Is vaginal microscopy an essential tool for the management of women presenting with vaginal discharge?

Abstract:

SUMMARY:Point-of-care microscopy is the gold standard for the diagnosis of vaginal discharge in genitourinary (GU) medicine clinics but not used in primary care settings and reproductive health clinics to which many patients present. In our GU medicine clinic setting, we conducted an audit to assess the utility of microscopy of vaginal secretions versus clinical diagnosis alone for the differential diagnosis of uncomplicated lower vaginal infections. Clinical diagnosis (including pH) of bacterial vaginosis had a sensitivity between 85% and 88% at two clinic sites. Our results suggest that it may be safe and more cost-effective to restrict vaginal microscopy to a subgroup of women presenting with vaginal discharge.

journal_name

Int J STD AIDS

authors

Lascar RM,Devakumar H,Jungmann E,Copas A,Arthur G,Mercey D

doi

10.1258/ijsa.2008.008212

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

859-60

issue

12

eissn

0956-4624

issn

1758-1052

pii

19/12/859

journal_volume

19

pub_type

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