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Lactobacilli-dominated cervical microbiota in women with preterm prelabor rupture of membranes
M. Kacerovsky, L. Pliskova, R. Bolehovska, R. Gerychova, P. Janku, P. Matlak, O. Simetka, T. Faist, J. Mls, P. Vescicik, H. Zemlickova, B. Jacobsson, I. Musilova
Language English Country United States
Document type Journal Article, Research Support, Non-U.S. Gov't
Grant support
NV16-28587A
MZ0
CEP Register
Digital library NLK
Full text - Article
NLK
Free Medical Journals
from 1967 to 1 year ago
ProQuest Central
from 2016-01-01 to 1 year ago
Health & Medicine (ProQuest)
from 2016-01-01 to 1 year ago
Public Health Database (ProQuest)
from 2016-01-01 to 1 year ago
- MeSH
- Amniocentesis methods MeSH
- Cervix Uteri microbiology MeSH
- Chlamydia trachomatis MeSH
- Chorioamnionitis microbiology MeSH
- Lactobacillus crispatus * MeSH
- Lactobacillus * MeSH
- Humans MeSH
- Microbiota MeSH
- Mycoplasma hominis MeSH
- Infant, Newborn MeSH
- Amniotic Fluid microbiology MeSH
- Obstetric Labor, Premature MeSH
- Fetal Membranes, Premature Rupture microbiology MeSH
- Retrospective Studies MeSH
- Pregnancy MeSH
- Ureaplasma MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
BACKGROUND: To determine the association between microbial invasion of the amniotic cavity (MIAC) and the presence of Lactobacillus crispatus- or Lactobacillus iners-dominated cervical microbiota in pregnancies with preterm prelabor rupture of membrane. Next, to assess the relationship between the presence of L. crispatus- or L. iners-dominated cervical microbiota and short-term neonatal morbidity. METHOD: A total of 311 women were included. Cervical samples were obtained using a Dacron polyester swab and amniotic fluid samples were obtained by transabdominal amniocentesis. Bacterial DNA, L. crispatus, and L. iners in the cervical samples were assessed by PCR. Cervical microbiota was assigned as L. crispatus- or L. iners-dominated when the relative abundance of L. crispatus or L. iners was ≥50% of the whole cervical microbiota, respectively. RESULTS: Women with MIAC showed a lower rate of L. crispatus-dominated cervical microbiota (21% vs. 39%; p = 0.003) than those without MIAC. Lactobacillus crispatus-dominated cervical microbiota was associated with a lower rate of early-onset sepsis (0% vs. 5%; p = 0.02). CONCLUSIONS: The presence of L. crispatus-dominated cervical microbiota in women with preterm prelabor rupture of membrane was associated with a lower risk of intra-amniotic complications and subsequent development of early-onset sepsis of newborns.
Biomedical Research Center University Hospital Hradec Kralove Hradec Kralove Czech Republic
Department of Obstetrics and Gynecology University Hospital Ostrava Ostrava Czech Republic
References provided by Crossref.org
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- $a Lactobacilli-dominated cervical microbiota in women with preterm prelabor rupture of membranes / $c M. Kacerovsky, L. Pliskova, R. Bolehovska, R. Gerychova, P. Janku, P. Matlak, O. Simetka, T. Faist, J. Mls, P. Vescicik, H. Zemlickova, B. Jacobsson, I. Musilova
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- $a BACKGROUND: To determine the association between microbial invasion of the amniotic cavity (MIAC) and the presence of Lactobacillus crispatus- or Lactobacillus iners-dominated cervical microbiota in pregnancies with preterm prelabor rupture of membrane. Next, to assess the relationship between the presence of L. crispatus- or L. iners-dominated cervical microbiota and short-term neonatal morbidity. METHOD: A total of 311 women were included. Cervical samples were obtained using a Dacron polyester swab and amniotic fluid samples were obtained by transabdominal amniocentesis. Bacterial DNA, L. crispatus, and L. iners in the cervical samples were assessed by PCR. Cervical microbiota was assigned as L. crispatus- or L. iners-dominated when the relative abundance of L. crispatus or L. iners was ≥50% of the whole cervical microbiota, respectively. RESULTS: Women with MIAC showed a lower rate of L. crispatus-dominated cervical microbiota (21% vs. 39%; p = 0.003) than those without MIAC. Lactobacillus crispatus-dominated cervical microbiota was associated with a lower rate of early-onset sepsis (0% vs. 5%; p = 0.02). CONCLUSIONS: The presence of L. crispatus-dominated cervical microbiota in women with preterm prelabor rupture of membrane was associated with a lower risk of intra-amniotic complications and subsequent development of early-onset sepsis of newborns.
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