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Int J Gynaecol Obstet. 2017 Jul;138(1):17-22. doi: 10.1002/ijgo.12154. Epub 2017 Apr 25.

Genital Mycoplasma infection among Mexican women with systemic lupus erythematosus.

Author information

1
Coordination Research, Instituto Mexicano del Seguro Social, Puebla, Mexico.
2
Science Institute, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
3
Systemic Autoimmune Diseases Research Unit, Regional General Hospital #36, Instituto Mexicano del Seguro Social, Puebla, Mexico.
4
Department of Rheumatology, Medicine School, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
5
Centre of Biomolecular Detection and Research of Microbiological Sciences, Science Institute, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
6
Division of Health Research, High Specialty Medical Unit, Orthopedics and Traumatology Hospital, Puebla, Mexico.
7
Department of Obstetrics and Gynaecology, Regional General Hospital #36, Instituto Mexicano del Seguro Social, Puebla, Mexico.
8
Medicine School, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
9
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Spain.

Abstract

OBJECTIVE:

To assess the prevalence of genital Mycoplasma spp. among women with systemic lupus erythematosus (SLE) and to identify factors associated with such infection.

METHODS:

A cross-sectional study was conducted among patients with SLE and healthy women who attended a hospital in Puebla, Mexico, between July 29, 2014, and January 4, 2015. All participants were aged 18 years or older and sexually active. A structured interview assessed sociodemographic, obstetric, gynecologic, and clinical characteristics. Disease activity was evaluated using the Mexican SLE Disease Activity Index. Polymerase chain reaction was used to detect the presence of Mycoplasma spp. in genital samples.

RESULTS:

Ureaplasma urealyticum was the only genital mycoplasma detected; it was present in 32 (24.6%) of 130 patients with SLE and 12 (12.8%) of 94 healthy women. Patients with SLE had increased odds of infection (odds ratio 2.120, 95% confidence interval 1.046-4.296). Among patients with SLE, multiparity was more common in those with U. urealyticum infection (P=0.043).

CONCLUSION:

One-quarter of women with SLE had genital infection with U. urealyticum. An association was found between infection and multiparity among women with SLE.

KEYWORDS:

Mycoplasma ; Ureaplasma ; Infection; Systemic lupus erythematosus

PMID:
28295282
DOI:
10.1002/ijgo.12154
[Indexed for MEDLINE]

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