Detection of bacterial vaginosis by simple method among the reproductive women attending chittagong medical College hospital

Auhtor: NN Ara, M Sheran, MM Rahman, M Sultana

Abstract:

A cross sectional study was conducted on patients attending at the outpatient department of Gynaecology and Obstetrics of Chittagong Medical College Hospital, Chittagong during the period of July' 11 to June' 12. A total of 170 sexually active female in the age group of 15-45 years, with abnormal vaginal discharge were selected for the study. Among them 50 pregnant and 120 non-pregnant. A detailed history and a thorough clinical examination of all the cases were done. In this study bacterial vaginosis was detected by Amsel clinical criteria (clinical method), Gram stain Nugent criteria (Gold Standard), culture and by newly developed BV assay test. Out of 170 study cases, 43(25.30%) cases were diagnosed as bactrial vaginosis by Amsel criteria, 45(26.47%) cases were positive by Nugent criteria, 46(27.06%) cases were positive by BV assay test and 38(22.35%) cases were culture positive for Gardnerella vaginalis. Sensitivity of the clinical criteria (Amsel), BV assay test, and culture were 95.5%, 97.8% and 84.4% respectively in response to Gold standard Nugent criteria. Within these procedures BV assay test showed better result and sensitivity and can be done very easily.

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