Evidence map›Paper›PMID 32726445›Full record

ArticleThe Journal of infectious diseases2021

Association Between Vaginal Bacterial Microbiota and Vaginal Yeast Colonization.

McKenna C Eastment, Jennifer E Balkus, Barbra A Richardson, Sujatha Srinivasan, Joshua Kimani, Omu Anzala, Jane Schwebke, Tina L Fiedler, David N Fredricks, R Scott McClelland

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Persistent, Asymptomatic Colonization withMicrobiology spectrum · 2022
    Trial
  2. Journal of bacteriology · 2026
    Article
  3. Article
  4. Evaluation ofFrontiers in microbiology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

McKenna C EastmentUniversity of Washington, Department of Medicine, Seattle, Washington, USA.
Jennifer E BalkusDepartment of Global Health, Seattle, Washington, USA.
Barbra A RichardsonDepartment of Global Health, Seattle, Washington, USA.
Sujatha SrinivasanFred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, Washington, USA.
Joshua KimaniUniversity of Nairobi, Institute of Tropical and Infectious Diseases, Nairobi, Kenya.
Omu AnzalaKenya AIDS Vaccine Initiative (KAVI)-Institute of Clinical Research, Nairobi, Kenya.
Jane SchwebkeUniversity of Alabama at Birmingham, Division of Infectious Diseases, Birmingham, Alabama, USA.
Tina L FiedlerFred Hutchinson Cancer Research Center, Vaccine and Infectious Disease Division, Seattle, Washington, USA.
David N FredricksUniversity of Washington, Department of Medicine, Seattle, Washington, USA.
R Scott McClellandUniversity of Washington, Department of Medicine, Seattle, Washington, USA.
Fred Hutch Cancer Center · USUniversity of Washington · USKenya AIDS Vaccine Initiative · KEUniversity of Alabama at Birmingham · USUniversity of Nairobi · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
EARLY INFECTION IN WOMEN EXPOSED MUCOSALLY TO HIV-1R37AI038518 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI OVERBAUGH, JULIE M. · 1999 to 2019
$12.9M
Impact of suppressive antimicrobial therapy on the vaginal microbiota and BVR01AI099106 · NIAID · UNIVERSITY OF WASHINGTON · PI MCCLELLAND, RAYMOND SCOTT · 2012 to 2014
$1.8M
RCT of an Implementation Science Tool to Integrate HIV testing into Family Planning Services K24HD088229 · NICHD · UNIVERSITY OF WASHINGTON · PI MCCLELLAND, RAYMOND SCOTT · 2016 to 2020
$863k
Randomized controlled trial of an implementation science tool to increase cervical cancer screening in Mombasa, KenyaK08CA228761 · NCI · UNIVERSITY OF WASHINGTON · PI EASTMENT, MCKENNA CLAIRE · 2018 to 2022
$756k
NCI NIH HHS K08 CA228761NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI099106NIAID NIH HHS R37 AI038518NIAID NIH HHS T32 AI007140NICHD NIH HHS K24 HD088229
6 · The paper itself

Abstract

backgroundVaginal yeast is frequently found with Lactobacillus-dominant microbiota. The relationship between vaginal yeast and other bacteria has not been well characterized.

methodsThese analyses utilized data from the Preventing Vaginal Infections trial. Relative abundance of vaginal bacteria from 16S ribosomal ribonucleic acid gene amplicon sequencing and quantities of 10 vaginal bacteria using taxon-directed polymerase chain reaction assays were compared at visits with and without detection of yeast on microscopy, culture, or both.

resultsHigher relative abundances of Megasphaera species type 1 (risk ratio [RR], 0.70; 95% confidence interval [CI], 0.52-0.95), Megasphaera species type 2 (RR, 0.81; 95% CI, 0.67-0.98), and Mageeibacillus indolicus (RR, 0.46; 95% CI, 0.25-0.83) were associated with lower risk of detecting yeast. In contrast, higher relative abundances of Bifidobacterium bifidum, Aerococcus christensenii, Lactobacillus mucosae, Streptococcus equinus/infantarius/lutentiensis, Prevotella bivia, Dialister propionicifaciens, and Lactobacillus crispatus/helveticus were associated with yeast detection. Taxon-directed assays confirmed that increasing quantities of both Megasphaera species and M indolicus were associated with lower risk of detecting yeast, whereas increasing quantities of L crispatus were associated with higher risk of detecting yeast.

conclusionsDespite an analysis that examined associations between multiple vaginal bacteria and the presence of yeast, only a small number of vaginal bacteria were strongly and significantly associated with the presence or absence of yeast.

Indexed as

MicrobiotaVaginosis, BacterialBacteriaFemaleHumansMegasphaeraRNA, Ribosomal, 16SVaginaYeastsRNA, Ribosomal, 16Svaginal bacterial microbiotavulvovaginal candidiasisyeast

Identifiers

PMID32726445
PMCPMC7938175
OpenAlexW3045498318

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.