A pilot study evaluating the safety and effectiveness of Lactobacillus vaginal suppositories in patients with recurrent urinary tract infection

被引:63
作者
Uehara, Shinya
Monden, Koichi
Nomoto, Koji
Seno, Yuko
Kariyama, Reiko
Kumon, Hiromi
机构
[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Urol, Okayama 7008558, Japan
[2] Yakult Cent Inst Microbiol Res, Kunitachi, Tokyo 1868650, Japan
关键词
probiotics; lactobacillus; urinary tract infections; vaginal suppositories;
D O I
10.1016/j.ijantimicag.2006.05.008
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Changes in the indigenous vaginal microflora with uropathogenic bacteria can predispose women to frequently recurring bacterial cystitis. Lactobacilli used as probiotics have played an important role in preventing the colonization of pathogenic bacteria in the vagina. A prospective clinical pilot study was performed to confirm the safety and effectiveness of Lactobacillus vaginal suppositories against the recurrence of bacterial urinary tract infection (UTI). The patients enrolled in the study were instructed to administer vaginal suppositories containing the strain Lactobacillus crispatus GAI 98322. A significant reduction in the number of recurrences was noted, without any adverse complication (P = 0.0007). The administration of vaginal suppositories containing L. crispatus GAI 98332 seemed to be a safe and promising treatment for the prevention of recurrent UTI. (c) 2006 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
引用
收藏
页码:S30 / S34
页数:5
相关论文
共 34 条
[1]   The identification of vaginal Lactobacillus species and the demographic and microbiologic characteristics of women colonized by these species [J].
Antonio, MAD ;
Hawes, SE ;
Hillier, SL .
JOURNAL OF INFECTIOUS DISEASES, 1999, 180 (06) :1950-1956
[2]  
Baerheim Anders, 1994, Scandinavian Journal of Primary Health Care, V12, P239, DOI 10.3109/02813439409029247
[3]   Factors associated with absence of H2O2-producing Lactobacillus among women with bacterial vaginosis [J].
Beigi, RH ;
Wiesenfeld, HC ;
Hillier, SL ;
Straw, T ;
Krohn, MA .
JOURNAL OF INFECTIOUS DISEASES, 2005, 191 (06) :924-929
[4]  
Bibel D, 1988, ASM NEWS, V54, P661
[5]   Current microbiological and clinical aspects of urinary tract infections [J].
Bonadio, M ;
Meini, M ;
Spitaleri, R ;
Gigli, C .
EUROPEAN UROLOGY, 2001, 40 (04) :439-444
[6]   BACTERIAL FLORA IN VAGINITIS - A STUDY BEFORE AND AFTER TREATMENT WITH PURE CULTURES OF DODERLEIN BACILLUS [J].
BUTLER, BC ;
BEAKLEY, JW .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1960, 79 (03) :432-440
[7]  
Colodner R, 2003, ISRAEL MED ASSOC J, V5, P767
[8]   PREVALENCE OF HYDROGEN PEROXIDE-PRODUCING LACTOBACILLUS SPECIES IN NORMAL WOMEN AND WOMEN WITH BACTERIAL VAGINOSIS [J].
ESCHENBACH, DA ;
DAVICK, PR ;
WILLIAMS, BL ;
KLEBANOFF, SJ ;
YOUNGSMITH, K ;
CRITCHLOW, CM ;
HOLMES, KK .
JOURNAL OF CLINICAL MICROBIOLOGY, 1989, 27 (02) :251-256
[9]  
GUPTA K, 1999, JAMA-J AM MED ASSOC, V281, P726
[10]   EXCLUSION OF UROPATHOGEN ADHESION TO POLYMER SURFACES BY LACTOBACILLUS-ACIDOPHILUS [J].
HAWTHORN, LA ;
REID, G .
JOURNAL OF BIOMEDICAL MATERIALS RESEARCH, 1990, 24 (01) :39-46