TY - CHAP T1 - Roles of the vagina and the vaginal microbiota in urinary tract infection: evidence from clinical correlations and experimental models T2 - Urogenital Infections and Inflammations. Living Handbook AU - Lewis, Amanda AU - Gilbert, Nicole ED - Naber, Kurt G. ED - Bjerklund Johansen, Truls Erik AD - Dr. Amanda Lewis, Washington University School of Medicine in Saint Louis, Molecular Microbiology, 425 S Euclid Ave, 63110, Saint Louis, United States, E-mail: mandylew@gmail.com; Dr. Nicole Gilbert, Washington University School of Medicine in Saint Louis, Obstetrics and Gynecology, 425 S Euclid Ave, 63110, Saint Louis, United States, E-mail: gilbert@wustl.edu N2 - Mounting evidence indicates that the vagina can harbor uropathogenic bacteria. Here, we consider three roles played by the vagina and its bacterial inhabitants in urinary tract infection (UTI) and urinary health. First, the vagina can serve as a reservoir for Escherichia coli, the most common cause of UTI, and other recognized uropathogens. Second, several vaginal bacterial species are frequently detected upon urine culture but are underappreciated as uropathogens, and other vaginal species are likely under-reported because of their fastidious nature. Third, some vaginal bacteria that are not widely viewed as uropathogens can transit briefly in the urinary tract, cause injury or immunomodulation, and shift the balance of host-pathogen interactions to influence the outcomes of uropathogenesis. This chapter describes the current literature in these three areas and summarizes the impact of the vaginal microbiota on susceptibility to UTI and other urologic conditions. Test PY - 2021 DA - 2021/06/23 DO - 10.5680/lhuii000055 LA - en L1 - https://books.publisso.de/en/system/getFile/80711 UR - https://dx.doi.org/10.5680/lhuii000055 L2 - https://dx.doi.org/10.5680/lhuii000055 KW - Bacterial vaginosis KW - uropathogen KW - Escherichia coli KW - Gardnerella vaginalis KW - Group B Streptococcus KW - Lactobacillus KW - Aerococcus KW - Staphylococcus KW - Ureaplasma KW - lower urinary tract symptoms KW - probiotic PB - German Medical Science GMS Publishing House CY - Berlin ER -