Journal of Womens Health, Issues and CareISSN: 2325-9795

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Research Article, J Womens Health Issues Care Vol: 5 Issue: 1

Observational Prospective Clinical Study on Lactobacillus plantarum in Women with Bacterial Vaginosis/Vaginitis Cianci1, Ettore Cicinelli2, Nicola Colacurci3, Vincenzo De Leo4, Francesco De Seta5, Anna Paoletti6, Fabio Parazzini7* and Antonio Perino8
1University of Catania, Piazza dell’Università, 2, 95131 Catania, Italy
2University of Bari, Piazza Umberto I, 1, 70121 Bari, Italy
3University of Napoli, Università degli Studi di Napoli Federico II, Corso Umberto I, 40, 80138 Napoli, Italy
4Dipartimento di Medicina Molecolare e dello Sviluppo, Policlinico Le Scotte, viale Bracci, 53100 Siena, Italy
5Clinica Ostetrico Ginecologica, Universita` di Trieste, via dell’Istria,65/1, 34137 Trieste, Italy
6University of Cagliari, Via Aurelio Nicolodi, 106, 09123 Cagliari, Italy
7Fondazione IRCCS Cà Granda, Dipartimento Materno-Infantile, Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
8University of Palermo, Via delle Scienze, 0, 90128 Palermo, Italy
Corresponding author : Fabio Parazzini
Dipartimento Materno Infantile Clinica Ostetrico Ginecologica, Università di Milano, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Commenda 12, 20122 Milano, Italy
Tel: +39/02/39014.1; Fax: +39/02/33200231;
Received: August 27, 2015 Accepted: January 22, 2016 Published: January 26, 2016
Citation: Cianci A , Cicinelli E, Colacurci N, Leo VD, Paoletti A, et al. (2016) Observational Prospective Clinical Study on Lactobacillus plantarum in Women with Bacterial Vaginosis/Vaginitis. J Womens Health, Issues Care 5:1. doi:10.4172/2325-9795.1000220



Background - We have analysed the role of Lactobacillus plantarum P 17630 in women with bacterial vaginosis/aerobic vaginitis.
Methods - We conducted an observational, prospective, multicenter study on women with a diagnosis of bacterial vaginosis/aerobic vaginitis treated or not treated with Lactobacillus plantarum P 17630 >100.000.000 UFC. Eligible for the study were women aged 18 years or more with one or more moderate/severe clinical symptom: itching, vaginal burning and dryness (evaluated according to a self reported four level scale: absent, mild, moderate and severe), diagnosis of bacterial vaginosis or aerobic vaginitis. At study entry women were asked about presence and intensity (on a four level scale: absent, mild, moderate and severe) of itching, vaginal burning and dryness and leucorrhea. The same information was also collected at follow up visit 15 days after study entry. Women were proposed together with specific treatment the use of Lactobacillus plantarum P 17630, according to the following schedule: 1 vaginal capsule for 6 consecutive days, then a capsule per week. For the purposes of this study, resolution of the clinical infection was defined as: absence of clue cells and negative results for at least 2 Amsel criteria (for bacterial vaginosis) and / or absence of clinical symptoms and vaginal pH normal or score Donders < 3 (for aerobic vaginitis) and/or culture negative.
Results - A total of 94 patients were enrolled: of those 48 (51.1%) were treated with Lactobacillus plantarum. At the follow up visit, 40 women treated with Lactobacillus plantarum reported clinical resolution (83.3%). The corresponding value in no treated women was 22 women (47.8%) (P<0.05). No adverse event was reported in both groups.
Conclusion - This observational study suggests that Lactobacillus plantarum given in association with specific treatment may improve clinical resolution in women with BV and aerobic vaginitis.

Keywords: Bacterial vaginosis; Aerobic vaginitis; Lactobacillus plantarum

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