Diagnosis of Bacterial Vaginosis by Amsel Criteria and Gram Stain Method
DOI:
https://doi.org/10.51984/0xkx3a48الكلمات المفتاحية:
Bacterial vaginosis، Diagnosis، Amsel criteria، Gram stainالملخص
Objective: To estimate the prevalence of bacterial vaginosis by Nugent Gram stain in symptomatic women attending Obstetric and Gynaecologic clinic in Tarhuna city- Libya, to evaluate Amsel criteria against Gram stain in diagnosis of bacterial vaginosis, and to examine clinical association between some factors and this disease.
Material and Methods: This study was carried out on patients attending the Obstetric and Gynaecologic clinic in Tarhuna city for 4 months during the period between 1st of May and 31st of August 2006. From 350 women who have the criteria for this study, 300 women were agreed to enter this study. Inclusion criteria includes: age between 16 years and 50 years, pregnant women, and symptoms of vaginal infections as abnormal vaginal discharge, vulval itching, dysuria, and lower abdominal pain. Exclusion criteria were antibiotics and/ or local vaginal treatment within 14 days before taking the sample, hysterectomy, and sexual intercourse within 8 hours before the examination. Clinical data consisting of Whiff test, clue cells, and appearance of vaginal discharge (Amsel criteria) were compared with vaginal fluid Gram stain (Nugent criteria) for diagnosis of bacterial vaginosis.
Results: The prevalence of bacterial vaginosis was 25.1%. The sensitivity and specificity of Amsel criteria and Gram stain were 67.8% and 97.7% respectively. Clinically, bacterial vaginosis was directly related to vaginal douching (P value < 0.001).
Conclusion: Amsel criteria had low sensitivity in compare with Gram stain for diagnosis of bacterial vaginosis.
التنزيلات
المراجع
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نُشر هذا المقال بالوصول المفتوح بموجب رخصة المشاع الإبداعي: نَسب المُصنَّف – غير تجاري – الترخيص بالمثل 4.0 دولي (CC BY-NC-SA 4.0). يجوز نسخه وإعادة توزيعه وتعديله والبناء عليه لأغراض غير تجارية، شريطة نسبته إلى مؤلفيه، والإشارة إلى نشره الأول في مجلة العلوم الطبية مع رقم المعرّف الرقمي (DOI)، وبيان أي تعديلات، وتوزيع أي عمل مشتق بموجب الرخصة نفسها. حقوق التأليف والنشر محفوظة للمؤلفين. لطلبات الاستخدام التجاري يُرجى التواصل مع المؤلف المراسل. الشروط الكاملة: https://sebhau.edu.ly/journal/joms/copyright-licensing
