Evidence map›Paper›PMID 40537474›Full record

ReviewNature reviews. Disease primers2025

Bacterial vaginosis.

Catriona S Bradshaw, Erica L Plummer, Christina A Muzny, Caroline M Mitchell, David N Fredricks, Melissa M Herbst-Kralovetz, Lenka A Vodstrcil

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Microbiology (Reading, England) · 2026
    Article
  14. Review
  15. Review
  16. Review
  17. Regulatory Effects ofMicroorganisms · 2026
    Article
  18. Bacterial vaginosis male partner treatment in the United States.American journal of obstetrics and gynecology · 2026
    Article
  19. Article
  20. Spatial organization ofInfection and immunity · 2026
    Article
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

7 authors.

Catriona S BradshawSchool of Translational Medicine, Monash University, Carlton, Victoria, Australia. catriona.bradshaw@monash.edu.ORCID http://orcid.org/0000-0002-6643-5678
Erica L PlummerSchool of Translational Medicine, Monash University, Carlton, Victoria, Australia.
Christina A MuznyDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0002-4005-3858
Caroline M MitchellVincent Center for Reproductive Biology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9924-2349
David N FredricksVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Melissa M Herbst-KralovetzDepartment of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0002-8540-5917
Lenka A VodstrcilSchool of Translational Medicine, Monash University, Carlton, Victoria, Australia. lenka.vodstrcil@monash.edu.ORCID http://orcid.org/0000-0003-3679-9195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacterial vaginosis (BV) is a vaginal microbiome disorder that is associated with preterm birth and spontaneous abortion, increased risk of HIV infection and sexually transmitted infections, and has negative effects on quality of life. BV affects one in four women globally, with the highest burden in resource-limited settings. Marked alterations in vaginal microbiome composition, in pro-inflammatory cytokines and chemokines, and in the proteome and metabolome characterize BV and contribute to adverse sequelae. Despite its prevalence, the exact aetiologic agent of BV is unknown and its pathophysiology is poorly understood. These knowledge gaps impede diagnostic and management approaches, with recommended treatment strategies resulting in recurrence that exceeds 50% over 3-6 months. New data on the sexual transmission of BV, including evidence that male-partner treatment improves cure, have improved our understanding of its aetiology and pathogenesis, and provide opportunities for developing optimal diagnostic, treatment and prevention strategies. Other factors probably also contribute to the low efficacy of current treatments, including biofilm and/or antimicrobial resistance, and failure to recolonize a favourable vaginal microbiome after treatment. The complex pathophysiology of BV highlights that individualized and multifaceted management approaches will be required to manage the refractory and adverse sequelae of BV.

Indexed as

Vaginosis, BacterialAnti-Bacterial AgentsFemaleHumansMicrobiotaPrevalenceQuality of LifeVaginaAnti-Bacterial Agents

Identifiers

PMID40537474

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.