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Lactic acid bacteria colonization and clinical outcome after probiotic supplementation in conventionally treated bacterial vaginosis and vulvovaginal candidiasis
Karolinska Inst.
Mälardalen University, School of Sustainable Development of Society and Technology.
Karolinska Inst.
Halmstad Cty Hosp.
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2010 (English)In: Microbes and infection, ISSN 1286-4579, E-ISSN 1769-714X, Vol. 12, no 10, p. 691-699Article in journal (Refereed) Published
Abstract [en]

This randomized double-blind placebo controlled study assessed the vaginal colonization of lactic acid bacteria and clinical outcome. Vaginal capsules containing L gasseri LN40, Lactobacillus fermentum LN99, L. casei subsp. rhamnosus LN113 and P. acidilactici LN23, or placebos were administered for five days to 95 women after conventional treatment of bacterial vaginosis and/or vulvovaginal candidiasis. Vulvovaginal examinations and vaginal samplings were performed before and after administration, after the first and second menstruation, and after six months. Presence of LN strains was assessed using RAPD analysis. LN strains were present 2-3 days after administration in 89% of the women receiving LN strains (placebo: 0%, p < 0.0001). After one menstruation 53% were colonized by at least one LN strain. Nine percent were still colonized six months after administration. Ninety-three percent of the women receiving LN strains were cured 2-3 days after administration (placebo: 83%), and 78% after one menstruation (placebo: 71%) (ns). The intervention group experienced less malodorous discharge 2-3 days after administration (p = 0.03) and after the second menstruation (p = 0.04), compared with placebo. In summary, five days of vaginal administration of LN strains after conventional treatment of bacterial vaginosis and/or vulvovaginal candidiasis lead to vaginal colonization, somewhat fewer recurrences and less malodorous discharge. 

Place, publisher, year, edition, pages
2010. Vol. 12, no 10, p. 691-699
Keywords [en]
Bacterial vaginosis, Vulvovaginal candidiasis, Lactobacilli, Probiotics, RAPD analysis
National Category
Natural Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-20146DOI: 10.1016/j.micinf.2010.04.010ISI: 000282906000001Scopus ID: 2-s2.0-77956264287OAI: oai:DiVA.org:mdh-20146DiVA, id: diva2:638498
Available from: 2013-07-30 Created: 2013-07-05 Last updated: 2017-12-06Bibliographically approved

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