Accuracy of Cervical/Vaginal Cytology in the Diagnosis of Bacterial Vaginosis

Giacomini, G; Calcinai, A; Moretti, D; Cristofani, Renza

doi:10.1097/00007435-199801000-00006

Cited by 23 publications

(15 citation statements)

References 15 publications

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“…In such cases a routine Pap smear may be the only means of diagnosing BV. According to the Bethesda System, "predominance of coccobacil- [6][7][8] In contrast, Greene et al, Davis et al and Gonzalez et al reported poor sensitivity but high specificity for Pap smears in the diagnosis of BV. [9][10][11] In this study, BV was prevalent in both symptomatic and asymptomatic women.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Bacterial Vaginosis in a Community Setting and Role of the Pap Smear in Its Detection

Sodhani

Garg²,

Singh³

et al. 2005

Acta Cytologica

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Section: Discussionmentioning

confidence: 99%

Prevalence of Bacterial Vaginosis in a Community Setting and Role of the Pap Smear in Its Detection

Sodhani

Garg²,

Singh³

et al. 2005

Acta Cytologica

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“…8 Routine cytology is recommended biannually to women who have been "sexually active". No specific recommendations are made for WSW.…”

Section: Methodsmentioning

confidence: 99%

Sexually transmitted infections and risk behaviours in women who have sex with women

Fethers

Marks²,

Mindel³

et al. 2000

Sexually Transmitted Infections

225

124

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Objectives:To assess the prevalence of sexually transmitted infections (STIs) and blood borne viruses, risk behaviours, and demographics in women who have sex with women (WSW). Methods: Retrospective cross sectional study using a multivariate model. Demographic, behavioural, and morbidity data were analysed from standardised medical records of patients attending a public STI and HIV service in Sydney between March 1991 and December 1998. All women with any history of sex with a woman were compared with women who denied ever having sex with another woman (controls). Results: 1408 WSW and 1423 controls were included in the study. Bacterial vaginosis (BV) was significantly more common among WSW (OR 1.7, p<0.001). Abnormalities on cervical cytology were equally prevalent in both groups, except for the higher cytological BV detection rate in WSW (OR 5.3, p=0.003). Genital herpes and genital warts were common in both groups, although warts were significantly less common in WSW (OR 0.7, p=0.001). Prevalence of gonorrhoea and chlamydia were low and there were no diVerences between the groups. The prevalence of hepatitis C was significantly greater in WSW (OR 7.7, p<0.001), consistent with the more frequent history of injecting drug use in this group (OR 8.0, p<0.001). WSW were more likely to report previous sexual contact with a homo/bisexual man (OR 3.4, p<0.001), or with an injecting drug user (OR 4.2, p<0.001). Only 7% of the WSW reported never having had sexual contact with a male. Conclusion: We demonstrated a higher prevalence of BV, hepatitis C, and HIV risk behaviours in WSW compared with controls. A similar prevalence of cervical cytology abnormalities was found in both groups. Measures are required to improve our understanding of STI/HIV transmission dynamics in WSW, to facilitate better health service provision and targeted education initiatives. (Sex Transm Inf 2000;76:345-349)

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“…The criterion standard for the clinical diagnosis was first described by Amsel et al [46] and has been repeated in numerous works. Three of the 4 objective signs must be present: (1) a milky homogenous vaginal discharge, (2) a vaginal pH higher than 4.5, (3) a fishy odor with the addition of KOH (whiff test), and (4) clue cells on a saline wet mount [44,47,48]. Bacterial vaginosis has been implicated in preterm labor, premature rupture of the membranes, chorioamnionitis, puerperal endometritis, pelvic inflammatory disease, postoperative vaginal cuff cellulitis, and urinary tract infection [48].…”

Section: Bacterial Vaginosismentioning

confidence: 99%

Significance of a Diagnosis of Microorganisms on Pap Smear

Fitzhugh¹,

Heller²

2008

Journal of Lower Genital Tract Disease

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The Pap smear has been in use for more than half a century as the primary screening test for preinvasive and invasive lesions of the uterine cervix. Although not the primary use and an imperfect test, it can be extremely useful in the diagnosis of some microorganisms. This review focuses on the use of the Pap smear in the diagnosis of several microorganisms including Actinomyces, Chlamydia trachomatis, Candida, Trichomonas vaginalis, Leptothrix vaginalis, Herpes Simplex Virus, the causative agents of bacterial vaginosis, and other rarer organisms. The accuracy of diagnosis using the smear varies among the different organisms in question.

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Accuracy of Cervical/Vaginal Cytology in the Diagnosis of Bacterial Vaginosis

Abstract: Our findings support the validity of the vaginal Pap smear in diagnosing BV and suggest the screening of such a disease.

Cited by 23 publications

References 15 publications

Prevalence of Bacterial Vaginosis in a Community Setting and Role of the Pap Smear in Its Detection

Prevalence of Bacterial Vaginosis in a Community Setting and Role of the Pap Smear in Its Detection

Sexually transmitted infections and risk behaviours in women who have sex with women

Significance of a Diagnosis of Microorganisms on Pap Smear

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