The Complex Vaginal Flora of West African Women with Bacterial Vaginosis
Publication Date
September 20, 2011
Journal
PLOS ONE
Authors
Jacques Pépin, Sylvie Deslandes, Geneviève Giroux, François Sobéla, et al
Volume
6
Issue
9
Pages
e25082
DOI
https://dx.plos.org/10.1371/journal.pone.0025082
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0025082
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/21949860
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176826
Europe PMC
http://europepmc.org/abstract/MED/21949860
Web of Science
000295260400046
Scopus
80052918665
Mendeley
http://www.mendeley.com/research/complex-vaginal-flora-west-african-women-bacterial-vaginosis-4
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Mendeley | Further Information

{"title"=>"The complex vaginal flora of West African women with bacterial vaginosis", "type"=>"journal", "authors"=>[{"first_name"=>"Jacques", "last_name"=>"Pépin", "scopus_author_id"=>"35407431300"}, {"first_name"=>"Sylvie", "last_name"=>"Deslandes", "scopus_author_id"=>"6701674331"}, {"first_name"=>"Geneviève", "last_name"=>"Giroux", "scopus_author_id"=>"53163753300"}, {"first_name"=>"François", "last_name"=>"Sobéla", "scopus_author_id"=>"17339803400"}, {"first_name"=>"Nzambi", "last_name"=>"Khonde", "scopus_author_id"=>"6602976545"}, {"first_name"=>"Soumaila", "last_name"=>"Diakité", "scopus_author_id"=>"20033544800"}, {"first_name"=>"Sophie", "last_name"=>"Demeule", "scopus_author_id"=>"50660967400"}, {"first_name"=>"Annie Claude", "last_name"=>"Labbé", "scopus_author_id"=>"7005035855"}, {"first_name"=>"Nathalie", "last_name"=>"Carrier", "scopus_author_id"=>"6506530589"}, {"first_name"=>"Eric", "last_name"=>"Frost", "scopus_author_id"=>"7102602446"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"80052918665", "pmid"=>"21949860", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pui"=>"362585439", "issn"=>"19326203", "scopus"=>"2-s2.0-80052918665", "doi"=>"10.1371/journal.pone.0025082"}, "id"=>"76463028-3a50-309c-a2ae-d639061c8f1b", "abstract"=>"BACKGROUND: The spectrum of bacteria associated with bacterial vaginosis (BV) has recently expanded through taxonomic changes and the use of molecular methods. These methods have yet to be used in large-scale epidemiological studies in Africa where BV is highly prevalent.\\n\\nMETHODS: An analysis of samples obtained during a clinical trial of the management of vaginal discharge in four West African countries. Samples were available from 1555 participants; 843 (54%) had BV. Nucleic acids of 13 bacterial genera or species potentially associated with BV were detected through the polymerase chain reaction.\\n\\nRESULTS: The associations between various components of the vaginal flora were complex. Excluding Lactobacillus, the other 12 micro-organisms were all associated with each other at the p≤0.001 level. The prevalence of various bacterial genera or species varied according to age, sexual activity and HIV status. In multivariate analysis, the presence of Gardnerella vaginalis, Bifidobacterium, Megasphaera elsdenii, Dialister, Mycoplasma hominis, Leptotrichia, and Prevotella were independently associated with BV as was the absence of Lactobacillus and Peptoniphilus. However, Mobiluncus, Atopobium vaginae, Anaerococcus, and Eggerthella were not independently associated with BV. Unexpectedly, after treatment with a regimen that included either metronidazole or tinidazole, the proportion of patients with a complete resolution of symptoms by day 14 increased with the number of bacterial genera or species present at enrolment.\\n\\nCONCLUSIONS: Numerous bacterial genera or species were strongly associated with each other in a pattern that suggested a symbiotic relationship. BV cases with a simpler flora were less likely to respond to treatment. Overall, the vaginal flora of West African women with BV was reminiscent of that of their counterparts in industrialized countries.", "link"=>"http://www.mendeley.com/research/complex-vaginal-flora-west-african-women-bacterial-vaginosis-4", "reader_count"=>26, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Student > Doctoral Student"=>3, "Researcher"=>5, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Student > Master"=>8, "Student > Bachelor"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Student > Doctoral Student"=>3, "Researcher"=>5, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>2, "Student > Master"=>8, "Student > Bachelor"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Engineering"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>1, "Agricultural and Biological Sciences"=>9, "Medicine and Dentistry"=>8, "Veterinary Science and Veterinary Medicine"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>8}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>9}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>3}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Ireland"=>1, "South Africa"=>1}, "group_count"=>1}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/733130"], "description"=>"1<p>Correlation coefficients (<i>phi</i>) were used to measure associations between dichotomic variables and are displayed in the table. All correlations had p-values <0.001, excepted LA-ME (0.002), LA-AN (0.03), LA-DI (0.07), LA-PR (0.10), and LA-MH (0.43).</p><p>Note: GV: <i>Gardnerella vaginalis</i>; AV: <i>Atopobium vaginae</i>; MH: <i>Mycoplasma hominis</i>;</p><p>PR: <i>Prevotella</i>; MO: <i>Mobiluncus</i>; LE: <i>Leptotrichia</i>; ME: <i>Megasphaera elsdenii</i>;</p><p>EG: <i>Eggerthella</i>; DI: <i>Dialister</i> (DI); BI <i>Bifidobacterium</i> (BI); AN: <i>Anaerococcus</i>; PE <i>Peptoniphilus</i> other than <i>lacrimalis</i>; LA: <i>Lactobacillus</i> (LA).</p>", "links"=>[], "tags"=>["bacterial"], "article_id"=>403477, "categories"=>["Cancer", "Mathematics", "Infectious Diseases"], "users"=>["Jacques Pepin", "Sylvie Deslandes", "Geneviève Giroux", "François Sobéla", "Nzambi Khonde", "Soumaila Diakité", "Sophie Demeule", "Annie-Claude Labbé", "Nathalie Carrier", "Eric Frost"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025082.t001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Associations_between_various_bacterial_species_and_genera_1_/403477", "title"=>"Associations between various bacterial species and genera.<sup>1</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-09-20 00:57:57"}
  • {"files"=>["https://ndownloader.figshare.com/files/370256", "https://ndownloader.figshare.com/files/370327", "https://ndownloader.figshare.com/files/370377", "https://ndownloader.figshare.com/files/370438", "https://ndownloader.figshare.com/files/370508", "https://ndownloader.figshare.com/files/370561", "https://ndownloader.figshare.com/files/370615", "https://ndownloader.figshare.com/files/370665", "https://ndownloader.figshare.com/files/370718", "https://ndownloader.figshare.com/files/370772"], "description"=>"<div><h3>Background</h3><p>The spectrum of bacteria associated with bacterial vaginosis (BV) has recently expanded through taxonomic changes and the use of molecular methods. These methods have yet to be used in large-scale epidemiological studies in Africa where BV is highly prevalent.</p> <h3>Methods</h3><p>An analysis of samples obtained during a clinical trial of the management of vaginal discharge in four West African countries. Samples were available from 1555 participants; 843 (54%) had BV. Nucleic acids of 13 bacterial genera or species potentially associated with BV were detected through the polymerase chain reaction.</p> <h3>Results</h3><p>The associations between various components of the vaginal flora were complex. Excluding <em>Lactobacillus</em>, the other 12 micro-organisms were all associated with each other at the p≤0.001 level. The prevalence of various bacterial genera or species varied according to age, sexual activity and HIV status. In multivariate analysis, the presence of <em>Gardnerella vaginalis</em>, <em>Bifidobacterium</em>, <em>Megasphaera elsdenii</em>, <em>Dialister</em>, <em>Mycoplasma hominis</em>, <em>Leptotrichia</em>, and <em>Prevotella</em> were independently associated with BV as was the absence of <em>Lactobacillus</em> and <em>Peptoniphilus</em>. However, <em>Mobiluncus</em>, <em>Atopobium vaginae</em>, <em>Anaerococcus</em>, and <em>Eggerthella</em> were not independently associated with BV. Unexpectedly, after treatment with a regimen that included either metronidazole or tinidazole, the proportion of patients with a complete resolution of symptoms by day 14 increased with the number of bacterial genera or species present at enrolment.</p> <h3>Conclusions</h3><p>Numerous bacterial genera or species were strongly associated with each other in a pattern that suggested a symbiotic relationship. BV cases with a simpler flora were less likely to respond to treatment. Overall, the vaginal flora of West African women with BV was reminiscent of that of their counterparts in industrialized countries.</p> </div>", "links"=>[], "tags"=>["vaginal", "flora", "african", "women", "bacterial", "vaginosis"], "article_id"=>133155, "categories"=>["Cancer", "Mathematics"], "users"=>["Jacques Pepin", "Sylvie Deslandes", "Geneviève Giroux", "François Sobéla", "Nzambi Khonde", "Soumaila Diakité", "Sophie Demeule", "Annie-Claude Labbé", "Nathalie Carrier", "Eric Frost"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0025082.s001", "https://dx.doi.org/10.1371/journal.pone.0025082.s002", "https://dx.doi.org/10.1371/journal.pone.0025082.s003", "https://dx.doi.org/10.1371/journal.pone.0025082.s004", "https://dx.doi.org/10.1371/journal.pone.0025082.s005", "https://dx.doi.org/10.1371/journal.pone.0025082.s006", "https://dx.doi.org/10.1371/journal.pone.0025082.s007", "https://dx.doi.org/10.1371/journal.pone.0025082.s008", "https://dx.doi.org/10.1371/journal.pone.0025082.s009", "https://dx.doi.org/10.1371/journal.pone.0025082.s010"], "stats"=>{"downloads"=>35, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/The_Complex_Vaginal_Flora_of_West_African_Women_with_Bacterial_Vaginosis/133155", "title"=>"The Complex Vaginal Flora of West African Women with Bacterial Vaginosis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2011-09-20 00:52:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/733215"], "description"=>"1<p>≤0.001.</p>2<p>≤0.05.</p>3<p>other than <i>lacrimalis</i>.</p><p>Results presented are the adjusted odds ratios with their 95% confidence intervals. More detailed data are available in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0025082#pone.0025082.s003\" target=\"_blank\">Tables S3</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0025082#pone.0025082.s004\" target=\"_blank\">S4</a>, <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0025082#pone.0025082.s005\" target=\"_blank\">S5</a>, and S6.</p>", "links"=>[], "tags"=>["bacterial", "genera"], "article_id"=>403564, "categories"=>["Cancer", "Mathematics", "Infectious Diseases"], "users"=>["Jacques Pepin", "Sylvie Deslandes", "Geneviève Giroux", "François Sobéla", "Nzambi Khonde", "Soumaila Diakité", "Sophie Demeule", "Annie-Claude Labbé", "Nathalie Carrier", "Eric Frost"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025082.t002", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Correlates_of_colonization_infection_with_various_bacterial_genera_or_species_/403564", "title"=>"Correlates of colonization/infection with various bacterial genera or species.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-09-20 00:59:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/733167"], "description"=>"1<p>≤0.001.</p>2<p>≤0.05.</p>", "links"=>[], "tags"=>["bacterial", "vaginosis", "univariate"], "article_id"=>403514, "categories"=>["Cancer", "Mathematics", "Infectious Diseases"], "users"=>["Jacques Pepin", "Sylvie Deslandes", "Geneviève Giroux", "François Sobéla", "Nzambi Khonde", "Soumaila Diakité", "Sophie Demeule", "Annie-Claude Labbé", "Nathalie Carrier", "Eric Frost"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025082.t003", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Correlates_of_bacterial_vaginosis_in_univariate_analyses_/403514", "title"=>"Correlates of bacterial vaginosis in univariate analyses.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-09-20 00:58:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/733250"], "description"=>"1<p>≤0.001.</p>2<p>≤0.05.</p>", "links"=>[], "tags"=>["bacterial", "vaginosis", "multivariate"], "article_id"=>403599, "categories"=>["Cancer", "Mathematics", "Infectious Diseases"], "users"=>["Jacques Pepin", "Sylvie Deslandes", "Geneviève Giroux", "François Sobéla", "Nzambi Khonde", "Soumaila Diakité", "Sophie Demeule", "Annie-Claude Labbé", "Nathalie Carrier", "Eric Frost"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025082.t004", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Correlates_of_bacterial_vaginosis_Nugent_score_8805_7_in_multivariate_analysis_/403599", "title"=>"Correlates of bacterial vaginosis (Nugent score ≥7) in multivariate analysis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-09-20 00:59:59"}

PMC Usage Stats | Further Information

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Relative Metric

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