Clinical diagnosis of bacterial vaginosis

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Jose A SimoesM C M Dantas

Abstract

To evaluate the accuracy of Amsel's criteria individually or in combinations of two for the clinical diagnosis of bacterial vaginosis. This cross-sectional study enrolled 135 women at UNICAMP, and evaluated Amsel's four clinical criteria. Sensitivity, specificity, positive and negative predictive values were calculated for each criterion individually, in combinations of two, and for the classic test with at least three criteria present. The Nugent method was used as gold standard. The most sensitive individual criteria were pH and vaginal discharge (97%), the latter having lowest specificity (26%). The criterion with highest specificity was the presence of clue cells (86%). The combination of two criteria showed sensitivity of 83% to 93%, and specificity of 82% to 94%. The accuracy of Amsel's clinical criteria individually or in combinations of two was as accurate as the presence of at least three criteria for the diagnosis of bacterial vaginosis.

References

Mar 1, 1992·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·F GuijonP McNicol
Feb 1, 1991·Obstetrics and Gynecology·I Sjöberg, S Håkansson
Jan 1, 1983·British Journal of Hospital Medicine·S G Dawson, J R Harris
Mar 1, 1982·The Journal of Infectious Diseases·K C ChenK K Holmes
Aug 1, 1994·Acta Obstetricia Et Gynecologica Scandinavica·J J Platz-ChristensenP G Larsson
Oct 10, 1997·American Journal of Obstetrics and Gynecology·J D DavisP Duff
Apr 16, 1998·American Journal of Obstetrics and Gynecology·S CauciF Quadrifoglio
Oct 24, 1998·Infectious Diseases in Obstetrics and Gynecology·J A SimoesA Faúndes
Sep 16, 2000·International Journal of STD & AIDS·R F LamontD Taylor-Robinson
Nov 30, 2000·Current Infectious Disease Reports·J D Sobel
Feb 13, 2001·Obstetrics and Gynecology·J HittiD A Eschenbach
Aug 31, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A A AroutchevaS Faro
Dec 17, 2002·Journal of the American Pharmaceutical Association : APhA·Janet E Shepherd
Feb 12, 2005·International Journal of STD & AIDS·S F PosnerA Duerr
Mar 2, 2005·Obstetrics and Gynecology·Robert E GutmanJeffrey Blume

Citations

Sep 2, 2008·Archives of Gynecology and Obstetrics·Angela G RouseKenneth Davis
Apr 22, 2009·Archives of Gynecology and Obstetrics·Vatsla DadhwalArti Kapil
Nov 10, 2010·Proceedings of the National Academy of Sciences of the United States of America·Jean M MacklaimGregor Reid
Mar 28, 2013·Expert Opinion on Medical Diagnostics·Charlene W J Africa
Dec 15, 2010·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Nirmala Chandralega KampanMuhammad Abdul Jamil
May 1, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·A KaraniM Temmerman
Jul 28, 2016·Maturitas·Alicia L Muhleisen, Melissa M Herbst-Kralovetz
Dec 2, 2010·Revista latino-americana de enfermagem·Danielle Cristina Alves Feitosa GondoCristina Maria Garcia de Lima Parada
May 11, 2020·International Urogynecology Journal·Arif AydınMehmet Balasar
Jun 29, 2018·Frontiers in Medicine·Emmanuel Amabebe, Dilly O C Anumba
Dec 29, 2020·Infection and Immunity·Shakya P KurukulasuriyaJanet E Hill

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