Hunjak, Blaženka; Sabol, Ivan; Vojnović, Gordana; Fistonić, Ivan; Babić-Erceg, Andrea; Peršić, Zdenka; Grce, Magdalena (2014) Ureaplasma urealyticum and Ureaplasma parvum in women of reproductive age. Archives of Gynecology and Obstetrics, 289 (2). pp. 407-412. ISSN 0932-0067
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Abstract
Objestives were to determine the incidence of Ureaplasma urealyticum and Ureaplasma parvum (UP) in symptomatic and asymptomatic women of reproductive age and to estimate antibiotic susceptibility of ureaplasma isolates. This study included 424 ureaplasma positive women of 1, 370 tested women who visited gynecological practices during 2010. Cervicovaginal or urethral swab specimens from each patient were obtained for cultivation and molecular typing by RT-PCR. Ureaplasma spp. was identified by cultivation in 424 (34.4 %) cases, of which 79.0 % were from women with symptoms and 21.0 % from women without symptoms. Among ureaplasma positive women, 121 (28.5 %) were pregnant. Genotyping was successful in 244 strains, and the majority of samples were identified as UP (92.6 %). Among genotyped isolates, there were 79.5 % from symptomatic and 20.5 % from asymptomatic women ; 29.9 % from pregnant and 70.1 % from non-pregnant women. There was no difference in the incidence of ureaplasma type regarding symptoms. Antibiotic susceptibility of 424 ureaplasma isolates identified by cultivation showed that all strains were susceptible to doxycycline, josamycin, erythromycin, tetracycline, clarithromycin and pristinamycin, but there was lower susceptibility to quinolone antibiotics, i.e., 42.9 and 24.5 % isolates were susceptible to ofloxacin and ciprofloxacin, respectively. This study shows that UP was the most frequent isolated ureaplasma species (92.6 %). Regarding antibiotic susceptibility, quinolones are not the best choice for the treatment of ureaplasma infections, while macrolides and tetracyclines are still effective.
| Item Type: | Article | ||||||||
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| Uncontrolled Keywords: | Ureaplasma urealyticum; Ureaplasma parvum; Infection; Women; Real-time PCR; Antibiotic sensitivity | ||||||||
| Subjects: | BIOMEDICINE AND HEALTHCARE > Basic Medical Sciences BIOMEDICINE AND HEALTHCARE > Clinical Medical Sciences BIOMEDICINE AND HEALTHCARE > Clinical Medical Sciences > Medical Microbiology |
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| Divisions: | Division of Molecular Medicine | ||||||||
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| Depositing User: | Ivan Sabol | ||||||||
| Date Deposited: | 23 Nov 2015 17:41 | ||||||||
| URI: | http://fulir.irb.hr/id/eprint/2292 | ||||||||
| DOI: | 10.1007/s00404-013-2980-z |
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