Treatment of staphylococcal infection in gynecology - Infectious diseases. How a staphylococcal infection manifests itself in gynecology: antibiotic treatment Candles for staphylococcal infection

Such an insidious enemy of women's health as a staphylococcal infection in gynecology, treatment involves antibacterial treatment in combination with other general strengthening and local methods. Staphylococcal infection in women is caused by pathogenic staphylococci. The microorganism staphylococcus is widespread in nature, so it is not difficult to get infected with it.

It is possible to become infected with staphylococcus through another person suffering from staphylococcal tonsillitis or carrying staphylococcus on their mucous membranes, as well as through objects. Along with other infectious agents (gonococci, chlamydia, trichomonads, mycoplasmas, etc.), staphylococcus can be infected through sexual contact, through various gynecological manipulations (during the collection of a smear, ureteroscopy, etc.) or independently if the commandments of hygiene are not followed. The primary lesion becomes the point of distribution of staphylococcus in the human body, including in the genitourinary organs, through the blood circulation and lymphatic tract. Often, an inflammatory disease of the genitourinary organ is caused by the combined effect of various kinds of microbes, for example, staphylococci with gonococci, chlamydia, Trichomonas, etc. Therefore, staphylococcus is given considerable importance in various urinary tract infections.

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Causes of a staphylococcal infection

The prevalence among other gynecological inflammatory diseases is 8-10%. What should you know in such a situation? The first thing you need to pay attention to is the similarity of the course of the infection with the gonorrheal process, especially in the chronic form. The second thing to consider, despite the similarity of the course of gonococcal and staphylococcal pathology, they have differences. The spread of gonococci is usually associated with the mucous membranes in the body. A number of predisposing factors cause staphylococcal pathologies:

decreased immunity of the body due to intoxication or infection;
hormonal disorders;
decrease in local immunity (in the urogenital organs) as a result of the transferred inflammation process;
ineffective local treatment;
development of dysbacteriosis;
deviations in the level of acidity of the environment;
other factors.

The interval of the incubation period ranges from 5 to 10 days. However, it can be reduced to 2 days or increase to a month or two. Usually, the course of the inflammation process is characterized by a sluggish state that does not show obvious signs, but an acute form of manifestation is also possible. In some patients, the disease subsides from time to time, in others, on the contrary, it worsens. Perhaps the spontaneous disappearance of the disease after a short period of time and the onset of the recovery phase. But in most cases, patients have a long course of chronic staphylococcal infection.

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Gynecological staphylococcal diseases

It is not common for gonococci to penetrate deeper tissue layers. Whereas staphylococci (and streptococci too) penetrate through the injured surface into the deep sections of the tissue and immediately spread with blood throughout the body. In the inner space of the uterus, due to the presence of microbes, the mucous membrane becomes inflamed, but the entire thickness of the walls of the uterus can be affected. In this case, the following manifestations of this process are possible:

purulent whites;
pain in the lower abdomen and in the lumbar region;
atypical menstruation.

Disorder of menstruation may be accompanied by soreness, profuse bleeding and be expressed in cyclical failures. At the very beginning of infection with pathogenic microorganisms, an increase in body temperature is possible. From the mucous membrane of the uterus, inflammation can spread to the tubes with the ovaries. Then we are talking about the development of inflammation in the appendages of the uterus. Following it, infection of the peritoneum is possible. Unlike gonococcal pathology, infection with staphylococci does not entail such a rapid formation of adhesions on the tubes and ovaries and the inflammation it causes. Often there is a general inflammation of the peritoneum, which is included in the category of serious and dangerous diseases.

During childbirth or during an abortion, trauma to the cervix and vaginal walls occurs. Therefore, it is very easy for infections to penetrate through tears in the tissues and get into the loose layer of fiber in the uterus, rectum, and bladder. With such a lesion, the body temperature rises sharply, severe pains appear in the lower abdomen, the patient begins to shiver. An inflammatory tumor develops in the pelvic area, which is initially represented by an increase in fiber due to edema, and then purulent tissue (with purulent parametritis). Inflammation of the fiber lasts a long and painful time. The resorption of the fiber abscess occurs very slowly, and therefore a painful seal behind or on the side of the uterus is diagnosed for a long time. Frequent companions of this pathological condition are aching pains, episodic fever, bladder dysfunction and difficulty with bowel movements.

Staphylococci, together with streptococci, can get from the affected area in the genital tract into the blood vessels. Especially this way of spreading the infection is typical for situations associated with artificial termination of pregnancy, performed outside a medical institution and by incompetent persons. Often, during such abortions, there can be no question of compliance with the mandatory requirements for surgical intervention. Conducive to infection and the postpartum period in a woman's life. In this case, there is a high risk of developing an infection against the background of damage to the mucous membrane and injured tissues of the perineum, vagina, uterus and cervix during labor as a result of non-compliance with the rules of personal hygiene of the woman who gave birth. The infection process may not stop at the genital tract.

Pathology can flow beyond their borders. Complications of this condition can be developed thrombophlebitis (inflammation of the veins of the lower extremities), purulent processes in the lungs and other organs. The peak and most dangerous complication of a staphylococcal infection can be a general blood lesion - sepsis.

When conducting a differential diagnosis, the attending physician should be puzzled by the similarity of the signs of diseases provoked by streptococci and staphylococci, with the course of gonorrhea. Therefore, for a sick person, the priority is to immediately contact an obstetrician-gynecologist when symptoms such as:

acts of urination with a feeling of pain and burning;
icteric discharge with the presence of blood fragments;
pain syndrome (more often it hurts the lower abdomen and lumbar back);
pathological periods.

Staphylococcus in a smear in women can be detected quite unexpectedly during a routine gynecological examination. The microorganism may not manifest itself for a long time. If the study shows that the allowable quantitative norm is exceeded, the woman will be prescribed therapy.

Types of pathogen

Staphylococci are Gram-positive bacteria. These pathogens are mostly considered opportunistic pathogens. This means that they are normally present on the human body, but do not pose a danger to him. The epidermis is populated by a large number of microorganisms, the activity of which is suppressed by the immune system. However, with a decrease in the protective function, favorable conditions are created for the development of inflammatory processes. With an increase in the amount of staphylococcus in a smear, a woman develops colpitis.

Staphylococcus in a smear in women may not be accompanied by symptoms

The danger of staphylococcus for the patient's body can be judged by its appearance:

Golden is considered the most pathogenic and dangerous. This pathogen has a high resistance to the immune system. When infected, it can cause dangerous diseases, accompanied by the formation of purulent exudate. If Staphylococcus aureus is detected in the analysis, it is required to immediately begin therapy. Of particular danger is the methicillin-resistant subspecies, which is resistant to common broad-spectrum antibacterial drugs.
Hemolytic staphylococcus is considered no less dangerous. Unlike its predecessor, it is localized in the human genitourinary system. This type of pathogen is most often found in women with recurrent cystitis, pyelonephritis, endometritis, inflammation of the epidermis.
The saprophytic species is localized in the urinary system. The pathogen causes inflammation of the bladder and urethra. For detection, it is required to perform a bacteriological culture from the urethra.
The epidermal inhabits the mucous membranes. It can be found in women in the vagina. Also, this microorganism provokes conjunctivitis, endocarditis and can even lead to sepsis.

If during the study it was found that the volume of an opportunistic bacterium does not exceed 1% of the rest of the microorganisms, then the woman is considered healthy. An increase in the quantitative indicators of the pathogen requires medical intervention.

Symptoms of infection

The clinical picture of the disease in many patients is absent. Staphylococcus aureus is detected during a routine examination or medical examination. Most modern employers require you to undergo diagnostics before employment. This allows you to more often detect staphylococcus aureus in a smear in women with an asymptomatic course of the inflammatory process.

With a decrease in immunity, an exacerbation of the disease occurs, which is accompanied by symptoms:

itching in the vulva;
increased vaginal discharge and increased mucus volume;
the appearance of an unpleasant odor from the vagina;
discomfort with intimacy;
pain in the lower abdomen;
increased nervousness and irritation due to discomfort;
the formation of a rash in the perineum.

The most common cause of infection is unprotected sexual contact.

When the inflammatory process is running in women, additional symptoms appear. The defeat of the ovaries is accompanied by failures of the menstrual cycle. Inflammation of the endometrium leads to breakthrough bleeding. If adhesive disease develops in the pelvis, a woman develops chronic pelvic pain.

Reasons for the appearance of staphylococcus in a smear

The root cause of the disease is the penetration of pathogens into the intimate organs of a woman. There are several ways in which inflammation develops:

Neglect of the rules of intimate hygiene. Since staphylococcus is an opportunistic pathogen, it can enter the genitals from other parts of the body. This happens with improper washing, violation of the rules of care after defecation, when wearing tight underwear.
Infection during medical procedures. The cause of inflammation is often curettage and abortions performed in clandestine medical institutions. Infection can be introduced during childbirth, as well as during routine gynecological examination using non-sterile dilators.
Intimate intimacy. The most common cause of infection is unprotected sexual contact. Non-traditional contacts increase the likelihood of infection spreading from the intestines to the vagina.

Provoking factors for exacerbation of the inflammatory disease are:

decreased immunity;
douching abuse;
neglect of barrier contraceptives;
long-term use of antibiotics, hormones, chemotherapy drugs;
colds and viral diseases;
targeted immune suppression to eliminate certain diseases;
intestinal and vaginal dysbacteriosis.

During pregnancy, an outbreak of growth of staphylococcus aureus can occur. Expectant mothers are at risk, because during gestation their immunity decreases and the microflora of the genital organs changes.

Diagnostic minimum

To identify saprophytic, hemolytic and other types of staphylococcus, a bacteriological study is required. To do this, the doctor, using a sterile spatula, takes the vaginal secretion, after which he applies the biological material to the glass slide. Further sowing allows you to determine which type of staphylococcus a woman is dealing with.

Treatment is assigned to each patient individually.

If the diagnosis shows overestimated colonies of opportunistic microorganisms, the patient is prescribed treatment. To select effective drugs, it is necessary to determine the sensitivity of bacteria. This allows you to create a suitable treatment regimen for each patient individually. If streptococcus, trichomonas, gardnerella or other pathogenic pathogens were detected during the diagnosis, then they also require separate treatment.

Treatment Method

Staphylococcal infection found in the vagina in women requires complex therapy.

Broad-spectrum antibiotics are prescribed to kill pathogens. If several types of infectious agents are found, several drugs may be recommended.
NSAIDs eliminate the inflammatory process and have an analgesic effect. They also help with hyperthermia, if acute inflammation is accompanied by an increase in body temperature.
Immunomodulators are recommended to increase the protective properties of the body.
Local use of antiseptics. The drugs are prescribed in the form of suppositories, microclysters and solutions for douching.
Lactobacilli for oral administration and vaginal administration can normalize the microflora and increase local immunity.

In order to avoid the development of streptococcal infection in the vagina, a woman is advised to monitor personal hygiene, not neglect barrier contraceptives, maintain strong immunity and be regularly examined by a gynecologist.

If, during a bacteriological study, an opportunistic bacterium is found in the vaginal microflora, then this is not always a pathology. Normally, the content of staphylococci cannot exceed 1% of the total number of microorganisms.

What is staphylococcus

This term is used to denote microorganisms - cocci, which have the appearance of bacteria of an oval or round shape. There are 27 types of staphylococci, but only a few of them pose a real threat to the body. Staphylococcal infection is resistant to temperature and treatment. Therefore, drugs produced 5-6 years ago are useless today.

Causes

Staphylococcus can enter the vagina in several ways:

airborne (can be infected during an epidemic of SARS or influenza);
contact-household (non-compliance with the rules of personal hygiene);
airborne (inhalation of potentially dangerous street dust, animal hair, plants, etc.);
fecal-oral (“disease of unwashed hands”, eating vegetables and fruits that they forgot or did not want to wash).

Staphylococcus is present everywhere, including: on human skin and in the intestines. If the bacterium enters the mucous membranes, then under favorable conditions, its enhanced reproduction will begin. There have been cases of infection in the gynecological office, during the examination, but the most common causes are: unprotected intercourse and frequent use of tampons. These feminine hygiene products are made from synthetic materials and create favorable conditions for the development of bacteria.

If staphylococcus is found in the smear, then this may indicate:

The presence of diseases of the organs of reproduction.
Hormonal disbalance.
Injury to the mucous membranes of the vagina.
Venereal diseases.
Exacerbation of chronic diseases.
The beginning of the inflammatory process.

Detection of staphylococcus in a smear is not always a sign of illness. After all, this is how the female body can react to wearing synthetic underwear or taking any drugs for a long time.

Symptoms

The minimum number of bacteria in a smear is not a cause for concern. If they begin to multiply (if conditions are favorable for this), then the following symptoms may appear:

Nervousness and irritability.
Burning sensation, itching, worse at night.
Vaginal discharge, which can have a different color and smell.
Pain and discomfort during and after intercourse.
Increased body temperature, feverish conditions.
Decreased appetite.
Pain during urination.
Violation of the menstrual cycle or painful periods with abundant (scanty) discharge.

Types of staph infection

Golden. The most dangerous variety. This type of bacterium, like streptococcus, forms colonies on the mucous membranes and skin. It provokes the development of diseases of a purulent-inflammatory nature, produces toxins and coagulase. This pathogenic coccus got its name for its golden color.

epidermal. Normally, it is present in acceptable amounts on the skin and mucous membranes of every person. But if “gaps” appear in immunity, then this coccus becomes potentially dangerous. Its intensive reproduction is the cause of serious diseases, including gynecological ones. It can provoke sepsis and endocarditis.

Saprophytic. This bacterium is sometimes called "genital" - in the place of deployment. In the absence of provoking factors, she "behaves peacefully." In their presence, saprophytic staphylococcus aureus can have a negative effect on the kidneys and bladder, as well as other organs of the small pelvis.

hemolytic. Facultative anaerobe, an opportunistic bacterium that can cause severe lesions of the urogenital tract. It got its name because of its ability to destroy blood cells (erythrocyte hemolysis).

Normal microflora of the vagina

The composition of the microflora of the vagina varies depending on:

days of the cycle;
influence of external factors;
the physiological state of a woman (pregnancy, lactation,);
general health.

It is noteworthy that the sampling of material when passing a smear for analysis is carried out from three places: the urethra, cervix and vagina. When conducting a laboratory study, microorganisms that cause inflammation or any disease are detected. The smear norm is an average, since the indicators cannot be the same for women of different age groups:

Microorganisms	Number of colony forming units in 1 ml (CFU/ml)
candida	10 4
Ureplasmas	10 3
Waylonelles	10 3 maximum
Mycoplasmas	10 3 maximum
lactobacilli	10 7 -10 9
bifidobacteria	10 3 -10 7
Clostridia	10 4
Fusobacteria	10 3
Propionibacteria	10 4
Mobilunkus	10 4
Porphyromonas	10 3
Staphylococci	10 3 -10 4
streptococci	10 4 -10 5

Laboratory staff do not fully write the name of the zone where the biomaterial was taken from, but use letter designations: U - urethra, V - vagina, C - cervical canal (section of the cervix).

Diagnostics

At the slightest suspicion of staphylococcus, diagnostic measures are taken. Differential diagnosis of staphylococcal infection should be carried out in parallel with streptococcal. Serological methods are now used for this.

For example, latex agglutination and a standard in vitro coagulase test (lasts at least four hours, and if the result is negative, then it can be extended by a day). To clarify the diagnosis, the PCR method can be used to identify hidden STIs.

General urine and blood tests are mandatory. Because they allow you to determine the content and number of leukocytes and cocci in biological fluids. But to determine the pathogen and identify the degree of its resistance and sensitivity to antibiotics, the biological material is sown on nutrient media.

A urogenital smear is taken by a gynecologist in a healthcare facility. On the eve of the procedure, you should refrain from taking anti-inflammatory drugs and antibiotics.

Methods of treatment

If during the diagnosis an excess of the permissible number of staphylococci is revealed, then the optimal treatment regimen is selected for the patient. It is individual for each clinical case and depends on the nature and characteristics of the course of the disease.

Therapeutic measures are not always carried out, because not only the total number of cocci is taken into account, but also their percentage relative to other strains. At the initial stage, broad-spectrum drugs are prescribed ( "Lincomycin", "Erythromycin", Fusidin, "Novobiocin"). But before that, the patient's allergic history is carefully studied.

The average treatment regimen looks like this:

The use of antibacterial drugs in order to destroy the main strain of microorganisms and eliminate the manifestations of infection. Without an integrated approach, therapy will not be effective. This includes taking pills, douching, using vaginal suppositories ( "Terzhinan", "Vokadin", "Pimafucin". Antiseptic solutions can be used to sanitize the vagina: « » , "Streptomycin", "Chlorophyllipt".
Search and elimination of pathologies that contribute to the reproduction of staphylococcus aureus. The factors contributing to this are different: from non-compliance with basic hygiene rules, to the exacerbation of chronic diseases.
Restoration of the vaginal microflora, for which preparations containing lactobacilli are used.

If the degree of staphylococcal damage is severe, then the patient may be prescribed drugs: "Vancomycin", "Oxacillin", "Ampicillin". The course consists of a certain number of days, and it cannot be shortened or extended on one's own initiative.

ethnoscience

In the fight against staphylococcal infection, traditional medicine is powerless. All drugs prepared according to old recipes are considered auxiliary means. Their use is aimed at removing toxins from the body.

Women who have become a victim of a staphylococcal infection are advised to use decoctions of medicinal herbs, consisting of: plantain, licorice root, and succession. But propolis tincture has a special effect, which you can prepare yourself or buy in a pharmacy ready-made. Norm and rules of admission: 1 tsp. alcohol tincture in half a glass of water, three times a day.

Staphylococcus and pregnancy

When a staphylococcal infection is detected in a pregnant woman, a sparing treatment regimen is used. Taking antibiotics is a last resort. Moreover, individual staphylococcal strains are highly resistant to antibiotics, which makes their treatment ineffective.

Most often, women "in position" are prescribed local anti-inflammatory drugs, immunomodulating and immunostimulating drugs, quartz treatment. Doctors select drugs that do not have side effects. And the ideal "weapon" for the fight is the killer virus of staphylococci - the bacteriophage.

During pregnancy, a woman is especially vulnerable, so staphylococcus easily enters the body, causing various complications. For example, an ascending gynecological infection can provoke peritonitis.

The option of infection of the tissues of the fetus and fetal membranes is also not excluded. First of all, it affects the kidneys and bladder. Staphylococcus aureus is considered especially dangerous, which is often the cause of miscarriage. That is why pregnant women should be tested regularly.

Prevention measures

It is not recommended to take antibacterial drugs and douching without the consent of the doctor.
When diagnosis and treatment are required, the healthcare facility must be carefully selected. Especially when it comes to reproductive organs. After all, cases of infection with a staphylococcal infection through the fault of physicians are now not uncommon.
Tampons and menstrual cups are recommended to be used in case of emergency, and wearing underwear made of synthetic fabrics is best avoided altogether.
Protected sexual intercourse, which involves the use of a condom - protection against unwanted pregnancy, STDs, staph and other problems.
It is necessary to take care of timely treatment of gynecological diseases, neutralization of inflammatory processes.
Intimate hygiene is an art. All movements are performed from front to back, and not vice versa.

How contagious is staphylococcus in women to others

Pathogenic cocci are able to “introduce” into the body through the mucous membranes and skin, and there are several ways for them to enter. If an infected woman has powerful and strong immunity, then staphylococcus may not harm her health, but at the same time she will be a passive carrier.

At risk are people with weak immunity, suffering from a number of autoimmune diseases, who have undergone surgery, as well as pregnant women and nursing mothers.

Symptoms of staphylococcus in a smear in women

Causes of staphylococcus in a smear in women

Unprotected intercourse.

Diseases of the genital area;

Disruptions in the hormonal system;

Dysbacteriosis of the vagina, etc.

Treatment of staphylococcus in a smear in women

Prevention of staphylococcus in women

Education: Diploma "Obstetrics and Gynecology" received at the Russian State Medical University of the Federal Agency for Health and Social Development (2010). In 2013, she completed her postgraduate studies at the NMU. N. I. Pirogov.

Other doctors

Among the etiology of various gynecological diseases, bacterial infections play a significant role. Staphylococcus in the vagina causes the development of the inflammatory process. It is important to treat this disease in time, preventing its chronicity and complications.

This infection in gynecology is found quite often. Most women are carriers of staphylococcus aureus, but with good local immunity, inflammation does not develop.

There are a number of factors contributing to inflammation:

decrease in general and local immunity;
hormonal imbalance;
violation of vaginal acidity;
improper treatment of infections;
dysbacteriosis;
gynecological diseases.

In the case of a decrease in the body's defenses, a pathological process develops, which is facilitated by trauma to the mucous membranes and a change in the pH of the vagina towards alkaline. Violation of the acid-base balance causes the death of lactic acid bacteria and the reproduction of opportunistic microflora.

The failure of the hormonal background is displayed on the condition of the mucous membranes of the vagina, because of which their protective function suffers, they become the entrance gate for infection.

Staphylococcus enters the vagina from the skin of the carrier. This bacterium often lives on the mucous membrane of the throat and causes the development of a sore throat. Infection occurs from another person through the sharing of hygiene items. As with other sexually transmitted infections, infection can occur during sexual intercourse.

If staphylococcus lives on the membranes of the throat, then one of the ways of infection is oral sex. You can become infected during hygiene procedures and medical procedures.

Infection occurs when taking a smear from the urethra, during ureteroscopy and other instrumental research methods. An important role is played by insufficient intimate hygiene when staphylococcus aureus is introduced from the skin around the intestines.

The incubation period takes an average of 5-10 days. Sometimes it can be reduced to 2 days or extended to a month, depending on the condition of the body and the activity of bacteria.

Symptoms

The course of the disease in women can pass with sluggish symptoms, without pronounced clinical manifestations. In other cases, acute symptoms of inflammation develop, which makes a woman turn to a gynecologist with obvious complaints.

In some cases, spontaneous recovery is possible, but more often the untreated process passes into a long-term chronic stage. The clinical picture of staphylococcal infection in women is largely similar to the manifestations of gonorrhea. Therefore, diagnosis and therapy should be carried out only by the attending gynecologist.

Typical symptoms of staph in the vagina are as follows:

pain in the lower abdomen;
burning and itching in the genitals;
painful urination;
yellow vaginal discharge with an unpleasant odor;
pain in the lower back;
disturbed menstrual cycle;
discomfort during sexual intercourse;
the appearance of pustular rashes on the genitals;
development of candidal vaginitis.
general malaise;
fever;
sleep disturbance.

A woman comes to a gynecologist's appointment with complaints about aching pain in the lower abdomen, lower back. Sexual contact becomes painful. When the infection spreads to the urethra and bladder, painful urination appears.

Menstruation passes with pathological yellow discharge. This causes itching and burning in the perineum, a pungent odor appears. Of the violations of the menstrual cycle, a delay in menstruation is more often noted.

The development of vaginal candidiasis is evidenced by the appearance of curdled discharge. The general malaise is moderately pronounced, and the increase in body temperature can reach up to 38 degrees.

Treatment and prevention

To confirm the staphylococcal etiology of the disease, it is necessary to pass a smear from the vagina for bacterial culture. It is important to consult a doctor in time, and self-medication is unacceptable. Improper intake of drugs is fraught with complications and chronicity of the disease.

In addition to the isolation of staphylococcus, its sensitivity to antibiotics is determined, on which the choice of a particular drug depends. General treatment is most often carried out with penicillin antibiotics and combined agents. Preference is given to protected drugs (Amoxiclav, Flemoklav).

Local therapy consists in the use of antibacterial suppositories: Livarol, Zalain. Vaginal tablets are used:

Clotrimazole;
Imidil;
Antifungol.

Combined local treatment is carried out by douching with antiseptic solutions. For this, a pale solution of potassium permanganate, hydrogen peroxide, Miramistin is used.

In the complex of therapy, an important place is occupied by the restoration of the vaginal microflora. For this, vaginal tablets are prescribed:

Ecofemin;
Vagilak;
Gynoflor.

For general strengthening of the body, combined preparations with minerals and vitamin complexes are used. Antihistamines are prescribed as symptomatic therapy to eliminate itching, swelling, and antipyretic purposes.

To achieve the maximum effect, as well as to prevent re-infection, it is necessary to examine and treat the sexual partner.

For the duration of the course of therapy, a pause in sexual activity should be made. In this period, the female body needs a special diet that excludes fried, fatty and spicy foods. In a month it is necessary to repeat the bacterial culture.

To prevent staphylococcal infection, you should take care of individual general and intimate hygiene. Preference should be given to natural underwear. During sexual intercourse, it is most reliable to protect yourself with condoms.

Conclusion

Staphylococcus aureus in the vagina is a common problem in gynecology and causes severe symptoms. For a favorable prognosis, it is important to prescribe the correct and timely treatment.

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development of dysbacteriosis;
other factors.

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purulent whites;

pathological periods.

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Staphylococcal infection in gynecology - treatment

Staphylococcal infections are a large group of diseases caused by pathogenic staphylococci. These organisms are ubiquitous, and above all, therefore, staphylococcal infection is no exception in gynecology.

Staphylococcal infection in gynecology - treatment
How does a staphylococcal infection manifest itself in gynecology: antibiotic treatment
Methods of infection with staphylococcal infection
Causes of a staphylococcal infection
Gynecological staphylococcal diseases
Prevention and therapy for infection with staphylococci
Staphylococcus in a smear in women
Symptoms of staphylococcus in a smear in women
Causes of staphylococcus in a smear in women
Treatment of staphylococcus in a smear in women
Prevention of staphylococcus in women
Staphylococcus and streptococcus in a smear in women
streptococci
Staphylococci in a smear in women
Staphylococcus aureus during pregnancy in a smear
Prevention of staph infection
Staphylococcus aureus
How to treat staphylococcus in gynecology

As a rule, infected people are the source of any staph infection. Often, staphylococcus, along with pathogenic microbes such as gonococcus, chlamydia, trichomonas, enters the genitourinary tract during intercourse and during simple gynecological manipulations.

Staphylococcal infection is about 8-10% of all diseases in gynecology. Its occurrence is often facilitated by a large number of factors. The main one is the decrease in the immune defense of the female body as a result of exacerbation of existing chronic diseases. Often, the development of staphylococcal gynecological infections is the result of changes in the acidity of the genital tract.

The incubation period of Staphylococcus aureus, which is the cause of all gynecological staphylococcal infections, is 6-10 days. That is why the infection does not appear immediately. Symptoms of a staphylococcal gynecological infection are few. The main ones include:

For the differentiation of staphylococcal bacteriophage in gynecology, various types of research are used. The main one is a laboratory study, in which the bacterial material taken from a woman is sown on previously prepared nutrient media.

Treatment of any type of staphylococcal infection is given special attention, especially in gynecology. Today, a wide range of antibiotics are produced that can successfully fight this microorganism. The main thing is not to start taking antibiotics before revealing the sensitivity of microorganisms to it and not to stop immediately after the symptoms have disappeared, when the treatment has not yet been fully completed.

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Source: staphylococcal infection manifests itself in gynecology: antibiotic treatment

Methods of infection with staphylococcal infection

Causes of a staphylococcal infection

decreased immunity of the body due to intoxication or infection;
hormonal disorders;
decrease in local immunity (in the urogenital organs) as a result of the transferred inflammation process;
ineffective local treatment;
development of dysbacteriosis;
deviations in the level of acidity of the environment;
other factors.

Gynecological staphylococcal diseases

purulent whites;
pain in the lower abdomen and in the lumbar region;
atypical menstruation.

acts of urination with a feeling of pain and burning;
icteric discharge with the presence of blood fragments;
pain syndrome (more often it hurts the lower abdomen and lumbar back);
pathological periods.

Prevention and therapy for infection with staphylococci

Staphylococcus aureus is treated with antibiotics. However, microorganisms quickly develop resistance to the antibiotics used. In this connection, it is recommended: in case of infection of the genitourinary organs with staphylococci, use combinations of antibacterial agents. If a sluggish and chronic process with complications is observed, then non-specific immunological and hyposensitizing therapies, physiotherapy are involved. They are supplemented with adequate local treatment. Since with staphylococcal lesions, all contact persons are infected, the same treatment is prescribed to all such persons without fail. Antibiotics are recommended when the sensitivity of the pathogen is revealed.

In the course of prevention, compliance with the rules of septic and antiseptics during local treatment, during gynecological procedures on the genitals is of particular importance. It is important to pay attention to the basics of personal hygiene, since pathogens can freely move from one affected area to another with the hands of an infected person.

The success of the treatment of staphylococcal infection in gynecology and the prevention of complications are largely due to the timeliness of visiting a doctor and the strict implementation of his recommendations.

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Source: in a smear in women

Staphylococcus in a smear in women is the detection of an opportunistic bacterium in the vaginal microflora. To identify it, it is necessary to take mucous secretions during a gynecological examination.

The smear is sent for bacteriological examination, which determines the presence or absence of opportunistic microflora.

The fact that this bacterium is found in a smear of a woman is not any pathology, but only if its content does not exceed 1% of the total number of microorganisms present there.

The norm and deviations from the norm are determined by the degree of purity of the smear.

Symptoms of staphylococcus in a smear in women

If the number of staphylococci detected in a female smear is minimal, then she will not experience any signs of the disease.

However, in the presence of predisposing factors, staphylococci can begin to grow actively, which will lead to the following symptoms:

Itching in the genital area.

Allocations of a different nature, most often with an unpleasant odor.

Pain during intercourse.

The impossibility of a good night's rest, as the feeling of itching and burning intensifies at night.

Increased irritability, nervousness.

Possible rashes in the labia minora, like pustules.

However, all these symptoms occur only if the number of staphylococci in the smear is significantly higher than normal. In addition, overestimation often serves as a signal that a woman has some kind of sexually transmitted infection. Therefore, it makes sense to undergo a complete examination and eliminate the cause of the growth of staphylococcus aureus in the vagina. As a rule, against the background of the growth of coccal flora, there is an increase in the number of leukocytes in the smear, with a minimum content of lactobacilli.

Causes of staphylococcus in a smear in women

Staphylococcus can enter the vagina in several ways, including:

Performing intimate hygiene. The bacterium normally exists on the skin of even an absolutely healthy person; when washing, it, together with water, is able to penetrate the mucous membranes of the vagina. In the presence of favorable conditions for it, the bacterium will begin to multiply. In addition, staphylococcus aureus can be introduced from the intestines as a result of improper washing or self-care after a bowel movement.

Entering the vagina due to unskilled actions of medical workers. As a result, for example, a gynecological examination using non-sterile instruments can lead to infection. Surgery is another way of infection with a bacterium. Although this route of infection is quite rare and amounts to no more than 1%.

Unprotected intercourse.

For a long time, staphylococcus can absolutely not show its presence. However, under the influence of a number of provoking factors, the bacterium begins to actively multiply.

The impetus for the development of the inflammatory process can be:

Diseases of the genital area;

Long-term drug therapy;

Relapses of chronic diseases;

Weakened immune defenses, HIV;

Injury to the mucous membrane of the vagina;

Disruptions in the hormonal system;

A common cause of the appearance of staphylococcus aureus in a smear is the regular use of tampons. It is the synthetic materials from which these hygiene products are made that are a favorable place for the reproduction of bacteria. As a result, an increase in the number of staphylococci and their suppression of the beneficial microflora of the vagina.

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Treatment of staphylococcus in a smear in women

In most cases, it is not necessary to eliminate the bacterium, since in minimal quantities it is not able to cause an infectious process. However, if its indicators exceed the norm, it is necessary to undergo a therapeutic course, which should first of all be aimed at eliminating the factor that led to the shift in the vaginal flora.

It should be understood that the analysis of a smear for flora and the detection of an excess of staphylococcal infection in it is only the initial stage in the diagnosis of the disease. To clarify the diagnosis, additional studies will be required, for example, diagnostics by PCR, which makes it possible to detect even latent infections of the genital tract.

The treatment regimen is selected individually and depends on the nature of the disease. Most often, a woman is prescribed anti-inflammatory drugs and local treatment. It comes down to regular sanitation of the vagina using antiseptic solutions. For this, miramistin, chlorphyllipt, streptomycin are used.

The choice of vaginal suppositories is carried out by a doctor. It depends on the nature of the disease. Often prescribed are candles such as Terzhinan, Pimafucin, Genferon or Vokadin. They have a wide spectrum of action, are able to suppress both microbial and fungal flora.

Prevention of staphylococcus in women

In order to prevent staphylococcal infection from entering the vaginal cavity, it is necessary to follow simple rules, including:

Practice protected sex using a condom.

Get rid of gynecological inflammatory processes in a timely manner.

Properly carry out intimate hygiene, in particular, when washing, movements should be directed from front to back. The same rule applies to the implementation of hygiene procedures after the act of defecation. Hands must always be clean.

You should refuse not only the regular use of tampons, but also the wearing of synthetic underwear.

To undergo diagnostic procedures in the field of the reproductive system, you should contact only trusted clinics that comply with sanitary and hygienic requirements.

Douching should not be carried out without medical advice.

It is important to stop taking antibacterial agents without a doctor's prescription.

Compliance with these rules will allow the beneficial bacteria present in the vagina to prevent the growth of staphylococcus aureus, and it will be detected in a smear in the minimum allowable titers.

The danger of these microorganisms is that they produce toxins and enzymes that are pathogenic for cells and disrupt their vital functions. Bacteria have a destructive effect on connective tissues, skin and subcutaneous tissue. They cause a number of dangerous diseases, among which.

Among the folk methods of treatment and prevention of Staphylococcus aureus, copper treatment or metal therapy, known since the time of Aristotle, deserves special attention. Aristotle in his works mentions the treatment of bruises, ulcers and swelling by applying copper.

How can a child become infected with staphylococcus aureus? The carriers of this dangerous bacterium are both sick and healthy people, because there are different forms of carrying the infection (temporary and permanent). The course of the disease can also occur in mild and severe forms.

In fact, there is only one objective reason for using antibiotics against such a resistant and flexible pathogen as staphylococcus aureus - the expected benefit will outweigh the inevitable harm. Only in the case when the infection swept the entire body, got into the bloodstream, caused a fever, and.

Staphylococcus in the nose is the presence of bacteria in the nasal mucosa that can cause a purulent-inflammatory disease. There are more than 20 varieties of staphylococcus, and most of them are constant companions of a person and are normally present on the mucous membranes, including.

Staphylococcus in the throat is the presence in the mucous membrane of the pharynx or larynx of a bacterium that can cause an infectious and inflammatory process. The microbe can exist there as a conditionally pathogenic microflora, that is, without causing a disease, but can cause an inflammatory reaction.

Staphylococcus aureus in the intestine is the colonization of its mucous membrane with a bacterium belonging to the group of staphylococci and capable of causing an infectious and inflammatory process. This bacterium does not always cause an inflammatory reaction in the intestines, but only if its concentration exceeds the permissible ones.

The information on the site is intended for familiarization and does not call for self-treatment, a doctor's consultation is required!

Source: and streptococcus in a smear in women

For whatever reasons, women do not communicate with a gynecologist, the examination begins with the fact that they take a swab from the vagina for examination for microbiological culture. The microflora of the vagina is represented by various bacteria - there are more than 100 species of them. A woman is considered healthy if 94-95% of this microflora is Dederlein sticks or lactobacilli.

If the smear contains a small amount of opportunistic microorganisms - cocci, but there is no inflammation - the number of leukocytes is normal - then cocci can be ignored.

An increase in the number of streptococci and staphylococci causes unpleasant symptoms, and during pregnancy it can affect its outcome. If staphylococcus is detected during pregnancy - even with a slight increase in leukocytes - treatment is required.

Why is coccal flora dangerous and why is it necessary to get rid of it?

streptococci

Almost all adults are carriers of this conditionally pathogenic flora. If there are few of them, and they are on the surface of the skin and mucous membranes, then you should not worry.

But when it enters the body through microdamages and wounds, bacteria cause serious complications - rheumatism, glomerulonephritis, sepsis, meningitis ...

Streptococcus strain A is especially dangerous. If it penetrates the body, it can provoke toxic shock.
Strain B - most often found during pregnancy. These pathogens can cross the placenta, infect the fetus, which can lead to miscarriage.
Hemolytic streptococcus. Place of localization - intestines and genitals. During pregnancy, it is necessary to get rid of it - infection of the baby can occur when it passes through the birth canal. In the future, the baby may have dangerous complications.

The reason for the activation of streptococcal flora:

antibiotic treatment;
weakening of the immune system, regardless of the reasons that caused it;
increased physical activity;
stress;
genital infections;
neglect of hygiene measures or passion for douching.

During pregnancy, streptococci increase activity due to hormonal changes. In a healthy woman in the vaginal environment, the rate of streptococci is 104 CFU / ml.

Conditionally pathogenic bacteria are represented by strains:

serological group B;
green - viridans;
enterococci - group D.

Strain A is absent.

If the norm is exceeded, then treatment is carried out with the use of antibiotics of general and local action. Antibiotics of the penicillin group are usually prescribed, but in case of allergic reactions to them, an alternative remedy is sought. During pregnancy, antibacterial drugs are administered by infusion.

After antibiotic therapy, prebiotics and probiotics must be prescribed to restore the intestinal and vaginal flora.

Staphylococci in a smear in women

Staphylococci are also opportunistic pathogens that are dangerous when introduced into the bloodstream against the background of a general decrease in immunity.

The most common are the following strains of these microorganisms. Staphylococcus aureus, or golden, got its name for the golden-colored toxins released by vital activity. This is the most dangerous type of microbacteria that provokes purulent-inflammatory processes in all tissues and organs.

During pregnancy, it is able to cross the placenta, infecting the fetus. For the production of a special enzyme - coagulase - it is also called coagulase-positive staphylococcus aureus.

Resistant to antibacterial drugs of the penicillin and cephalosporin series, it is very difficult to treat.

Staphylococcus epidermidis, or epidermal, is introduced into the mucous membrane, causing conjunctivitis, sepsis, endocarditis and purulent infections of the urinary organs.
Staphylococcus saprophyticus, or saprophytic, - prefers the external genital organs, provokes the occurrence of urethritis and cystitis in an acute form.
Staphylococcus haemolyticus, or hemolytic, can invade any organ. It got its name because of its ability to destroy red blood cells. It is less common in humans than other strains.

If less than 1% of staphylococcus in a smear in women, no treatment is required. During pregnancy, a smear for microflora is taken several times - their increased number in the microflora of the birth canal can cause serious complications in the unborn baby.

Symptoms of staphylococcal infection of gynecological organs:

the appearance of secretions with an unpleasant odor;
a feeling of dryness of the vaginal mucosa, as a result of which sexual intercourse causes unpleasant and even painful sensations;
burning in the genital tract, aggravated at night;
pyoderma of the vaginal mucosa;
increased irritability.

Especially dangerous is the increased activity of staphylococcus aureus during pregnancy.

Hemolytic staphylococcus causes inflammation of the urinary system, affects the respiratory system, intestines - it can penetrate into all organs and systems through the bloodstream. During pregnancy, treatment should begin with the detection of the sensitivity of this type of pathogen to antibiotics in order to reduce the danger of treatment. It is not difficult to eliminate hemolytic staphylococcus aureus - it is sensitive to antibacterial drugs from a number of penicillins, cephalosparins, lincosamides, macrolides ... At the same time, topical preparations are used.

During the 3rd trimester of pregnancy, symptomatic treatment with sanitation of the birth canal is possible. Therapy of saprophytic and epidermal staphylococcus is similar to the inhibition of hemolytic activity.

Staphylococcus aureus during pregnancy in a smear

Increased activity of Staphylococcus aureus during pregnancy poses a serious threat to the fetus. It can infect the membranes of the fetal egg, provoke a miscarriage, infect the baby when passing through the birth canal, penetrate the mammary glands through the bloodstream and cause purulent mastitis.

Its entry into the bloodstream can stimulate a very dangerous disease - endocarditis. During pregnancy, this condition can be fatal.

Treatment of pregnant women from Staphylococcus aureus is carried out with the help of antibacterial drugs of general and local action, immunomodulatory drugs and bacteriophages are required. All therapeutic measures are carried out only after receiving the results of a test for the sensitivity of staphylococcus to antibiotics - this strain of an opportunistic microorganism shows high resistance to antibacterial agents.

Prevention of staph infection

In order for the coccal flora to remain conditionally pathogenic and not increase activity, it is recommended to follow the following rules:

prevent a decrease in the immune status - drink immunomodulators and vitamin-mineral complexes in the off-season;
observe the rules of personal hygiene;
Healthy food;
try to lead a healthy lifestyle;
refuse synthetic underwear;
use tampons only when necessary;
avoid unprotected sex;
refuse douching unless prescribed by a gynecologist.

If there are signs indicating the onset of gynecological diseases, immediately consult a doctor.

Source: diagnosed with infantility of the genital organs or "children's uterus", what is it, what does it threaten, and how is it treated? I also cannot cure Staphylococcus aureus, how is it transmitted?, what would you advise on its treatment.

Genital infantilism is one of the forms of delayed puberty and is characterized by underdevelopment of the genital organs, a decrease in the hormonal activity of the ovaries and the receptor function of the uterus. This disease can cause menstrual disorders, sexual and reproductive function (infertility, miscarriage, ectopic pregnancy, etc.). Treatment of genital infantilism depends on the degree of its severity (physiotherapy, hormone therapy, etc.). You need to contact an obstetrician-gynecologist, who, after a complete examination and clarification of the diagnosis, will prescribe a treatment for you. As for Staphylococcus aureus, you need to conduct a cultural study to determine sensitivity to antibiotics and bacteriophages.

My partner has a sexually transmitted disease, group B (or D) staphylococcus and candidiasis. Please advise what drugs these diseases can be cured for both her and me.

First, it's not a sexual disease. Both staphylococcus and fungi of the genus Candida are normal flora of the genital tract. In a certain situation (decreased immunity, dysbacteriosis, stress, etc.), their number can increase, then they cause an inflammatory process, which is manifested by abundant secretions and discomfort in the genital tract and deviations in the vaginal smear. Treatment can be prescribed only after examining the patient and familiarizing himself with the tests.

I was found to have erosion of the cervix, and with bacterial culture - staphylococcus aureus. The doctor said that in order to do a biopsy, you need to get rid of staphylococcus aureus. I was prescribed clindomycin 0.15 x 3 times for 10 days (it was indicated in the antibiotic sensitivity test), nystatin 500 x 4 times, betadine suppositories 1 light. overnight - 10 days. After this treatment, the analysis showed the presence of staphylococcus aureus. I was prescribed bifidumbacterin suppositories. And after that, staphylococcus aureus was discovered. What should I do, tell me.

1. The simplest reason is incorrect material intake. This is done using a special disposable sealed tube, which contains a sterile swab for sampling. In your presence, this test tube is opened (it is sealed at the factory) and, without touching anything, a swab is inserted into the cervical canal. One movement and, without touching anything, the tampon is returned to the test tube and tightly closed. Staphylococcus is present in the air and on all objects, external genitalia. Sowing is done in oxygen conditions, while the usual bacteria, often living in the cervix, do not grow, but staphylococcus grows. It is necessary to do a regular swab and see if there are signs of a staph infection.

2. If the material is collected correctly, then there is staphylococcus aureus. For any infection, both partners are treated. Both you and your man need to take a course of antibiotics, and use a condom for the duration of treatment. Otherwise, you will constantly re-infect each other, and the infection will not be removed.

3. Staphylococcus can come to the cervix from the vagina. In this case, local antibiotic preparations will help more: in addition to tablets, there are also vaginal forms: for example, Dalacin C cream (the same clindamycin) or tetracycline ointment. Her husband can also.

4. Another way of staphylococcus is from the uterus. This is a sign of endometritis - inflammation of the lining of the uterus. True, it should be accompanied by complaints, but it can also be asymptomatic. He is treated comprehensively, with the use of physiotherapy.

5. The erosion itself can support the infection. Its removal can lead to recovery. The best tactic is to sanitize the vagina with betadine (solution), a weak solution of potassium permanganate, chamomile, sage, etc. under the control of a smear, and with improvement - a biopsy of erosion, and in the absence of contraindications - its removal (with a laser or liquid nitrogen).

It is up to the doctor to decide which tactics is better for you to follow. Just remember point 2.

Unfortunately, you do not indicate the type of staphylococcus sown. However, some types of staphylococci, even aureus, should normally be in the genital tract, but in small quantities. If a regular smear on the flora does not reveal an inflammatory process (increased number of leukocytes) or other abnormalities, then a biopsy can be done even if staphylococcus aureus is present in the culture.

I drink Triregol, daily at 1200 (in the afternoon). I missed one day, I took a pill in the morning. day, the second day. Is additional protection necessary or is it possible? They also found staphylococcus aureus in me, the doctor suggests suppositories with nystatin for treatment, although I came across information that nystatin is, in principle, an outdated drug, especially since I used to treat candidiasis with it.

According to the instructions, the effectiveness of hormonal contraception is guaranteed if the interval between two tablets does not exceed 36 hours. In your case it was more. Therefore, according to the rules, it is necessary to protect yourself with a condom until the end of the cycle, while continuing to take Triquilar.

Based on this, it is better to take birth control pills at night, before going to bed. Firstly, the severity of side effects decreases, if any, and secondly, if you forgot the pill in the evening, then after drinking it the next morning, you will not be late.

Nystatin is really not effective against staph. In this case, the drug Polygynax or Terzhinan or douching with conventional antiseptics is more indicated: infusion of chamomile, calendula or St. John's wort, a weak solution of furacilin or potassium permanganate.

When I came to be registered at the hospital at 12 weeks of pregnancy, the doctor said that I had cervical erosion. After the birth, the doctor took a biopsy and said that it was not erosion and sent me to take a smear for ureaplasmas, mycoplasmas, chlamydia, herpes virus and blood from a vein for toxoplasmosis and cytoplasmovirus. I've passed. Then it turned out that instead of a swab for ureaplasma, they took a swab for Trichomonas vaginalis. But the doctor said that if there is no Trichomonas vaginali, then most likely there will be no ureaplasmas. And she said you can’t take toxoplasmosis at all, since it most likely won’t be (since I didn’t have a miscarriage during this pregnancy, everything is fine with the child and nothing bad happened to him at all). As a result, chlamydia, mycoplasma, herpes virus, Trichomonas vaginalis and toxoplasma were not found. But I have something on the cervix (it looks like erosion, but not erosion). The doctor believes that this is against the background of hormonal disorders during pregnancy.

1. What can I have?

2. Is it true that since there is no Trichomonas vaginalis, then there are no ureaplasmas?

3. Is it true that there should not be toxoplasmosis, because the child is healthy and was born normal?

4. Can it be caused by staphylococcus aureus in me (it was found in a child after birth, but it is not in milk) and how to determine its presence in me (a simple smear was taken from me after childbirth, they found colpitis, I have already cured it): Would it have been found with a regular smear if it had been, or would it be necessary to do a special analysis for staphylococcus aureus?

1. What is cervical erosion and what is the essence of treatment. With erosion of the cervix, the cylindrical epithelium (mucosa) of the inner part of the cervical canal is located on the vaginal part, where the squamous epithelium (mucous membrane of the outer part of the cervix) should be. The cause may be the youthful structure of the cervix. In women older than 24 years, a similar structure is considered pathological. The cause of erosion in adulthood is most often the inflammatory process in the cervix, and in second place is hormonal disorders. When it is cured, erosion, if it is small, can heal itself. During childbirth, tears and tears form in the cervix, as a result of which the cervix, as it were, turns out a little. In this case, the mucous membrane of the cervical canal is everted into the vagina. This is no longer called erosion, but ectropion. The cervix becomes loose and easily vulnerable. At the same time, various pathological processes can develop in it. The risk of developing pathology is higher with a large size of erosion. With a large size of erosion or its pathological changes, treatment is necessary. Erosion therapy consists in the destruction of the pathological epithelium, then a normal one is formed in its place. Women who have not given birth or have given birth, but with very little erosion, do not cauterize it, unless it has turned into leukoplakia, dysplasia, etc. It is recommended to see a gynecologist every 6 months. If treatment is still necessary. Erosion is cauterized with a laser, cryodestruction (freezing) and diathermocoagulation are also used. The latter is less preferred due to side effects. In addition, when viewed for erosion, you can take inflammation of the cervix - cervicitis. If the biopsy does not reveal pathological changes, the most common of which are dysplasia and leukoplakia. You can just see it once every 6 months. see a doctor, you have nothing to worry about. Otherwise, you need to be treated.

2. Ureaplasmas in 30% of men and women are representatives of the normal microflora of the genital tract. Most often they occur in sexually active people. If they do not cause an inflammatory process in partners, then treatment is not required. In the presence of inflammation, appropriate therapy is carried out. Trichomonas vaginalis is a sexually transmitted infection. So the absence of one does not absolutely exclude the presence of the other.

3. If you have pets, especially cats that walk on the street, then there is a chance that you have toxoplasmosis. But since the child was born healthy, and the pregnancy proceeded without complications, then the disease is either in a dormant form, or it really does not exist.

4. In order to find out if you have Staphylococcus aureus, you need to do a culture. From the genital tract, secretions are taken and placed on a nutrient medium. Within a week, the microorganisms living in the vagina germinate, and then they determine what kind of bacteria they are and which antibiotics they are sensitive to. But keep in mind that in a small amount, Staphylococcus aureus can be normal in the genital tract.

Tell me, please, how dangerous is staphylococcus epidermidis during pregnancy, found in the nasal cavity, and whether the presence of this disease entails being under observation in the maternity hospital or any other troubles.

Staphylococcus epidermidis is a microorganism that normally lives on the surface of human skin and its mucous membranes. It all depends on how much it is found in you. If this is within the normal range, then there is nothing to worry about. You can send your conclusion, then it will be possible to more fully answer the question.

Tell me, please, is it possible to cure staphylococcus aureus with metronidazole? Prescribed 2t x 3 times a day and two tablets at night in the vagina. Can this drug cure thrush at the same time?

What do you mean by thrush? With vaginal discharge (thrush), a smear is analyzed, the pathogen is determined in it and a diagnosis is made. If you have been diagnosed with staphylococcus, then you need to treat it as the causative agent of thrush. In the strict sense, "thrush" is a disease caused by fungi, do you have it, are the fungi found in the smear? Then they must be treated separately. Metronidazole is not intended as a drug against staphylococcus, it is more often used for other infections. You are more shown doxycycline 1 tab 2 times a day for 10 days, and suppositories - polygynax or terzhinan at least 6 suppositories (1 per night in the vagina). After treatment, after 1-2 weeks, you need to take a second smear and make sure that there is no "thrush" of candidiasis.

I was diagnosed with trichomoniasis, staphylococcal infection and erosion of the cervix. I’m wondering which doctor to go to from the beginning and how can I treat erosion if I didn’t give birth and didn’t have abortions (from where could she even come from me?). How is this staphylococcus treated (if I had it when I was still in the hospital). And finally: is it true that prolonged trichomoniasis can turn into gonorrhea or is it a children's fairy tale?

All of these diseases are treated by a gynecologist. Erosion is, as a rule, a consequence of the inflammatory process. First, treat infectious diseases. Erosion of the cervix to nulliparous women is cauterized only with extensive damage or the development of complications. Staphylococcal infection is most likely a consequence of the weakening of the protective properties of the body due to trichomoniasis.

My doctor diagnosed me with endometritis. The examination of the smear showed staphylococcus aureus. She prescribed me treatment with gentamicin 80 mcg 2 times a day for 5 days intramuscularly starting from the 1st day of menstruation By inattention: ((I pierced 5 days 1 time per day for 80 mcg, i.e. 2 times less. And my question is the following: what should I now to do? is it possible to repeat this course and what would you advise me? (I also had a sore throat at that time and put bicillin for a month, the otolaryngologist said so).

I'm sorry you didn't follow your doctor's instructions. Since the danger of improper use of antibiotics is that they do not cope with the infection, but cause microorganisms to become addicted to this drug and in the future it no longer affects them. However, staphylococcus is sensitive to bicillin. So, the treatment can be considered complete. You should contact your doctor for an examination in order to find out the state of your health.

As a result of a microbiological study and determination of the sensitivity of isolated cultures to antibiotics, the following was said: “... during a bacteriological study, a culture was isolated from direct bacteriological culture: 1. Pat. Staphylococci 2. Streptococci” and then the sensitivity No. . Does this mean that staphylococci and streptococci “live” in the vagina?

The fact is that both staphylo- and streptococci should be present in the vagina in a small amount. To interpret the culture of vaginal contents, it is important to know how many microorganisms are isolated, and also whether there is an inflammatory process in the genital tract. The presence of inflammation is determined in the usual smear on the flora by the number of leukocytes.

During a routine examination by a gynecologist, a woman takes a smear, and often laboratory assistants find in it such a microorganism as staphylococcus aureus. What does this analysis result mean?

Ways to get staphylococcus into the vagina

Consider where a staphylococcal infection comes from.

Staphylococci live around us, on the skin, in the intestinal tract. Therefore, when washing, for example, with water, staphylococcus aureus can move into the vagina on the mucous membranes and begin to develop in favorable conditions for it.
Also, staphylococcus aureus can be introduced during medical procedures.
During sexual relations.

Staphylococcus aureus in the vagina

It can be especially common and dangerous. Getting into the vagina, Staphylococcus aureus may not manifest itself in any way. Its appearance on the genitals can cause vulvovaginitis with painful sensations and burning in the vagina, as well as the appearance of abnormal discharge. Particularly neglected forms of staphylococcus is the appearance of yellow, orange scales on the skin, which means that the disease is already breaking out.

All this can provoke a disease of the urinary system. Once on the urethra, staphylococcus aureus causes a burning sensation during urination. Vaginal staphylococcus aureus can cause frequently returning thrush caused by dysbacteriosis. And itching on the labia further complicates the process of transferring the disease. Vaginal Staphylococcus aureus can begin to develop if there is a violation of vaginal acidity.

Treatment of vaginal staphylococcus aureus

If vaginal staphylococcus aureus is suspected, an analysis is made for bacterial culture, if the diagnosis is confirmed, then treatment should be prescribed by an infectious disease specialist. Often used in the treatment of autovaccines, autohemotherapy and toxoids. Local treatment of vaginal staphylococcus is also carried out using tampons with bacteriophages.

At the same time, immunity should increase. Probiotics are prescribed to restore the normal microflora of the vagina. The main thing is not to abuse antibiotics during treatment, since staphylococcus quickly adapts to them, and in the future this can cause great difficulties with treatment. Treatment should be selected extremely scrupulously.

Here is one of the more effective treatment recipes: Amoxiclav 3 times a day (for 10 days), Linex Bio and here.

As for vaginal suppositories from staphylococcus, it is better to use suppositories containing bifidobacteria (you can make them yourself by taking a swab and dipping it in diluted bacteria). Antibiotic suppositories are Clindamycin, which cope well with the infection, but only a doctor should prescribe them.