PlumX Metrics
Embed PlumX Metrics

Detection of bacterial vaginosis, Trichomonas vaginalis infection, and vaginal Candida infection: A comparative study of methods of extracting exudates, with and without a speculum, during pregnancy

Journal of Lower Genital Tract Disease, ISSN: 1089-2591, Vol: 9, Issue: 4, Page: 213-215
2005
  • 5
    Citations
  • 0
    Usage
  • 10
    Captures
  • 0
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

Article Description

Purpose. To compare the collection of vaginal exudates with and without the use of a speculum to diagnose vaginal infections. Material and Methods. We examined 45 patients with vaginal discharge. Two vaginal swabs were taken, one with and the other without a speculum. Both were examined by wet mount microscopy to detect bacterial vaginosis (BV), Trichomonas vaginalis, and the presence of blastospores with or without pseudomycelium. Results. A total of 90.9% of patients whose vaginal exudates were negative for BV when extracted with a speculum were also negative in the swab taken without a speculum. In the case of BV-positive exudates using a speculum, the correspondence was 90.5% with the swabs taken without a speculum. Among those exudates obtained with a speculum that were negative for Candida, 92.6% of those obtained without a speculum tested negative. In patients with pseudomycelium. when a speculum was used, 100% also presented a diagnosis of pseudomycelium from the swabs taken without a speculum. A concordance test between the techniques involving the use or nonuse of a speculum was performed for each of the diagnoses showed a good agreement according to the observed Kappa statistics (0.8467 and 0.8396 for BV and Candida, respectively). Conclusions. A very good agreement between the results obtained with and without the use of a speculum was observed. Swabbing without the use of a speculum is especially convenient for pregnant women who require frequent testing for these types of infections during their pregnancies. © 2005, American Society for Colposcopy and Cervical Pathology.

Provide Feedback

Have ideas for a new metric? Would you like to see something else here?Let us know