Mycoplasmosis

Mycoplasmosis – a chronic infection that most often affects the urogenital system, which cause the mycoplasma.

Mycoplasma – the smallest bacteria, which live on plants and in animals and humans. The human body can live for 16 species of mycoplasma. Of these six species inhabit the mucosal genital and urinary tract, and the remaining 10 species – in the mouth and throat.

Of the six species of mycoplasmas that inhabit the mucosal genital and urinary tract of man:

Mycoplasma primatum, Mycoplasma spermatophilum, Mycoplasma penetrans have been little studied and so far are only of scientific interest.
Ureaplasma urealyticum is ureaplasmosis.
Mycoplasma hominis and Mycoplasma genitalium were studied in detail. They are the subject of this article. Next by mycoplasmas means only two of these species.

Just have to say that mycoplasmas are opportunistic pathogens. They can cause a number of diseases, but at the same time, they often identify and healthy people.

Mycoplasma hominis detected in the genital area of ​​approximately 25% of newborn girls. In boys, the figure is much lower. Often, children infected at birth, with time is self-healing of mycoplasmas. This is especially true for boys.

As a result, school girls are not sexually active, Mycoplasma hominis detected only in 8-17% of cases.

People who have sex, the prevalence of Mycoplasma hominis increases, due to infection during sexual intercourse. Carriers of Mycoplasma hominis are 20-50% of women. In men, they are less common, perhaps self-healing.

Mycoplasma genitalium is much less common than Mycoplasma hominis.
Modes of transmission

Mycoplasma Infection is possible from the mother during childbirth. The girls are infected at birth are more likely than boys. Adults are infected through sexual contact. Household contamination is unlikely.
The forms of mycoplasma

Urethritis (inflammation of the urethra) in men. From the mycoplasma a major role in the development of urethritis is Mycoplasma genitalium.
Bacterial vaginosis.
Inflammatory diseases of the uterus and appendages.
Pyelonephritis (for the development of the last three diseases is “responsible” generally Mycoplasma hominis).

The role of mycoplasmas in the development of prostatitis is currently unproven.
Diagnosis

Diagnosis and treatment of mycoplasma involved venereologists, gynecologists and urologists.

For the detection of mycoplasma using culture and PCR (polymerase chain reaction).

ELISA (enzyme immunoassay) and PIF (direct immunofluorescence) are widely used in our country, but are characterized by low accuracy (50-70%).

Detection of antibodies to mycoplasmas is of limited value in the diagnosis of mycoplasmosis.
Treatment

Detection of Mycoplasma hominis and Mycoplasma genitalium is not an indication for treatment.

According to modern concepts approach to treatment should be next. In identifying the disease agents which may be mycoplasmas (urethritis, bacterial vaginosis, the inflammatory disease of the uterus and appendages, pyelonephritis), the physician should be aware of their possible role.

It should be noted that the agents mentioned diseases are not only and not mycoplasma, but many other organisms. Mycoplasmas cause these diseases are only a few cases.

Remember that the treatment for mycoplasma should be at the same time for both partners, otherwise there will be reinfection.