TABLE 2.
Detection of microorganism in healthy, cervicitis, and vaginitis groups based on the cutoff values of the NAR
| Microorganism | Healthy controls vs cervicitis patients |
Healthy controls vs vaginitis patients |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Cutoff (NAR)a | No. (%) of: |
OR (95% CI)b | P c | Cutoff (NAR)a | No. (%) of: |
OR (95% CI)b | P c | |||
| Healthy controls | Cervicitis patients | Healthy controls | Vaginitis patients | |||||||
| Lactobacillus spp. | >0.84 | 250 (43.3) | 31 (19.5) | 0.32 (0.21–0.49) | <0.0001 | >0.79 | 332 (57.4) | 72 (34.8) | 0.40 (0.28–0.55) | <0.0001 |
| ≤0.84 | 326 (56.4) | 118 (74.2) | 2.22 (1.50–3.29) | 0.0001 | ≤0.79 | 244 (42.2) | 127 (61.4) | 2.17 (1.57–3.01) | <0.0001 | |
| T. vaginalis | >0.39 | 3 (0.5) | 5 (3.1) | 6.22 (1.47–26.33) | 0.014 | >0.41 | 2 (0.3) | 4 (1.9) | 5.68 (1.03–31.22) | 0.045 |
| ≤0.39 | 3 (0.5) | 1 (0.6) | 1.21 (0.13–11.74) | 0.868 | ≤0.41 | 4 (0.7) | 0 (0) | 0.430 | ||
| M. genitalium | >0.46 | 3 (0.5) | 4 (2.5) | 4.95 (1.10–22.33) | 0.042 | >0.47 | 2 (0.3) | 4 (1.9) | 5.67 (1.03–31.22) | 0.045 |
| ≤0.46 | 9 (1.6) | 0 (0) | 0.250 | ≤0.47 | 10 (1.7) | 0 (0) | 0.160 | |||
| U. urealyticum | >0.55 | 14 (2.4) | 10 (6.3) | 2.70 (1.18–6.21) | 0.022 | >0.55 | 14 (2.4) | 16 (7.7) | 3.37 (1.62–7.04) | 0.001 |
| ≤0.55 | 27 (4.7) | 3 (1.9) | 0.39 (0.12–1.31) | 0.129 | ≤0.55 | 27 (4.7) | 5 (2.4) | 0.51 (0.19–1.33) | 0.167 | |
| T. pallidum | >0.57 | 0 (0) | 6 (3.8) | <0.0001 | >0.45 | 1 (0.2) | 14 (6.8) | 41.85 (5.47–320.39) | <0.0001 | |
| ≤0.57 | 3 (0.5) | 6 (3.8) | 7.52 (1.86–30.40) | 0.005 | ≤0.45 | 2 (0.3) | 3 (1.4) | 4.24 (0.70–25.53) | 0.115 | |
| N. gonorrhoeae | >0.40 | 0 (0) | 4 (2.5) | 0.002 | >0.40 | 0 (0) | 5 (2.4) | 0.001 | ||
| ≤0.40 | 2 (0.3) | 5 (3.1) | 9.35 (1.80–48.66) | 0.008 | ≤0.40 | 2 (0.3) | 2 (1.0) | 2.81 (0.39–20.08) | 0.303 | |
| C. trachomatis | >0.65 | 2 (0.3) | 6 (3.8) | 11.29 (2.26–56.51) | 0.002 | >0.23 | 28 (4.8) | 47 (22.7) | 5.77 (3.50–9.51) | <0.0001 |
| ≤0.65 | 40 (6.9) | 26 (16.4) | 2.63 (1.55–4.46) | 0.0003 | ≤0.23 | 14 (2.4) | 14 (6.8) | 2.92 (1.37–6.24) | 0.006 | |
| K. granulomatis | >0.45 | 7 (1.2) | 6 (3.8) | 3.20 (1.06–9.66) | 0.041 | >0.45 | 6 (1.0) | 9 (4.3) | 4.33 (1.52–12.33) | 0.006 |
| ≤0.45 | 40 (6.9) | 16 (10.1) | 1.50 (0.82–2.77) | 0.188 | ≤0.45 | 41 (7.1) | 21 (10.1) | 1.48 (0.85–2.57) | 0.165 | |
| M. hominis | >0.41 | 5 (0.9) | 10 (6.3) | 7.69 (2.59–22.84) | <0.0001 | >0.41 | 5 (0.9) | 19 (9.2) | 11.58 (4.27–31.45) | <0.0001 |
| ≤0.41 | 45 (7.8) | 8 (5.0) | 0.63 (0.29–1.36) | 0.238 | ≤0.41 | 45 (7.8) | 21 (10.1) | 1.34 (0.78–2.30) | 0.295 | |
| U. parvum | >0.47 | 77 (13.3) | 37 (23.3) | 1.97 (1.27–3.06) | 0.002 | >0.30 | 207 (35.8) | 91 (44.0) | 1.41 (1.02–1.94) | 0.038 |
| ≤0.47 | 158 (27.3) | 40 (25.2) | 0.89 (0.60–1.34) | 0.583 | ≤0.30 | 28 (4.8) | 13 (6.3) | 1.32 (0.67–2.59) | 0.427 | |
| H. ducreyi | >0.41 | 0 (0) | 2 (1.3) | 0.046 | >0.41 | 0 (0) | 2 (1.0) | 0.069 | ||
| ≤0.41 | 1 (0.2) | 0 (0) | 0.909 | ≤0.41 | 1 (0.2) | 0 (0) | 0.963 | |||
| HCMV | >0.40 | 70 (12.1) | 27 (17.0) | 1.48 (0.92–2.41) | 0.108 | >0.38 | 81 (14.0) | 54 (26.1) | 2.17 (1.47–3.20) | <0.0001 |
| ≤0.40 | 53 (9.2) | 7 (4.4) | 0.46 (0.20–1.02) | 0.057 | ≤0.38 | 42 (7.3) | 6 (2.9) | 0.38 (0.16–0.91) | 0.030 | |
| HHV-8 | >0.47 | 22 (3.8) | 10 (6.3) | 1.70 (0.79–3.66) | 0.174 | >0.43 | 32 (5.5) | 25 (12.1) | 2.34 (1.35–4.06) | 0.002 |
| ≤0.47 | 38 (6.6) | 6 (3.8) | 0.56 (0.23–1.34) | 0.193 | ≤0.43 | 28 (4.8) | 9 (4.3) | 0.89 (0.41–1.93) | 0.773 | |
| VZV | >0.38 | 0 (0) | 6 (3.8) | <0.0001 | >0.38 | 0 (0) | 8 (3.9) | <0.0001 | ||
| ≤0.38 | 11 (1.9) | 0 (0) | 0.197 | ≤0.38 | 11 (1.9) | 0 (0) | 0.141 | |||
| HSV-1 | >0.33 | 6 (1.0) | 2 (1.3) | 1.21 (0.24–6.08) | 0.685 | >0.21 | 12 (2.1) | 1 (0.5) | 0.23 (0.03–1.77) | 0.202 |
| ≤0.33 | 6 (1.0) | 0 (0) | 0.381 | ≤0.21 | 0 (0) | 1 (0.5) | 0.963 | |||
| HSV-2 | >0.32 | 2 (0.3) | 0 (0) | 1.000 | >0.32 | 2 (0.3) | 1 (0.5) | 1.40 (0.13–15.50) | 1.000 | |
| ≤0.32 | 1 (0.2) | 0 (0) | 0.909 | ≤0.32 | 1 (0.2) | 0 (0) | 0.963 | |||
For each microorganism, cutoff values were set according to the Youden index using MedCalc. The cutoff was categorized using the NAR of microbial load (log10 copies/mL)/human RNase P load (log10 copies/mL). The cutoff is the predicted probability of the logistic regression model, where 0 = healthy and 1 = cervicitis or vaginitis.
Odds ratios and 95% CIs were calculated by univariable logistic regression analysis.
Chi-square test and Fisher’s exact test were used to compare variables between groups. Bold indicates significance (P < 0.05).