Artículos de revistas
Clinical diagnosis of bacterial vaginosis
Registro en:
International Journal Of Gynecology & Obstetrics. Elsevier Ireland Ltd, v. 94, n. 1, n. 28, n. 32, 2006.
0020-7292
WOS:000239226900006
10.1016/j.ijgo.2006.04.013
Autor
Simoes, JA
Discacciati, MG
Brolazo, EM
Portugal, PM
Dini, DV
Dantas, MCM
Institución
Resumen
Objective: To evaluate the accuracy of Amsel's criteria individually or in combinations of two for the clinical diagnosis of bacterial vaginosis. Methods: This cross-sectional study enrolled. 135 women at UNICAMP, and evaluated Amsel's four clinical criteria. Sensitivity, specificity, positive and negative predictive values were calculated for each criterion individually, in combinations of two, and for the classic test with at least three criteria present. The Nugent method was used as gold standard. Results: The most sensitive individual criteria were pH and vaginal discharge (97%), the latter having lowest specificity (26%). The criterion with highest specificity was the presence of clue cells (86%). The combination of two criteria showed sensitivity of 83% to 93%, and specificity of 82% to 94%. Conclusion: The accuracy of Amset's clinical criteria individually or in combinations of two was as accurate as the presence of at least three criteria for the diagnosis of bacterial vaginosis. (c) 2006 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. 94 1 28 32