EA201400641A1 - METHOD OF DIFFERENTIAL DIAGNOSTICS OF BALANCE DISORDERS OF VAGINAL MICROFLORA - Google Patents
METHOD OF DIFFERENTIAL DIAGNOSTICS OF BALANCE DISORDERS OF VAGINAL MICROFLORAInfo
- Publication number
- EA201400641A1 EA201400641A1 EA201400641A EA201400641A EA201400641A1 EA 201400641 A1 EA201400641 A1 EA 201400641A1 EA 201400641 A EA201400641 A EA 201400641A EA 201400641 A EA201400641 A EA 201400641A EA 201400641 A1 EA201400641 A1 EA 201400641A1
- Authority
- EA
- Eurasian Patent Office
- Prior art keywords
- dna
- concentration
- bacterial vaginosis
- microflora
- bacteria
- Prior art date
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- Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
Abstract
Изобретение относится к медицине, более конкретно к лабораторной диагностике и может быть использовано для дифференциальной диагностики нарушений баланса вагинальной микрофлоры. У пациентки берут влагалищный мазок и определяют в нём концентрацию ДНК всех бактерий, концентрацию ДНК бактерии Gardnerella vaginalis, концентрацию ДНК бактерии Atopobium vaginae и концентрацию ДНК бактерий Lactobacillus spp. методом амплификации нуклеиновых кислот. На основании полученных данных рассчитывают коэффициенты соотношений концентраций: КС1 = lg [ДНК Lac] - lg ([ДНК Gv] + [ДНК Av]), КС2 = lg [ДНК Вас] - lg [ДНК Lac] и КС3 = lg [ДНК Вас] - lg ([ДНК Gv] + [ДНК Av]). При lg [ДНК Вас]≥5, КС1>1 и КС2≤1 констатируют отсутствие бактериального вагиноза, при lg [ДНК Вас]≥5, 0.5≤КС1≤1, КС2≤1 и КС3≤2 констатируют промежуточное состояние микрофлоры, при lg [ДНК Вас]≥5, КС1<0.5 и КС3≤2 диагностируют бактериальный вагиноз, а при lg [ДНК Вас]<5 констатируют, что количество бактерий недостаточно для анализа. При отсутствии бактериального вагиноза и 5≤lg [ДНК Вас]<6 констатируют снижение степени бактериальной обсеменённости влагалища. Дополнительно в мазке определяют концентрацию ДНК Enterobacteriaceae, концентрацию ДНК бактерий Staphylococcus spp. и концентрацию ДНК бактерий Streptococcus spp. методом амплификации нуклеиновых кислот. При lg [ДНК Вас]≥6, ([ДНК Ent] + [ДНК Staph] + [ДНК Strep]) ≤ [ДНК Lac] и отсутствии бактериального вагиноза делают заключение "нарушений баланса вагинальной микрофлоры не выявлено", при lg ([ДНК Gv] + [ДНК Av]) - lg ([ДНК Ent] + [ДНК Staph] + [ДНК Strep])≤1 диагноз бактериальный вагиноз уточняют как бактериальный вагиноз в сочетании с повышенным содержанием аэробной микрофлоры, а при lg [ДНК Вас]≥5, ([ДНК Ent] + [ДНК Staph] + [ДНК Strep]) > [ДНК Lac], КС2>1 и КС3>2 констатируют преобладание аэробной микрофлоры. При наличии местной воспалительной реакции в сочетании с повышенным содержанием или преобладанием аэробнойThe invention relates to medicine, more specifically to laboratory diagnosis and can be used for the differential diagnosis of imbalance of the vaginal microflora. A vaginal swab is taken from the patient and the DNA concentration of all bacteria, the DNA concentration of the Gardnerella vaginalis bacterium, the DNA concentration of the Atopobium vaginae bacterium and the DNA concentration of Lactobacillus spp bacteria are determined in it. nucleic acid amplification method. Based on the data obtained, the ratios of the concentrations of concentrations are calculated: KC1 = lg [DNA Lac] - lg ([DNA Gv] + [DNA Av]), KC2 = lg [DNA You] - lg [DNA Lac] and KC3 = lg [DNA You ] - lg ([DNA Gv] + [DNA Av]). With lg [DNA of You] ≥5, KC1> 1 and KS2≤1 state the absence of bacterial vaginosis, with lg [DNA of You] ≥5, 0.5≤KS1≤1, KS2≤1 and KS3≤2 state the intermediate state of microflora, with lg [DNA of you] ≥5, KC1 <0.5 and KC3≤2 diagnose bacterial vaginosis, and with lg [DNA of You] <5, it is ascertained that the number of bacteria is not enough for analysis. In the absence of bacterial vaginosis and 5≤lg [DNA of you] <6, a decrease in the degree of bacterial contamination of the vagina is noted. Additionally, in a smear, the concentration of DNA Enterobacteriaceae, the DNA concentration of bacteria Staphylococcus spp. and DNA concentration of bacteria Streptococcus spp. nucleic acid amplification method. With lg [DNA of You] ≥6, ([DNA Ent] + [DNA of Staph] + [DNA Strep]) ≤ [DNA of Lac] and in the absence of bacterial vaginosis they conclude "no imbalance of the vaginal microflora was detected", with lg ([ Gv] + [DNA Av]) - lg ([DNA Ent] + [DNA Staph] + [DNA Strep]) ≤1 specify the diagnosis of bacterial vaginosis as bacterial vaginosis in combination with an increased content of aerobic microflora, and with lg [DNA of You] ≥5, ([DNA Ent] + [DNA Staph] + [DNA Strep])> [DNA Lac], КС2> 1 and КС3> 2 state the prevalence of aerobic microflora. In the presence of a local inflammatory reaction in combination with an increased content or predominance of aerobic
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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EA201400641A EA025042B1 (en) | 2014-06-03 | 2014-06-03 | Method for differential diagnostics of vaginal microflora balance disorders |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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EA201400641A EA025042B1 (en) | 2014-06-03 | 2014-06-03 | Method for differential diagnostics of vaginal microflora balance disorders |
Publications (2)
Publication Number | Publication Date |
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EA201400641A1 true EA201400641A1 (en) | 2016-01-29 |
EA025042B1 EA025042B1 (en) | 2016-11-30 |
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EA201400641A EA025042B1 (en) | 2014-06-03 | 2014-06-03 | Method for differential diagnostics of vaginal microflora balance disorders |
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EA (1) | EA025042B1 (en) |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
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FR2909099B1 (en) * | 2006-11-24 | 2012-10-19 | Univ Aix Marseille Ii | METHOD FOR DIAGNOSING AND MONITORING BACTERIAL VAGINOSIS BY MOLECULAR QUANTIFICATION |
WO2011068679A1 (en) * | 2009-12-03 | 2011-06-09 | Quest Diagnostics Investments Incorporated | Methods for the diagnosis of bacterial vaginosis |
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EA025042B1 (en) | 2016-11-30 |
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