Association of microorganisms of reproductive tract of women with vaginal microbiome disorders
Disorders of the microbiome of the reproductive tract of women is quite common and can have significant consequences for the woman and for her sexual partners or to the fetus during pregnancy. The study of vaginal microbiome and biological properties of same microorganisms is a necessary step for choice the treatment strategy. The aim of research was to analyze qualitative and quantitative composition of microbiome of the vagina of women using the test-system Femoflor-16 and to study the ability of staphylococci strains to biofilm-formation. Using molecular genetic methods for detecting of microorganisms disorders of vaginal microbiome was confirmed in 92.7% of the surveyed women. It our study, 21 (41.2%) cases of dysbiosis were found to accompany infectious diseases. <em>Candida</em> spp., <em>Mycoplasma</em> <em>hominis</em>, <em>M. genitalium</em> and <em>Ureaplasma</em> (<em>urealyticum</em> + <em>parvum</em>) showed overwhelming. Most of the pathogens detected were a monoinfection (71%), with two-agent associations accounting for only 29% of the cases. The predominant associations of opportunistic bacteria, detected during disorders of vaginal microbiome, were <em>Gardnerella vaginalis</em> + <em>Prevotella bivia</em> + <em>Porphyromonas</em> spp. that found in 50.9% of patients and <em>Megasphaera</em> spp. + <em>Veillonella</em> spp. + <em>Dialister</em> spp. – found in 34.5% of patients. Among cases of monoinfection the most often found opportunistic pathogens were <em>Eubacterium</em> spp. – 50.9% of cases and <em>Staphylococcus</em> spp. – 49.1% of cases: 92.6% of these were identified as <em>Staphylococcus</em> epidermidis and 7.4% – as <em>Staphylococcus</em> <em>saprophyticus</em>. 44% of <em>S. epidermidi</em>s strains were able to form biofilm. None of <em>S. saprophyticus</em> strains was film-forming.