Table 1.
Characteristic | Total | M. hominis | U. urealyticum | U. parvum |
Number of studies, n* | 53 | 42 | 19 | 14 |
Study design, n | ||||
Cohort | 26 | 22 | 10 | 7 |
Case-control | 22 | 16 | 8 | 6 |
Cross-sectional | 5 | 4 | 1 | 1 |
Number of women, total (median; IQR) | 37 132 (241; 145–688) | 29 989 (250; 164–765) | 10 732 (214; 114–783) | 9890 (215; 145–972) |
Study setting, income category, n | ||||
High income | 36 | 27 | 14 | 12 |
Upper-middle income | 9 | 8 | 3 | 2 |
Lower middle-income or low | 2 | 2 | 0 | 0 |
Not reported | 6 | 5 | 2 | 0 |
Outcomes reported, n* | ||||
Preterm birth | 40 | 30 | 16 | 13 |
Low birth weight | 7 | 6 | 2 | 1 |
Premature rupture of membranes | 13 | 11 | 3 | 2 |
Spontaneous abortion | 10 | 10 | 4 | 2 |
Perinatal death | 9 | 9 | 1 | 1 |
Specimen type, n† | ||||
Endocervical swab | 24 | 20 | 7 | 6 |
Vaginal swab | 13 | 6 | 6 | 5 |
Urine | 1 | 1 | 0 | 0 |
Amnotic fluid | 8 | 5 | 4 | 1 |
Placental membrane | 7 | 6 | 2 | 2 |
Diagnostic method* | ||||
NAAT | 22 | 13 | 16 | 11 |
Culture | 28 | 28 | 0 | 0 |
Culture and NAAT | 3 | 1 | 3 | 3 |
Other‡ | 1 | 1 | 0 | 0 |
Bacterial vaginosis assessed, n | 11 | 10 | 1 | 1 |
Reported presence of STI, n | 21 | 22 | 7 | 7 |
Reported on smoking status, n | 14 | 6 | 3 | 3 |
Reported on multiple pregnancy, n | ||||
Excluded | 26 | 20 | 11 | 8 |
Included | 9 | 6 | 4 | 3 |
*The total number of studies included is 53. The totals for each organism and outcome sum to more than 53 because one study might have reported on more than one organism and outcome.
†One study used both urine and endocervical swab.
‡ELISA (with NAAT/Culture).
ELISA, Enzyme-linked immunosorbent assay; NAAT, nucleic acid amplification test; STI, sexually transmitted infection.