Four gold standards for the diagnosis of bacterial vaginosis

Bacterial vaginitis, also known as non-specific vaginitis, Haemophilus vaginitis, Corynebacterium vaginitis, Oxygenic vaginitis, Gardnerella vaginitis, etc.; Bacterial vaginosis was in 1984 International Conference The name of the disease is caused by a mixed infection with Gardnerella vaginalis and some oxytocide bacteria. It can be transmitted through sexual contact and has a higher incidence in people with sexual confusion.

The clinically outstanding performance is an increase in vaginal secretions and a fishy smell. This is because of the special smell from the secretions. Whenever sexual intercourse or activity, promote the release of odor, odor is particularly evident due to a large number of amines in the vagina, the PH of vaginal secretions is also increased; with vaginal secretions when the vaginal secretions increased, presented Grayish white, very thick, but the inflammation of the vaginal wall is not obvious.

Bacterial vaginitis diagnostic criteria four

First, vaginal secretions are gray, very viscous, even like a batter, uniform, but not purulent secretions, the amount of uncertainty.

Second, secretions in the amine content is particularly high, it was fish smell, sexual intercourse or after activities are often due to promote the release of amines to make the odor, secretions added 10% potassium hydroxide can also release the amine flavor.

Third, clue cells can be detected in wet smears of vaginal secretions.

Fourth, the PH value in vaginal secretions increased, PH range 5.0-5.5, while the normal person is 4.5-4.7.

Among the above four standards, those with more than three items can be diagnosed, and the fourth item is emphasized as the necessary diagnostic criteria.

Bacterial vaginosis must be differentiated from other causes of vaginitis

First, fungal vaginitis: fungal vaginitis caused by Candida albicans accounted for the majority. Its clinical manifestations are sometimes difficult to distinguish from bacterial vaginosis, but the secretion of bacterial vaginitis has no amine odor, PH value greater than 4. 5 wireless cells, direct microscopic examination can detect yeast-like spores and bacteria ratio, culture C. albicans can be detected.

Second, trichomonas vaginitis: There are also increased vaginal discharge, and special odors. However, taking secretions as a mirror plug, the number of white blood cells increased, but no clue cells, to find active trichomoniasis can be diagnosed.

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