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. 2022 Oct 12;86(4):e00181-21. doi: 10.1128/mmbr.00181-21

TABLE 1.

Composition of the vaginal microbiome in vaginitisa

Condition Vaginal microbiome features
Cytolytic vaginosis Overgrowth of Lactobacillus spp. (20)
Bacterial vaginosis Enrichment of Atopobium vaginae,b BVAB1, BVAB2, BVAB3, Gardnerella vaginalis, Mobiluncus spp., Mycoplasma spp., Porphyromonas spp., Prevotella spp., Sneathia spp., and Ureaplasma spp. (44); depletion of Lactobacillus spp. (44)
Vulvovaginal candidiasis Normal to BV-like vaginal microbiome (19, 120, 122); colonization by Candida albicans, Candida glabrata, Candida parapsilosis, Candida tropicalis, or Candida krusei (19, 120, 122)
Trichomoniasis BV-like vaginal microbiome (133, 134); invasion by Trichomonas vaginalis (133, 134)
Aerobic vaginitis or desquamative inflammatory vaginitis Depletion of Lactobacillus spp. (29, 139); frequent detection of aerobic, enteric bacteria, e.g., E. coli, Enterococcus spp., Staphylococcus spp., and Streptococcus spp. (29, 139)
a

BVAB1, “Candidatus Lachnocurva vaginae”; BVAB2, Lachnospiraceae BV-associated bacterium 2; BVAB3, Mageeibacillus indolicus.

b

A. vaginae was reclassified to a new genus and renamed Fannyhessea vaginae in 2018 (266).