Iffat Shabbir, Rubina Akhtar, Fahmida Nasreen.
Bacterial Vaginosis in Women with Vaginal Discharge.
Mother & Child Jan ;37(4):127-132.

The Bacterial vaginosis is the commonest cause of vaginal discharge occurring in the women attending the gynae clinics in developed countries. This study was conducted in Sir Ganga Ram Hospital out patients department, to estimate the prevalence of bacterial vaginosis in women complaining of vaginal and to compare methods for diagnosing bacterial vaginosis. A total of 150 women with vaginal discharge were selected. The clinical composite criteria were used. The diagnosis was made if three out of four parameters were positive. A thin homogenous discharge, vaginal pH 4-7 and characteristics amine odour released when alkali (10% KOH wt/vol) added, and at least detection of 20% of epithileal cells having the appearance of clue cells. The positive for bacterial vaginosis was about 23% by compound criteria. Among these cases 53% were purely of bacterial vaginosis while 47% were associated with pus cells 20% on wet mount. The compound criteria was compare with nugents gram stain clue cells. It was seen that they both were useful for detecting bacterial vaginosis. The sensitivity sepcificity, positive and negative predictive value of these two method are 100% and 97%, 95% and 88% and 97% respectively. Amine test and pH 4.5 were also compared individually among the patients with & without bacterial vaginosis. Both proved valuable. Thus it is concluded that gram stain and clue cells methods are valuable methods to diagnose bacterial vaginosis when other facilities like culture & compound criteria are not available.

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