Evidence map›Paper›PMID 40900998›Full record

ArticleFrontiers in cellular and infection microbiology2025

Vaginal microbiota: different roles of lactobacilli and community instability in chronic vulvovaginal discomfort.

Vladimír Buchta, Jana Nekvindová, Daniel Leško, Filip Vrbacký, Peter Veščičík, Zuzana Uhlířová, Ctirad Andrýs, Radka Bolehovská, Marian Kacerovský, Jiří Špaček and 3 more

Abstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Population‑Specific Diversity of Dominant VaginalInternational journal of women's health · 2026
    Article
  6. Article
  7. 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

13 authors.

Vladimír BuchtaDepartment of Clinical Microbiology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Jana NekvindováDepartment of Clinical Biochemistry and Diagnostics, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Daniel LeškoDepartment of Obstetrics and Gynecology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Filip Vrbacký4th Department of Internal Medicine - Hematology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Peter VeščičíkDepartment of Obstetrics and Gynecology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Zuzana UhlířováDepartment of Clinical Biochemistry and Diagnostics, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Ctirad AndrýsDepartment of Clinical Immunology and Allergology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Radka BolehovskáDepartment of Clinical Microbiology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Marian KacerovskýDepartment of Obstetrics and Gynecology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Jiří ŠpačekDepartment of Obstetrics and Gynecology, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Alena MrkvicováDepartment of Clinical Biochemistry and Diagnostics, University Hospital Hradec Kralove, Hradec Kralove, Czechia.
Hana SkalskáDepartment of Informatics and Quantitative Methods, Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czechia.
Lenka PlíškováDepartment of Clinical Biochemistry and Diagnostics, University Hospital Hradec Kralove, Hradec Kralove, Czechia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic vulvovaginal discomfort (CVD) is a complex syndrome with many unresolved questions regarding its etiology, diagnosis, and management in relation to the vaginal microbiota. Methods: Cervicovaginal fluid of 91 CVD patients and 35 healthy controls was obtained at the beginning and end of the follow-up period. The bacterial community state types (CST) in the vagina were assessed using next-generation sequencing (NGS). CVD patients were divided into four study groups by etiology: non-specific, yeast, bacterial, and mixed. Results: The vaginal microbiota was characterized by 1) predominance of CST3 in all study groups, 2) a relatively higher proportion of CST2 (29.2%) and CST4 (20.0%) in the non-specific group and controls, respectively, 3) lack of CST4 (4.0%) in the yeast group, and 4) an effect of clinical status (CVD vs. health) on CST stability and microbiota composition. The vaginal environment was shaped by lactobacilli except for CST4. CVD patients had a higher proportion of G-positive cocci than controls; the non-specific group had significantly higher Conclusion: Our results revealed an opposing trend in the abundance of

Indexed as

LactobacillusMicrobiotaVaginaAdultBacteriaCase-Control StudiesChronic DiseaseFemaleHigh-Throughput Nucleotide SequencingHumansMiddle AgedYoung Adultchronic vulvovaginal discomfortcommunity state type (CST)CST shiftCST stabilityLactobacillus inersnext generation sequencing (NGS)vaginal microbiota

Identifiers

PMID40900998
PMCPMC12399642

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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.