What is Prevotella bivia?

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Last updated: February 13, 2025View editorial policy

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From the Guidelines

Prevotella bivia is an anaerobic bacteria.

Characteristics of Prevotella bivia

  • It is one of the bacteria that can be found in high concentrations in the vagina of women with Bacterial Vaginosis (BV) 1
  • BV is a clinical syndrome resulting from the replacement of the normal H2O2-producing Lactobacillus sp. in the vagina with high concentrations of anaerobic bacteria, such as Prevotella sp. and Mobiluncus sp. 1
  • The cause of the microbial alteration is not fully understood, but BV is associated with having multiple sex partners, douching, and lack of vaginal lactobacilli 1
  • Prevotella bivia is often found in conjunction with other bacteria, such as G. vaginalis, and Mycoplasma hominis, in women with BV 1

From the Research

Characteristics of Prevotella bivia

  • Prevotella bivia is a gram-negative anaerobic bacteria that resides in the flora of the female genital tract 2
  • It is commonly associated with obstetric and gynecologic infections, as well as bacterial vaginosis 3, 4
  • P. bivia can also be found in other human body sites and is associated with various infections, including septic arthritis and inguinal syndrome 3, 5

Pathogenicity and Infections

  • P. bivia has been shown to increase its pathogenicity when mixed with aerobic bacteria, and its growth is enhanced by estrogen 2
  • The bacteria can cause infections such as pyometra, septic arthritis, and inguinal syndrome, often requiring prompt treatment with antibiotics and drainage of the affected area 2, 3, 5

Detection and Genomics

  • A peptide nucleic acid (PNA) probe has been developed to specifically detect P. bivia, and a multiplex approach can be used to detect multiple species associated with bacterial vaginosis 4
  • The complete genome of P. bivia has been assembled, providing insights into its phylogeny, pathogenicity, and antibiotic resistance, including the presence of genes encoding antibiotic resistance and virulence factors 6

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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