Activity of a Lactobacillus acidophilus-based douche for the treatment of bacterial vaginosis

Lorenzo Drago, Elena De Vecchi, Lucia Nicola, Elisa Zucchetti, Maria Rita Gismondo, Franco Vicariotto

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives: Bacterial vaginosis is characterized by alteration of the normal vaginal microflora, in which a mixed anaerobic bacterial flora becomes prevalent over the population of lacobacilli. Because administration of probiotics might be of some utility in restoring a normal flora, the present study aimed to evaluate the effect of a Lactobacillus acidophilus-strain-based douche on the vaginal environment in bacterial vaginosis. Patients and methods: In an open-label pilot evaluation, 40 women with bacterial vaginosis as defined by Amsel's criteria were treated for 6 days with a douche containing L. acidophilus. Vaginal smears were collected from the patients and analyzed according to Nugent's criteria at the time of diagnosis, after 6 days of treatment, and again at 20 days after the last treatment. At the same times, determination of vaginal pH and a Whiff test were performed. Results: The Nugent score decreased significantly from bacterial vaginosis or an intermediate flora toward a normal flora during treatment, and remained low during the follow-up period for almost all of the patients, indicating bacterial vaginosis in 52.5% and in 7.5% of the patients before treatment and at follow-up, respectively. After treatment, significant decreases in vaginal pH were observed, to less than pH 4.5 in 34/40 women, and the odor test became negative in all of the patients. Conclusions: In this preliminary study, treatment of bacterial vaginosis with a vaginal douche containing a strain of L. acidophilus contributed to the restoration of a normal vaginal environment.

Original languageEnglish
Pages (from-to)435-438
Number of pages4
JournalJournal of Alternative and Complementary Medicine
Volume13
Issue number4
DOIs
Publication statusPublished - May 2007

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Lactobacillus acidophilus
Bacterial Vaginosis
Therapeutics
Vaginal Smears
Probiotics
Population

ASJC Scopus subject areas

  • Medicine(all)
  • Complementary and alternative medicine
  • Nursing(all)

Cite this

Activity of a Lactobacillus acidophilus-based douche for the treatment of bacterial vaginosis. / Drago, Lorenzo; De Vecchi, Elena; Nicola, Lucia; Zucchetti, Elisa; Gismondo, Maria Rita; Vicariotto, Franco.

In: Journal of Alternative and Complementary Medicine, Vol. 13, No. 4, 05.2007, p. 435-438.

Research output: Contribution to journalArticle

Drago, Lorenzo ; De Vecchi, Elena ; Nicola, Lucia ; Zucchetti, Elisa ; Gismondo, Maria Rita ; Vicariotto, Franco. / Activity of a Lactobacillus acidophilus-based douche for the treatment of bacterial vaginosis. In: Journal of Alternative and Complementary Medicine. 2007 ; Vol. 13, No. 4. pp. 435-438.
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abstract = "Objectives: Bacterial vaginosis is characterized by alteration of the normal vaginal microflora, in which a mixed anaerobic bacterial flora becomes prevalent over the population of lacobacilli. Because administration of probiotics might be of some utility in restoring a normal flora, the present study aimed to evaluate the effect of a Lactobacillus acidophilus-strain-based douche on the vaginal environment in bacterial vaginosis. Patients and methods: In an open-label pilot evaluation, 40 women with bacterial vaginosis as defined by Amsel's criteria were treated for 6 days with a douche containing L. acidophilus. Vaginal smears were collected from the patients and analyzed according to Nugent's criteria at the time of diagnosis, after 6 days of treatment, and again at 20 days after the last treatment. At the same times, determination of vaginal pH and a Whiff test were performed. Results: The Nugent score decreased significantly from bacterial vaginosis or an intermediate flora toward a normal flora during treatment, and remained low during the follow-up period for almost all of the patients, indicating bacterial vaginosis in 52.5{\%} and in 7.5{\%} of the patients before treatment and at follow-up, respectively. After treatment, significant decreases in vaginal pH were observed, to less than pH 4.5 in 34/40 women, and the odor test became negative in all of the patients. Conclusions: In this preliminary study, treatment of bacterial vaginosis with a vaginal douche containing a strain of L. acidophilus contributed to the restoration of a normal vaginal environment.",
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