Review: Vaginal signs and symptoms perform poorly in diagnosing vaginal candidiasis, bacterial vaginosis, and vaginal trichomoniasis

Doust, Jenny
September 2004
ACP Journal Club;Sep/Oct2004, Vol. 141 Issue 2, p47
Academic Journal
This article discusses symptoms useful in diagnosis of vaginal diseases. Studies were selected if they included symptomatic patients in primary care or sexually transmitted disease clinics, compared a diagnostic test with a recognized gold standard, calculated sensitivity and specificity, and discussed tests that would provide diagnostic information during the office visit. Gold standard tests for vaginal candidiasis, bacterial vaginosis, and vaginal tricomoniasis included a positive culture or identification of yeast by microscopy. In patients with vaginitis, individual symptoms and physical examination signs do not perform well in diagnosing vaginal candidiasis, bacterial vaginosis, and vaginal trichomoniasis. Laboratory tests perform better for diagnosing these conditions.


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