Vaginitis: Difference between revisions
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* [[Candida albicans]] usually causes itching and the absence of this finding helps exclude this pathogen. | * [[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. | * [[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:<ref name="pmid19104364">{{cite journal |author=Lowe NK, Neal JL, Ryan-Wenger NA |title=Accuracy of the clinical diagnosis of vaginitis compared with a DNA probe laboratory standard |journal=Obstet Gynecol |volume=113 |issue=1 |pages=89–95 |year=2009 |month=January |pmid=19104364 |doi=10.1097/AOG.0b013e3181909f63 |url=http://www.greenjournal.org/cgi/pmidlookup?view=long&pmid=19104364 |issn=}}</ref> | |||
* [[sensitivity (tests)|sensitivity]] = 81-85% | |||
* [[specificity (tests)|specificity]] = 70-99% | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 08:18, 21 January 2009
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%
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.