User:Bfpage/draft/microbiota species of the upper reproductive tract of women

Diversity of Organisms Isolated from Upper Genital Tract Infections

Chlamydia trachomatis and Neisseria gonorrhoeae are usually and assumed to be the main cause of PID. Data suggest that PID is polymicrobial. Isolated anaerobes and facultative microorganisms have been obtained from the upper genital tract. N. gonorrhoeae has been isolated fallopian tubes, facultative and anaerobic organisms were recovered from endometrial tissues.

In a large study, N. gonorrhoea was the most common isolate. C. trachomatis was second most common, and least common were infections caused exclusively by anaerobes and facultative organisms. Anaerobes and facultative bacteria were also isolated from 50% of the patients from whom Chlamydia and Neisseria were recovered; thus, anaerobes and facultative bacteria were present in the upper genital tract of nearly two-thirds of the PID patients.

PCR and serological tests have associated extremely fastidious organism with endometritis, PID, and tubal factor infertility. New bacterial phylotypes and microbiotas now associated with BV include A. vaginae, Streptococcus pyogenes, Prevotella spp. and Peptostreptococcus spp.

Organisms recovered from pelvic infections

• Chlamydia trachomatis

• Neisseria gonorrhoeae

• Prevotella sp

• Prevotella bivia

• Prevotella disiens

• Bacteroides sp.<

• Peptostreptococcus asaccharolyticus

• Peptostreptococcus anaerobius

• Gardnerella vaginalis
• Escherichia coli

• Group B streptococcus
• α-Hemolytic streptococcus

• Coagulase-negative staphylococcus
• Atopobium vaginae

• Acinetobacter

• Dialister sp.

• Fusobacterium gonidiaformans

• Gemella sp.<ref

• Leptotrichia sp.

• Mogibacterium sp.

• Porphyromonas sp.

• Propionibacterium acnes

• Sphingomonas sp.

• Veillonella sp.
• Mycoplasma genitalium
• Mycoplasma sp.
• Ureaplasma sp.