Bacterial Vaginaosis Flashcards
What is bacterial vaginosis the most common cause of?
Vaginal discharge
What is the organism typically causes bacterial vaginosis?
Gardnerella vaginalis
What type of organism is bacterial vaginosis?
Anaerobic organism
What is the classic triad of bacterial vaginosis?
- Overgrowth of BV associated bacteria
- Reduction in lactic acid producing aerobic lactobacilli
- Leads to raised vaginal pH.
In whom is bacterial vaginosis most commonly seen?
Sexually active women
In whom is bacterial vaginosis most commonly seen?
Sexually active women
What is the main feature of bacterial vaginosis?
Vaginal discharge: ‘fishy’, offensive
How does bacterial vaginosis present in 50% of patients?
Asymptomatically
What is the criteria for diagnosis of bacterial vaginosis?
Amsel’s criteria
What is the Amsel’s criteria for diagnosis of bacterial vaginosis?
- Thin, white homogenous discharge
- Clue cells on microscopy
- Vaginal pH > 4.5
- Positive whiff test
What are clue cells?
Stippled vaginal epithelial cells
What pH should the vagina be for diagnosis of bacterial vaginosis?
pH > 4.5
How many points of the Amsel criteria are required for a diagnosis of bacterial vaginosis?
3 out of 4 points
What is the management for bacterial vaginosis?
Oral metronidazole for 5-7 days
How long is a metronidazole given for bacterial vaginosis?
5-7 days
