Microbiology & Immunology Publications

Influence of three-day antimicrobial therapy and lactobacillus vaginal suppositories on recurrence or urinary tract infections

Document Type

Article

Publication Date

3-20-2003

Journal

FEMS Immunology and Medical Microbiology

Volume

35

Issue

2

First Page

131

Last Page

134

URL with Digital Object Identifier

10.1016/S0928-8244(02)00465-0

Abstract

Urogenital infections afflict an estimated one billion people each year. The size of this problem and the increased prevalence of multi-drug resistant pathogens make it imperative that alternative remedies be found. A randomized, placebo-controlled trial of 64 healthy women given daily oral capsules of Lactobacillus rhamnosus GR-1 and Lactobacillus fermentum RC-14 for 60 days showed no adverse effects. Microscopy analysis showed restoration from asymptomatic bacterial vaginosis microflora to a normal lactobacilli colonized microflora in 37% women during lactobacilli treatment compared to 13% on placebo (P=0.02). Lactobacilli were detected in more women in the lactobacilli-treated group than in the placebo group at 28 day (P=0.08) and 60 day (P=0.05) test points. Culture findings confirmed a significant increase in vaginal lactobacilli at day 28 and 60, a significant depletion in yeast at day 28 and a significant reduction in coliforms at day 28, 60 and 90 for lactobacilli-treated subjects versus controls. The combination of probiotic L. rhamnosus GR-1 and L. fermentum RC-14 is not only safe for daily use in healthy women, but it can reduce colonization of the vagina by potential pathogenic bacteria and yeast. © 2003 Federation of European Microbiological Societies. Published by Elsevier Science B.V. All rights reserved.

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