4.7 Review

Recent Advances in Presentation, Diagnosis and Treatment for Mixed Vaginitis

Journal

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fcimb.2021.759795

Keywords

aerobic vaginitis; desquamative inflammatory vaginitis; cytolytic vaginosis; mixed vaginitis; vulvovaginal candidiasis; bacterial vaginosis; trichomoniasis; mixed biofilms

Funding

  1. National Natural Science Foundation of China [82101705]
  2. Tianjin Health Science and Technology Project [QN20034, KJ20176, KJ20003]
  3. Scientific Research Project of Tianjin Education Commission [2020KJ158]

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Mixed vaginitis, the presence of at least two types of vaginitis simultaneously, leads to abnormal vaginal environment and symptoms, although associations between symptoms and specific types are not well understood. The formation of mixed biofilms is common in mixed vaginitis, and studying polymicrobial interactions and mixed biofilms may provide new insights into the condition. Effective management and laboratory diagnosis are crucial to prevent inappropriate therapy and recurrence of mixed vaginitis.
Mixed vaginitis is the simultaneous presence of at least two types of vaginitis, contributing to an abnormal vaginal milieu and leading to vaginal symptoms and signs. However, associations between symptoms and the type of mixed vaginitis have not been clearly elucidated, and research on mixed vaginitis is still in the preliminary stage. Therefore, the pathogenic mechanism of mixed vaginitis remains understudied. Mixed vaginitis generally involves the formation of mixed biofilms. The study of polymicrobial interactions and mixed biofilms will provide a new idea for the understanding of mixed vaginitis. Moreover, this review summarizes some effective management and laboratory diagnosis of mixed vaginitis to avoid inappropriate therapy, recurrence, and reinfection. It is of high clinical importance to obtain relevant clinical data to improve clinical knowledge about mixed vaginitis.

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