{"id":99,"date":"2025-08-01T21:16:11","date_gmt":"2025-08-01T21:16:11","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=99"},"modified":"2025-08-02T21:38:32","modified_gmt":"2025-08-02T21:38:32","slug":"vaginose-bacterienne-gardnerella-vaginalis","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/infections-sexuellement-transmissibles-ist-dorigine-bacterienne\/vaginose-bacterienne-gardnerella-vaginalis\/","title":{"rendered":"\ud83e\uddeb Vaginose bact\u00e9rienne \u2013 Gardnerella vaginalis"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p><em>Un d\u00e9s\u00e9quilibre bact\u00e9rien fr\u00e9quent de la flore vaginale<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que la vaginose bact\u00e9rienne ?<\/strong><\/h3>\n\n\n\n<p>La vaginose bact\u00e9rienne est une <strong>infection g\u00e9nitale basse<\/strong> due \u00e0 une <strong>prolif\u00e9ration anormale de bact\u00e9ries ana\u00e9robies<\/strong>, principalement <em>Gardnerella vaginalis<\/em>, au d\u00e9triment des lactobacilles protecteurs de la flore vaginale.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Ce <strong>d\u00e9s\u00e9quilibre du microbiote vaginal<\/strong> est <strong>fr\u00e9quent chez la femme en \u00e2ge de procr\u00e9er<\/strong>, et <strong>n\u2019est pas toujours une IST au sens strict<\/strong>, mais peut \u00eatre favoris\u00e9e par des rapports sexuels non prot\u00e9g\u00e9s ou fr\u00e9quents.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Signes cliniques fr\u00e9quents<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pertes vaginales <strong>grises ou blanch\u00e2tres<\/strong>, abondantes<\/li>\n\n\n\n<li><strong>Odeur de poisson<\/strong> (notamment apr\u00e8s rapport sexuel)<\/li>\n\n\n\n<li>Irritation vaginale ou sensation de br\u00fblure (parfois absente)<\/li>\n\n\n\n<li>Parfois asymptomatique<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u274c <strong>Ce n\u2019est pas une mycose<\/strong><\/h3>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Contrairement \u00e0 la candidose, il <strong>n\u2019y a pas de d\u00e9mangeaison intense ni de pertes \u00e9paisses type \u201clait caill\u00e9\u201d<\/strong>. La vaginose est d\u2019origine bact\u00e9rienne, non fongique.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddec <strong>Facteurs favorisant<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rapports sexuels multiples ou non prot\u00e9g\u00e9s<\/li>\n\n\n\n<li>Douches vaginales r\u00e9p\u00e9t\u00e9es<\/li>\n\n\n\n<li>Utilisation de spermicides<\/li>\n\n\n\n<li>Changement hormonal ou contraceptif<\/li>\n\n\n\n<li>Flore intestinale d\u00e9s\u00e9quilibr\u00e9e<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Examen clinique + pH vaginal > 4,5<\/li>\n\n\n\n<li>Test \u00e0 l\u2019odeur (Whiff test \u00e0 l\u2019amines)<\/li>\n\n\n\n<li>Frottis vaginal, coloration de Gram ou test PCR vaginal<\/li>\n\n\n\n<li>Score de Nugent (au laboratoire)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antibiotiques<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Traitement du partenaire non syst\u00e9matique, sauf en cas de r\u00e9cidives fr\u00e9quentes.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u2757 <strong>Complications possibles<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Risque accru d\u2019infection pelvienne (PID)<\/li>\n\n\n\n<li>Risque d\u2019IST (favorise l\u2019entr\u00e9e du VIH, gonocoque, etc.)<\/li>\n\n\n\n<li>Complications obst\u00e9tricales (fausse couche, pr\u00e9maturit\u00e9)<\/li>\n\n\n\n<li>R\u00e9cidives fr\u00e9quentes sans mesures pr\u00e9ventives<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd04 <strong>Pr\u00e9vention et hygi\u00e8ne<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9viter les douches vaginales<\/li>\n\n\n\n<li>Utiliser un savon doux \u00e0 pH neutre ou alcalin<\/li>\n\n\n\n<li>Favoriser les sous-v\u00eatements en coton<\/li>\n\n\n\n<li>Stabiliser la flore par probiotiques vaginaux si besoin<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagnostic diff\u00e9rentiel (vaginose, mycose, IST)<\/li>\n\n\n\n<li>Traitement rapide et personnalis\u00e9<\/li>\n\n\n\n<li>Suivi des r\u00e9cidives<\/li>\n\n\n\n<li>Conseils d\u2019hygi\u00e8ne intime<\/li>\n\n\n\n<li>Prise en charge des infections associ\u00e9es<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Prenez rendez-vous en toute confidentialit\u00e9<\/strong><\/h3>\n\n\n\n<p>\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie, IST &amp; Laser \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un d\u00e9s\u00e9quilibre bact\u00e9rien fr\u00e9quent de la flore vaginale \ud83d\udccc Qu\u2019est-ce que la vaginose bact\u00e9rienne ? La vaginose bact\u00e9rienne est une infection g\u00e9nitale basse due \u00e0 une prolif\u00e9ration anormale de bact\u00e9ries ana\u00e9robies, principalement Gardnerella vaginalis, au d\u00e9triment des lactobacilles protecteurs de la flore vaginale. Ce d\u00e9s\u00e9quilibre du microbiote vaginal est fr\u00e9quent chez la femme en \u00e2ge [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":214,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-99","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/99","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=99"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/99\/revisions"}],"predecessor-version":[{"id":100,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/99\/revisions\/100"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/214"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=99"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}