Mycoplasmosis

Mycoplasmosis.  Mycoplasma hominis.  Photo from www.venereology.ru

Mycoplasmosis— A chronic infection that most often affects the genitourinary system, which is called mycoplasma.

Mycoplasma — tiny bacteria that live on plants and in animals and humans. The human body can live 16 species of mycoplasmas. Of these six species live in the mucous genital and urinary tract, and the remaining 10 species — in the mouth and throat.

Of the 6 species of mycoplasma that live in the mucous genital and urinary tract of humans:

  • Mycoplasma primatum, Mycoplasma spermatophilum, Mycoplasma penetrans poorly understood and so far represent only a scientific interest.
  • Ureaplasma urealyticumureaplazmoz causes.
  • Mycoplasma hominis andMycoplasma genitalium studied in more detail. They are the subject of this article. Further, under mycoplasmas are meant only two of these species.

I must say at once that mycoplasmas are opportunistic microorganisms. They can cause a number of diseases, but at the same time, they often reveal in healthy people.

Mycoplasma hominis identify the genital approximately 25% of newborn girls. In boys, the figure is much lower. Often, children infected at birth, over time, is self-healing of mycoplasmas. This is especially true for boys.

As a result, school girls, not sexually active, Mycoplasma hominis reveal only8-17% Of cases.

People who have a sex life, the prevalence of Mycoplasma hominis increases, which is associated with infection during sexual intercourse. Bearers Mycoplasma hominis are 20-50% Of women. In men, they are less common, perhaps self-healing.

Mycoplasma genitalium are much less frequent than Mycoplasma hominis.

Modes of transmission

Infection with Mycoplasma possible from the mother during labor. The girls are infected at birth are more likely than boys. Adults are infected through sexual contact. Domestic contamination is unlikely.

Forms of Mycoplasma

  • Urethritis (inflammation of the urethra) in men. Frommycoplasmas major role in the development of urethritis plays Mycoplasma genitalium.
  • Bacterial vaginosis.
  • Inflammatory diseases of the uterus and appendages.
  • Pyelonephritis (for the development of the last three diseases is "responsible" is usually Mycoplasma hominis).

Role in the development of prostate mycoplasmas are time is not proven.

Diagnostics

Diagnosis and treatment of mycoplasma engaged venereologists, gynecologists and urologists.

To detect mycoplasma used sowing and PCR (polymerase chain reaction).

ELISA (enzyme-linked immunosorbent assay) and mutual funds (direct immunofluorescence) are widely used in our country, but are characterized by low accuracy (about 50-70%).

Detection of antibodies to the mycoplasma is of limited value in the diagnosis of mycoplasma.

Treatment

Detection Mycoplasma hominis andMycoplasma genitalium is not an indication for treatment.

According to modern concepts approach to treatment should be next. In identifying the disease caused by Mycoplasma may be (urethritis, bacterial vaginosis, an inflammatory disease of the uterus and appendages, pyelonephritis), the physician should be aware of their possible role.

It should be noted that the agents mentioned diseases are not only and not so much mycoplasma, but many other microorganisms. Mycoplasmas are a cause of these diseases in some cases.

Remember that you need to be treated for mycoplasma simultaneously to both partners, as otherwise it will re-infection.

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