The influence of probiotics on genital high-risk human papilloma virus clearance and quality of cervical smear: a randomized placebo-controlled trial

被引:50
作者
Ou, Yu-Che [1 ]
Fu, Hung-Chun [2 ,3 ]
Tseng, Chih-Wen [1 ]
Wu, Chen-Hsuan [2 ,3 ]
Tsai, Ching-Chou [2 ,3 ]
Lin, Hao [2 ,3 ]
机构
[1] Chia Yi Chang Gung Mem Hosp, Dept Obstet & Gynecol, Chiayi, Taiwan
[2] Kaohsiung Chang Gung Mem Hosp, Dept Obstet & Gynecol, 123 Ta Pei Rd, Kaohsiung 83301, Taiwan
[3] Chang Gung Univ, Coll Med, 123 Ta Pei Rd, Kaohsiung 83301, Taiwan
关键词
Lactobacillus rhamnosus; Lactobacillus reuteri; Human papilloma virus; Cervical smear; LACTOBACILLUS-RHAMNOSUS GR-1; LIQUID-BASED CYTOLOGY; REUTERI RC-14; PREGNANT-WOMEN; VIRAL LOAD; INFECTION; COLONIZATION; PERSISTENCE; TRACT; HPV16;
D O I
10.1186/s12905-019-0798-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundProbiotics has been shown to be effective in reducing vaginal colonization of pathogenic organisms. The aim of this study was to investigate the influence of probiotic strains Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 on genital high-risk human papilloma virus (HR-HPV) clearance and quality of cervical smear.MethodsThis was a randomized, double-blinded, placebo-controlled trial. Women with genital HR-HPV infection were randomized into study and control groups. A probiotic or placebo preparation was administered orally (one capsule daily) until negative HR-HPV testing. A cervical smear and HR-HPV tests were performed at the beginning of the study and every 3months thereafter until a negative result was obtained.ResultsA total of 121 women with genital HR-HPV infection were enrolled (62 in the study group and 59 in the control group). There was no significant difference in HR-HPV clearance rate between the two groups (58.1% vs. 54.2%). The only factor predicting HR-HPV clearance was a lower initial viral load (HR 3.214; 95% CI: 1.398, 7.392; p=0.006). Twenty-two women had a mildly abnormal initial cervical smear and nine had an unsatisfactory smear. At 6months follow-up, both mildly abnormal cervical smear and unsatisfactory smear rates had decreased significantly in the study group compared to the control group (p=0.017 and 0.027).ConclusionsThe application of probiotic strains Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 did not influence genital HR-HPV clearance, but may have decreased the rates of mildly abnormal and unsatisfactory cervical smears.
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