Overall , lactobacilli were beneficial for the treatment of patients with bacterial vaginosis .
No clear benefit was seen for c and idiasis or urinary tract infection .
In conclusion , the use of certain lactobacillus strains such as L. rhamnosus GR-1 and L. reuteri for prevention and treatment of recurrent urogenital infection is promising , especially for recurrent bacterial vaginosis .
Abstract Probiotics are increasingly being used to treat and prevent urogenital infections .
However , a critical assessment of their efficacy in major urogenital infections is lacking .
We report the results of a systematic review to determine the efficacy of probiotics for prevention or treatment of three major urogenital infections : bacterial vaginosis , vulvovaginal c and idiasis , and urinary tract infection .
Evaluation of two self-care treatments for prevention of vaginal candidiasis in women with HIV.
Vaginal c and idiasis ( VC ) is a common concern for women living with HIV infection . The authors evaluated the effectiveness of two self-care approaches to prophylaxis of VC among HIV-infected women , weekly intravaginal application of Lactobacillus acidophilus or weekly intravaginal application of clotrimazole tablets , in a r and omized , double-blind , placebo-controlled trial . VC was defined as a vaginal swab positive for C and ida species in the presence of signs/symptoms of vaginitis and the absence of a diagnosis of Trichomonas vaginalis or bacterial vaginosis . Thirty-four episodes of VC occurred among 164 women followed for a median of 21 months . The relative risk of experiencing an episode of VC was 0.4 ( 95 % CI = 0.2 , 0.9 ) in the clotrimazole arm and 0.5 ( 95 % CI = 0.2 , 1.1 ) in the Lactobacillus acidophilus arm . The estimated median time to first episode VC was longer for clotrimazole ( p = .03 , log rank test ) and Lactobacillus acidophilus ( p = .09 , log rank test ) compared with placebo . Vaginal yeast infections can be prevented with local therapy . Education about self-care for prophylaxis of VC should be offered to HIV-infected women
Overall , lactobacilli were beneficial for the treatment of patients with bacterial vaginosis .
No clear benefit was seen for c and idiasis or urinary tract infection .
In conclusion , the use of certain lactobacillus strains such as L. rhamnosus GR-1 and L. reuteri for prevention and treatment of recurrent urogenital infection is promising , especially for recurrent bacterial vaginosis .
Abstract Probiotics are increasingly being used to treat and prevent urogenital infections .
However , a critical assessment of their efficacy in major urogenital infections is lacking .
We report the results of a systematic review to determine the efficacy of probiotics for prevention or treatment of three major urogenital infections : bacterial vaginosis , vulvovaginal c and idiasis , and urinary tract infection .