Bacterial vaginosis: Microbiological and clinical findings
- 111 Downloads
A prospective study was performed involving 101 women who consecutively attended a primary health care unit for complaints of genital malodour and/or abnormal vaginal discharge. Bacterial vaginosis was diagnosed in 34 women on the basis of four diagnostic criteria: vaginal pH > 4.7, homogeneous vaginal discharge, a positive amine test and clue cells. The sensitivity of these criteria was > 90 % except for homogeneous discharge (82 %). Their specificity was > 90% except for vaginal pH > 4.7 (46%); a specificity of 87% could have been achieved by using the criterion for vaginal pH ⩾ 5.0. There was a strong association between diagnosis of bacterial vaginosis and the concomitant occurrence ofGardnerella vaginalis, Mobiluncusspp. andBacteroidesspp. There was no difference between women with or without bacterial vaginosis as regards contraception methods (except for use of an intrauterine device), age at first intercourse, or earlier episodes of vaginal discharge. Sexual transmission of the predominant bacteria was not supported by data collected from the male consorts.
Unable to display preview. Download preview PDF.
- 5.Dunkelberg, W. E., Hefner, J. D., Patow, W. E., Wyman, F. J., Orup, H. J.:Haemophilus vaginalis among asymptomatic women. Obstetrics and Gynaecology 1962, 20: 629–632.Google Scholar
- 10.Holst, E., Svensson, L., Skarin, A., Weströrn, L., Mårdh, P.-A.: Vaginal colonization withGardnerella vaginalis and anaerobic curved rods. In: Mårdh, P.-A., Taylor-Robinson, D. (ed.): Bacterial vaginosis. Almquist and Wiksell International, Stockholm, 1984, p. 147–152.Google Scholar
- 14.Mårdh, P.-A.: Laboratory diagnosis. Bacteria, chlamydiae, mycoplasmas. In: Holmes, K. K., Mårdh, P.-A., Sparling, P. F., Wiesner, P. J. (ed.): Sexually transmitted diseases. McGraw-Hill, Inc., New York, 1984, p. 829–855.Google Scholar
- 15.Tokumaru, T.: Herpesviruses. In: Lennette, E. H., Schmidt, N. J. (ed.): Diagnostic procedures. American Public Health Association, Inc., New York, 1969, p. 641–676.Google Scholar
- 16.Holdeman, L. V., Cato, E. P., Moore, W. E. C.: Anaerobe laboratory manual. Virginia Polytechnic Institute, Blacksburg, VA, 1977.Google Scholar
- 17.Holst, E., Hofmann, H., Mårdh, P.-A.: Anaerobic curved rods in genital samples of women: performance of different selective media, comparison of detection by microscopy and culture studies, and recovery from different sampling sites. In: Mårdh, P.-A., Taylor-Robinson, D. (ed.): Bacterial vaginosis. Almquist and Wiksell International, Stockholm, 1984, p. 117–124.Google Scholar
- 20.Lodder, J., Kreger-van Rij, N. J. W.: The yeasts. North-Holland Publishing Company, Amsterdam, 1967.Google Scholar
- 21.Mårdh, P.-A., Taylor-Robinson, D. (ed.): Bacterial vaginosis. Almquist and Wiksell International, Stockholm, 1984.Google Scholar
- 23.Holst, E., Mårdh, P.-A., Thelin, I.: Recovery of anaerobic curved rods andGardnerella vaginalis from the urethra of men, including male hetero-sexual consorts of female carriers. In: Mårdh, P.-A., Taylor-Robinson, D. (ed.): Bacterial vaginosis. Almquist and Wiksell International, Stockholm, 1984, p. 173–177.Google Scholar