Clinico-Microbiological Correlation of Vaginal Discharge

Journal Title: Journal of Contemporary Medicine and Dentistry - Year 2017, Vol 5, Issue 1

Abstract

Aims and Objectives: To establish clinical diagnosis of vaginal discharge and the type of vaginitis, to confirm the type of vaginitis with the help of microbiology of vaginal discharge and to establish clinico-microbiological co-relation of vaginal discharge. Methods: This prospective analytical study was undertaken in 200 pa􀆟ents from July 2010 to June 2012. Results: Clinical diagnosis has moderate sensi􀆟vity i.e. 70% and 53.84% for Bacterial vaginosis and candidial vaginitis respectively but has poor sensi􀆟vity i.e. 33.33% for Trichomonas Vaginalis. Clinical diagnosis has high specificity i.e. 97.46% and 81.60% for Candidial vagini􀆟s and Trichomonial vagini􀆟s respec􀆟vely but has poor specificity i.e. 44.28% for Bacterial vaginosis. Wet mount shows highest sensi􀆟vity (83.33%) for diagnosis of Bacterial Vaginosis Wet mount was highly specific for all the three types of vagini􀆟s with highest specificity (98.57%) for Bacterial Vaginosis Conclusions: Gram staining can be restricted to the patients in whom diagnosis cannot be made or in those not responding to routine line of treatment or recurrent vaginitis. If we add simple bed side tools like pH, Whiff test and wet mount microscopy to the diagnosis of all the three type of vaginitis we could increase both sensitivity and specificity.

Authors and Affiliations

Ashwini A Deshmukh, Ruchika P Yengantiwar, Kanan Yelikar, Shubhangi D Chaudhari, Maya N Arvikar

Keywords

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  • EP ID EP447189
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How To Cite

Ashwini A Deshmukh, Ruchika P Yengantiwar, Kanan Yelikar, Shubhangi D Chaudhari, Maya N Arvikar (2017). Clinico-Microbiological Correlation of Vaginal Discharge. Journal of Contemporary Medicine and Dentistry, 5(1), 45-49. https://europub.co.uk./articles/-A-447189