Evidence map›Paper›PMID 42022122›Full record

ArticleFrontiers in microbiology2026

Vaginal microbiome dysbiosis and a rectal reservoir of uropathogens characterize postmenopausal women with recurrent urinary tract infections: a cross-sectional study.

Timothy S Horseman, Keith S K Fong, Jamie L Dombach, Edwin Kamau, Alan P Gehrich

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. The Gut-Vagina Axis.Microorganisms · 2026
    Review
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

5 authors.

Timothy S HorsemanUnited States Army Institute of Surgical Research, Joint Base San Antonio-Fort Sam Houston, TX, United States.
Keith S K FongDepartment of Clinical Investigation, Tripler Army Medical Center, Honolulu, HI, United States.
Jamie L DombachDepartment of Clinical Investigation, Tripler Army Medical Center, Honolulu, HI, United States.
Edwin KamauDepartment of Pathology, Tripler Army Medical Center, Honolulu, HI, United States.
Alan P GehrichDepartment of Obstetrics and Gynecology, Division of Urogynecology, Tripler Army Medical Center, Honolulu, HI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Recurrent urinary tract infections (rUTIs) in postmenopausal (PM) women pose a significant clinical challenge, complicated by rising antibiotic resistance among uropathogens. The vaginal microbiota in this population remains underexplored. We aim to characterize vaginal flora of PM women with and without a history of rUTIs, and to evaluate relationships to demographic variables, clinical characteristics, and rectal pathogen colonization. Methods: We conducted a cross-sectional study of 62 PM women ( Results: Compared to controls, rUTI vaginal microbiota exhibited a marked depletion in Discussion: The rectum emerged as a key reservoir, with notable concordance of organisms across rectal and urogenital sites. Our findings indicate that rUTIs in postmenopausal women are associated with a dysbiotic vaginal microbiome that is closely linked to a rectal reservoir of multidrug-resistant uropathogens.

Indexed as

drug resistancedysbiosisEnterobacteriaceae/pathogenicityLactobacillus/physiologymicrobial/geneticspostmenopausalrectum/microbiologyurinary tract infections/microbiology

Identifiers

PMID42022122
PMCPMC13096829

What OpenQuestion holds

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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.