Vaginitis: Difference between revisions
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* [[sensitivity (tests)|sensitivity]] = 81-85% | * [[sensitivity (tests)|sensitivity]] = 81-85% | ||
* [[specificity (tests)|specificity]] = 70-99% | * [[specificity (tests)|specificity]] = 70-99% | ||
==Treatment== | |||
Probiotics may reduce recurrences.<ref name="pmid20659602">{{cite journal| author=Ya W, Reifer C, Miller LE| title=Efficacy of vaginal probiotic capsules for recurrent bacterial vaginosis: a double-blind, randomized, placebo-controlled study. | journal=Am J Obstet Gynecol | year= 2010 | volume= 203 | issue= 2 | pages= 120.e1-6 | pmid=20659602 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20659602 | doi=10.1016/j.ajog.2010.05.023 }} </ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 23:47, 11 August 2010
In medicine, vaginitis is "inflammation of the vagina characterized by pain and a purulent discharge."[1] Common causes are trichimonas vaginalis, candida albicans, and gardnerella vaginalis.
Diagnosis
The best symptoms and physical examination findings for diagnosis have been identified in a systematic review by the Rational Clinical Examination.[2]
- Candida albicans usually causes itching and the absence of this finding helps exclude this pathogen.
- Gardnerella vaginalis usually causes foul and the absence of this finding helps exclude this pathogen.
A more recent meta-analysis estimates that the accuracy of the physical examination as compared to DNA probe testing are:[3]
- sensitivity = 81-85%
- specificity = 70-99%
Treatment
Probiotics may reduce recurrences.[4]
References
- ↑ Anonymous (2024), Vaginitis (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Anderson MR, Klink K, Cohrssen A (March 2004). "Evaluation of vaginal complaints". JAMA 291 (11): 1368–79. DOI:10.1001/jama.291.11.1368. PMID 15026404. Research Blogging.
- ↑ Lowe NK, Neal JL, Ryan-Wenger NA (January 2009). "Accuracy of the clinical diagnosis of vaginitis compared with a DNA probe laboratory standard". Obstet Gynecol 113 (1): 89–95. DOI:10.1097/AOG.0b013e3181909f63. PMID 19104364. Research Blogging.
- ↑ Ya W, Reifer C, Miller LE (2010). "Efficacy of vaginal probiotic capsules for recurrent bacterial vaginosis: a double-blind, randomized, placebo-controlled study.". Am J Obstet Gynecol 203 (2): 120.e1-6. DOI:10.1016/j.ajog.2010.05.023. PMID 20659602. Research Blogging.