Symptoms and methods of complex treatment of staphylococcus in the vagina. An increased number of staphylococci in a smear in women

The microflora of the vagina normally contains about 1% of staphylococci. An increase in their number provokes the development of infectious diseases. Preventive testing for staphylococcus in the cervical canal and vagina is carried out during routine gynecological examinations (at least 2 times a year).

Characteristics of staphylococci

The bacterium has rounded shapes, is characterized by weak motor activity, resistance to the environment. Microorganisms often form clusters resembling grapes. Bacteria are present on the mucous membranes and human skin in several varieties:

  1. Staphylococcus aureus in the vagina and on other mucous membranes is not dangerous to health, provided it is kept within the normal range. The bacterium is characterized by high virulence and is capable of synthesizing exotoxins. It forms colonies, with uncontrolled growth in numbers causes purulent-inflammatory pathologies.
  2. epidermal. In the absence of inflammation, it is contained on smooth skin, mucous membranes. Does not cause specific symptoms. With insufficient immune function causes endocarditis, sepsis.
  3. Saprophytic staphylococcus. It lives on the skin, mucous membranes of the external genitalia, urinary tract. With excessive reproduction provokes bacterial cystitis, pyelonephritis, glomerulonephritis.
  4. Hemolytic. Conditionally pathogenic bacteria live mainly on the mucous membrane of the pharynx or nose. They have hemolytic properties.

Norm of staphylococcus in sowing

The bacterium is part of the human microflora, therefore it is always determined during research. The rate of staphylococcus in a swab from the pharynx, nose or vagina is 10 3 CFU / ml. An increase in indicators indicates an inflammatory process and the release of microorganisms into the environment.

How does staphylococcus enter the mucosa

The bacterium inoculates the tissues of the genital organs in case of non-compliance with the rules of intimate hygiene, unprotected intercourse. Staphylococcus can also enter the vagina in the following ways:

  • with an unskilled gynecological examination;
  • during surgery;
  • when wearing synthetic underwear;
  • after using daily sanitary pads;
  • with improper use of tampons, pads during menstruation.

Excessive reproduction of bacteria and the inflammatory process provoke certain factors:

  • chronic infectious diseases;
  • AIDS virus;
  • hypothermia;
  • genital infections;
  • secondary disorders of the immune system;
  • mucosal injury;
  • dysbacteriosis.

Why is staphylococcus haemolyticus dangerous in a smear in women

The presence of hemolytic streptococcus in the study of a smear in women signals a violation of the properties of the blood. The microorganism synthesizes the substances plasmocoagulase and leukocidin - bacterial toxins that destroy blood cells. Hemolytic streptococcus causes such pathologies:

  • cystitis;
  • vaginitis;
  • urethritis;
  • cervicitis;
  • adnexitis;
  • salpingitis.

Staphylococcus in a smear during pregnancy

An increased amount of staphylococcus on the mucous membranes is often associated with pregnancy. During the gestation period, hormonal changes occur in the woman's body, the work of the immune system changes. Staphylococcus aureus is considered the most dangerous type of bacteria. Lack of treatment leads to pneumonia, sepsis, meningitis, boils and purulent mastitis.

Signs of the presence of staphylococcus in the body

Clinical symptoms that confirm the presence of pathogenic bacteria occur only with an increase in their number in the vagina and cervical canal. This is evidenced by:

  • itching of the external genital organs (increased at night);
  • discharge of a different nature, often with an unpleasant odor;
  • pain, burning during intercourse;
  • increased irritability;
  • redness of the labia;
  • pustular eruptions on the genitals.

How to treat staphylococcus in a smear

The tactics of treatment is determined individually, depending on the severity and nature of the disease. A woman is prescribed antibiotics, anti-inflammatory drugs for systemic (tablets, capsules, injections) and local use (suppositories, creams). It is allowed to use folk remedies with antiseptic properties (decoction of chamomile, sage).

In order to restore the microflora of the vagina, suppositories with lactobacilli (Acilact, Laktozhinal) are shown. During the period of exacerbation of staphylococcal infection, it is necessary to follow a temporary diet with a high content of dairy products, vitamins, and fiber. The average duration of treatment is 14-16 days.

I was diagnosed with infantility of the genital organs or "baby 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.

It 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 disorders, sexual and reproductive function (infertility, spontaneous 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, then you need to carry out with the determination of 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 are the 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.

QUESTIONS:
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 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. 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. 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 it is necessary to treat it as the causative agent of "thrush". In the strict sense, "" this is a disease caused by fungi, do you have it, are fungi found in the smear? Then they must be treated separately. not intended as a drug against staphylococcus, it is more often used for other infections. You are more shown 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?

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: "... in 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 the 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.

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 different 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 number of opportunistic microbes - 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 can affect its outcome. If staphylococcus is detected during pregnancy - even with a small increase in leukocytes - treatment is required.

What is dangerous coccal flora and why is it required to get rid of it?

streptococci

Approximately all adults are carriers of this conditionally pathogenic flora. If there are a 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 important 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 pathogenic microbes can cross the placenta, infect the fetus, which can lead to miscarriage.
  • Hemolytic streptococcus. Place of localization - intestines and genitals. During pregnancy, you need to get rid of it - infection of the baby can happen when it passes through the birth canal. In the future, the baby may have unsafe 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;
  • sexual infections;
  • neglect of hygiene measures or addiction to 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 using antibiotics of general and local action. Antibiotics of the penicillin group are traditionally prescribed, but in case of allergic reactions to them, they are looking for an alternative remedy. During pregnancy, antibacterial drugs are administered by infusion.

After antibiotic therapy, prebiotics and probiotics are certainly prescribed to improve the intestinal and vaginal flora.

Staphylococci in a smear in women

Staphylococci are also opportunistic microbes that pose a threat when introduced into the bloodstream against the background of a general decrease in immunity.

Most often it is possible to meet with the following strains of these microorganisms. Staphylococcus aureus, or golden, got its name for the golden-colored toxins released by vital activity. This is a particularly unsafe type of microbacteria that provokes purulent-inflammatory processes in all tissues and organs.

During pregnancy, it can 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 genitourinary 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 important 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, surprises 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 susceptibility of this type of pathogenic microbe to antibiotics in order to reduce the threat from treatment. It is not difficult to eliminate hemolytic staphylococcus aureus - it is susceptible to antibacterial drugs from a number of penicillins, cephalosparins, lincosamides, macrolides ... At the same time, drugs of local action are used.

During the 3rd trimester of pregnancy, symptomatic treatment with sanitation of the birth canal is acceptable. 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 unsafe 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 certainly prescribed. All therapeutic measures are carried out only after the acquisition of the results of the test for the susceptibility of staphylococcus to antibiotics - this strain of an opportunistic microbe 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 rank - drink immunomodulators and vitamin-mineral complexes in the off-season;
  • observe the rules of personal hygiene;
  • eat properly;
  • try to lead a healthy lifestyle;
  • refuse synthetic underwear;
  • use tampons only when necessary;
  • avoid unprotected sex;
  • refuse douching unless prescribed by a gynecologist.

With the origin of signs indicating the onset of gynecological diseases, immediately consult a doctor.

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 aureus 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.


Staphylococcus in the vagina is the reason for contacting a gynecologist. In many cases, a staphylococcal infection causes discomfort, discomfort, which can lead to reproductive dysfunction.


Staphylococcus in gynecology is the most common causative agent of infectious and inflammatory diseases of the reproductive system.

Normally, it can be found in the vagina, since many women are its carrier. It has no effect in such cases, but under certain factors it is induced and causes discomfort and deterioration.

Causes of infection


Staphylococcal infection is transmitted by ascending and contact.

A number of risk factors contribute to the development of the infectious process and activation of staphylococcus aureus:

  • promiscuity;
  • hormonal imbalance;
  • neurosis, constant stress;
  • urinary tract infections,
  • non-compliance with personal hygiene;
  • adverse changes in the vaginal flora and its environment;
  • diseases of the reproductive system (inflammation of the layers of the uterus: endometrium, myometrium);
  • birth trauma;
  • improper conduct of methods for examining the female reproductive system (taking swabs, diagnostic curettage with non-sterile medical instruments;
  • pathology of the endocrine system (diabetes mellitus);
  • decrease in immunity.

Staphylococcus aureus can get on the vaginal mucosa during hygiene measures when common household items are used; during a gynecological examination if hygiene is not observed; through sexual contact with an infected partner.

Once on the mucous membrane of an organism weakened by certain factors, staphylococcus begins to multiply and have a negative effect on individual organs or the body as a whole.

Symptoms of a bacterial infection of the genital organs

Clinical picture

Doctor of Medical Sciences, Professor Gandelman G. Sh.:

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In the latent phase, signs of infectious processes in the reproductive system are practically invisible. Women can only tell when interviewed that they have discomfort during intercourse.

In some cases of infection of the genitourinary system, severe clinical symptoms may not be. For this reason, regular preventive examinations are necessary to detect lurking bacteria, including staphylococci.

When staphylococcus is activated against the background of risk factors in women, the following signs of the clinical picture are observed:

  • pain in the lower abdomen, pubis;
  • burning sensation in the vagina;
  • the appearance of secretions that were not previously there (cloudy, mixed with blood, yellow / green with blood particles);
  • in the area of ​​the labia, lemon-colored scales are detected;
  • dysbacteriosis of the reproductive system;
  • the appearance of severe itching in the vaginal area;
  • the appearance of symptoms of thrush;
  • redness and swelling in the perineum;
  • temperature rise to 38-39 ° C;
  • general weakness, lethargy, malaise;
  • changes in discharge during the menstrual cycle (yellow discharge appears in combination with blood clots);
  • the penetration of staphylococcus from the vagina into the urethra causes dysuric disorders: difficulty, pain during the act of urination, a decrease in the volume of urine (oliguria), blood in the urine, and more.

Diagnostics


When the first symptoms appear, you should seek help from a specialist.

After a survey, a thorough examination, instrumental and laboratory research methods, effective therapy will be carried out to eliminate this pathology.

Laboratory research methods include:

  • bacteriological research;
  • smear microscopy;
  • cytological study.

On the gynecological chair, biological material is taken from the woman's vagina, which is sent to the laboratory to detect pathogenic microorganisms.

It is very rare to find it as an independent unit. More often it is found in combination with other microorganisms (E. coli, Trichomonas).

Instrumental research methods include:

  • examination of the vagina with the help of mirrors;
  • colposcopy;
  • tissue biopsy.

When examining the vagina with speculums, gynecologists take smears or perform a biopsy. The taken smears and biopsy specimens are sent for cytological and bacterioscopic studies to determine pathogens.

Colposcopy is a method of examining the vagina using colposcope. With it, you can assess the appearance of the walls of the vagina, the presence of changes in the vascular bundle, changes in the glands, the destruction of epithelial cells, the presence of pathological formations.

Treatment


Once diagnosed, the gynecologist must prescribe to fight the infection.

After the pathogen is detected, the sensitivity of staphylococcus to drugs is determined. The most effective against staphylococcus are antibiotics of the penicillin series ( Augentin, Amoxiclav, Flemoxin salutab).

One of the important in the treatment of staphylococcal infections is to ensure the normal microflora of the vagina. In this case, use Ecofemin, Gynoflor.

When not to treat staphylococcus aureus?

When carrying staphylococcus, the question of how to treat the infection is not relevant, since the bacterium is part of the microflora of the vagina and not only does not interfere, but even helps to maintain an acidic environment in it.

It is impossible to completely get rid of staphylococcus aureus, but when it is not active, this is not necessary.

The video contains interesting information about a vaginal smear to determine the main diseases of the female genitourinary system:

Only in the acute phase when acute symptoms occur, it is necessary to carry out drug treatment.

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