Mycoplasmosis - a chronic infection that most often affects the genitourinary system, which is called mycoplasma.
Mycoplasma - tiny bacteria that liveon plants and animals and humans. The human body can live for 16 vidovmikoplazm. Of these, 6 species inhabit mucous genital Organova urinary tract; the remaining 10 types - in the mouth and throat.
Of the 6 species of mycoplasmas, living on the mucous genital and urinary tract of man:
- Mycoplasma primatum, Mycoplasma spermatophilum, Mycoplasma penetrans poorly understood and yet represent only a scientific interest.
- Ureaplasma urealyticum is ureaplasmosis.
- Mycoplasma hominis and Mycoplasma genitalium were studied in detail. They are the subject of this article. Further, under mycoplasmas means the only two of these species.
Immediately I must say that mycoplasmas are opportunistic pathogens. They can cause a number of diseases, but also reveals their vremyaneredko in healthy people.
Mycoplasma hominis reveal the genitalsapproximately 25% of newborn boys devochek.U this figure is much lower. Often children infected during delivery, with time going on self-healing of mycoplasmas. This is especially true for boys.
As a result, the schoolgirls are not sexually active, Mycoplasma hominis reveal only 8-17% of cases.
In people who have sex,the prevalence of Mycoplasma hominis increases, which is related to infection during sexual intercourse. Bearers of Mycoplasma hominis are 20-50% of women. In men, they are less common, perhaps self-healing.
Mycoplasma genitalium are much less common than Mycoplasma hominis.
Infection with Mycoplasma possible from the mother during childbirth. Girls during delivery are infected more often than boys. Adults infected through sexual contact. Domestic contamination unlikely.
What are the forms of mycoplasma:
- Urethritis (inflammation of the urethra) in men. From mycoplasma a 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 "responsible" is usually Mycoplasma hominis).
The role of mycoplasmas in the development of prostatitis is not currently proved.
Diagnosis and treatment of mycoplasma involved venereologists, gynecologists and urologists. To detect mycoplasma using seeding and PCR (polymerase chain reaction).
ELISA (enzyme-linked immunosorbent assay) and PIF (directimmunofluorescence) are widely used in our country, but characterized by low accuracy (about 50-70%). Detection of antibodies to the mycoplasma is of limited value in the diagnosis of mycoplasma.
Detection of Mycoplasma hominis and Mycoplasma genitalium is not an indication for treatment.
According to modern concepts approach to treatmentIt must be as follows. In identifying the diseases, pathogens which may be mycoplasma (urethritis, bacterial vaginosis, inflammatory diseases of the uterine appendages, pyelonephritis), the physician should be aware of their possible role.
It is worth noting that the agents referred todiseases are not less stricter 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 for both partners, otherwise there will be repeated infection.