Question:
Hello Doctor,
I recently had a vaginal discharge test, and the result showed "positive for Gram-positive bacilli." However, the doctor who reviewed the results said there was nothing wrong. So, could you please tell me if being positive for Gram-positive bacilli is a cause for concern? Do I need to take any medication? Thank you, Doctor.
Tran Thi Tham (1991)
Answer:
Answered by Pham Thi Yen, Specialist level I, MD Yen - Department of Obstetrics and Gynecology, Vinmec International General Hospital, Hai Phong.Hello,
Regarding your question, “Is it concerning to be positive for Gram-positive bacilli?”, here is my answer:
The vaginal microbiota in women of reproductive age consists of both aerobic and anaerobic bacteria that are part of the normal flora. When this microbiota is balanced, it does not cause bacterial vaginosis. The imbalance among these bacteria can lead to vaginal infections.
In a normal vaginal microbiota, Gram-positive bacilli (particularly Lactobacillus species) account for up to 90% of the bacteria. These bacteria play a crucial role in maintaining an acidic environment that inhibits the growth of harmful pathogens. In your test results, the presence of Gram-positive bacilli without other organisms such as cocci, diplococci, fungi, parasites, etc indicates a normal vaginal microbiota. This means you do not have bacterial vaginosis and there is no need for treatment.
If you have further concerns about Gram-positive bacilli, you can visit a hospital in the Vinmec Health System for a more thorough examination and consultation. Thank you for trusting and submitting your question to Vinmec. Wishing you good health!
Best regards,
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