{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T15:28:23Z","timestamp":1773242903669,"version":"3.50.1"},"reference-count":25,"publisher":"ALUNA","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Aim: To determine prevalence of Aerobic Vaginitis (AV) after gynecologic surgery, risk factors and antimicrobial resistance of responsible pathogens, and adverse pregnancy outcomes in Ukraine. \nMaterials and Methods: Multicenter retrospective cohort study was conducted from January 2020 to December 2022 in fifteen medical clinics from eight regions of Ukraine. Smears were analyzed using Donders\u2019 classification method and Dong\u2019s modified AV diagnosis for Gram stains. Definitions of HAIs were adapted from the CDC\/NHSN. Antibiotic susceptibility testing of bacteria was determined by Kirby-Bauer disc diffusion test according to the protocol of the EUCAST. \nResults: Prevalence of AV among women\u2019s undergoing gynecologic surgery in Ukraine was 68.7%. Of the total AV cases, 70.3% were in non-pregnant and 29,7% in pregnant women. The most common pathogen of AV was Escherichia coli, followed by Enterococcus faecalis, Streptococcus agalactiae, Staphylococcus aureus, Enterococcus faecium, Klebsiella pneumoniae, and Pseudomonas aeruginosa. Among the S. aureus strains, 11,6% of MRSA (Methicillin resistant S.aureus) were isolated whereas none of the CoNS were cefoxitin resistant. History of vaginal infection, history of post-operative infection and antibiotic use acted as an important risk factor of AV incidence rate. The presence of AV worsened pregnancy outcomes, by increasing the incidence of preterm birth, the premature rupture of membranes, miscarriage, neonatal jaundice, and neonatal infection. \nConclusions: Aerobic Vaginitis after gynecological surgeries in Ukraine is a common medical problem in women that is associated with significant morbidity, adverse pregnancy outcome, and hence frequent medical visits.<\/jats:p>","DOI":"10.36740\/merkur202305103","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T19:07:45Z","timestamp":1702148865000},"page":"456-463","source":"Crossref","is-referenced-by-count":2,"title":["PREVALENCE OF AEROBIC VAGINITIS AFTER GYNECOLOGICAL SURGERIES AND ASSOCIATED ADVERSE PREGNANCY OUTCOME IN UKRAINE"],"prefix":"10.36740","volume":"51","author":[{"given":"Aidyn G.","family":"Salmanov","sequence":"first","affiliation":[{"name":"SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iryna P.","family":"Netskar","sequence":"additional","affiliation":[{"name":"SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerii V.","family":"Kostikov","sequence":"additional","affiliation":[{"name":"NATIONAL CANCER INSTITUTE, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volodymyr","family":"Artyomenko","sequence":"additional","affiliation":[{"name":"ODESA NATIONAL MEDICAL UNIVERSITY, ODESA, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svitlana M.","family":"Korniyenko","sequence":"additional","affiliation":[{"name":"ODESA NATIONAL MEDICAL UNIVERSITY, ODESA, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor O.","family":"Rud","sequence":"additional","affiliation":[{"name":"NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orusia A.","family":"Kovalyshyn","sequence":"additional","affiliation":[{"name":"LVIV MEDICAL INSTITUTE, LVIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. 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The risk factors of adverse pregnancy outcome for pre-pregnancy couples in Hunan, China: a cross-sectional study based on population. Medicine (Baltimore) 2020;99:e23094. doi: 10.1097\/MD.0000000000023094.","DOI":"10.1097\/md.0000000000023094"}],"container-title":["Polski Merkuriusz Lekarski"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T19:07:51Z","timestamp":1702148871000},"score":1,"resource":{"primary":{"URL":"https:\/\/polskimerkuriuszlekarski.pl\/wp-content\/uploads\/library\/PolMerkurLek2023i5.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":25,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.36740\/merkur202305103","archive":["Internet Archive"],"relation":{},"ISSN":["1426-9686"],"issn-type":[{"value":"1426-9686","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]}}}