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Scoping review of cytolytic vaginosis literature

2023Journal article Open access
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dc.contributor.authorKraut, R
dc.contributor.authorCarvallo, FD
dc.contributor.authorGolonka, R
dc.contributor.authorCampbell, SM
dc.contributor.authorRehmani, A
dc.contributor.authorBabenko, O
dc.contributor.authorLee, MC
dc.contributor.authorVieira-Baptista, P
dc.date.accessioned2023-02-05T17:58:03Z
dc.date.available2023-02-05T17:58:03Z
dc.date.issued2023
dc.description.abstractBackground: Cytolytic vaginosis (CV) is a little-known, controversial condition that is typically not considered for women presenting with vulvovaginitis symptoms. Objective: The objective of this scoping review was to identify and compile the global evidence on CV. Methods: A medical librarian searched Prospero, Wiley Cochrane Library, Ovid Embase, Ovid Medline, EBSCO CINAHL, ProQuest Dissertations and Theses Global, and Scopus, from inception to April 4, 2019 and updated to October 17, 2021. Studies were eligible if they discussed CV. Two independent reviewers conducted study selection and data extraction. Results: Sixty-four studies were identified, with 67% of studies (n = 43) published since 2007. Studies were from around the world, including the United States (28%, n = 18), Brazil (11%, n = 7), Portugal (11%, n = 7), and China (11%, n = 7). Fifty percent of studies (n = 32) were reviews; the remainder were observational; and of these, 78% (n = 25) were cross-sectional. The most frequent topics included: diagnosis (19%, n = 12), prevalence (17%, n = 11), and overview of CV (50%, n = 32). Evidence for prevalence in symptomatic women (median prevalence of 5%, interquartile range 3%-8%) was based only on 16% of studies (n = 10) with minimal evidence on prevalence in asymptomatic women and across different geographic regions. Microbiological findings, including abundant lactobacilli and fragmented epithelial cells, were found useful to distinguish between CV and vulvovaginal candidiasis, and Lactobacillus crispatus was noted to dominate the vaginal flora in women with CV. Most studies used subjective criteria to diagnose CV as the condition lacks gold-standard microscopic criteria. The suggested primary treatment (baking soda irrigations) was largely based on expert opinion, and there was minimal evidence on associations between CV and other conditions. Conclusion: Knowledge gaps currently exist in all realms of CV research. Additional research is needed to confirm the validity of CV and ensure that women are diagnosed and treated effectively.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPLoS One . 2023 Jan 26;18(1):e0280954.pt_PT
dc.identifier.doi10.1371/journal.pone.0280954pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/43630
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectCandidíase Vulvovaginalpt_PT
dc.subjectCandidiasis, Vulvovaginalpt_PT
dc.titleScoping review of cytolytic vaginosis literaturept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPagee0280954pt_PT
oaire.citation.titlePLOS ONEpt_PT
oaire.citation.volume18pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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