii, vaginal microbiota
MeSH terms: Adolescent, Adult, Anal Canal, Bacteria, Disease Reservoirs, DNA, Bacterial, Female, Follow-Up Studies, Gardnerella vaginalis, Humans, Lactobacillus, Mouth, Risk Factors, RNA, Ribosomal, 16S, Cohort Studies, Case-Control Studies, Vaginosis, Bacterial, Leptotrichia, Megasphaera, Metagenome, Young Adult

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Extravaginal reservoirs of vaginal bacteria as risk factors for incident bacterial vaginosis.

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