Diagnosis of Bacterial Vaginosis in Women in Labour
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Date
2005-01
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Abstract
A prospective study on 120 women in labour was conducted to determine the reliability of of different
methods like clinical criteria, gram staining and vaginal culture for diagnosing bacterial vaginosis(BV).
To determine the laboratory methods that best predicted the BV we calculated sensitivity, specificity,
predictive value of a positive and negative test for clinical criteria, gram stain criteria of Nugent and
vaginal cultures compared with gram stain criteria of Spiegel. BV was diagnosed in 23.3% of women
in labour by Spiegel criteria. Sensitivity and specificity of Amsel criteria was 60.7% and 97.8%
respectively. Culture of vaginal specimens yielded 58.8% predictive value of a positive test except
for Mobiluncus species. Gram stain evaluation of vaginal smears is a sensitive method for diagnosing
BV. Amsel clinical criteria, which are more commonly used to diagnose BV, may lead to under
diagnosis of BV.
Description
Keywords
Bacterial vaginosis, Preterm labour, Anaerobes
Citation
Goyal Renu, Sharma Poonam, Kour Iqbal, Aggarwal Neera, Talwar Vibha. Diagnosis of Bacterial Vaginosis in Women in Labour. JK Science Journal of Medical Education and Research. 2005 Jan-Mar;7(1): 1-4