All::Infectious diseases::Diseases::Bacterial vaginosis

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What is Bacterial vaginosis?

an overgrowth of predominately anaerobic organisms in the vagina

Bacterial vaginosis

What are the main clinical features of Bacterial vaginosis?

  • vaginal discharge: 'fishy', offensive
  • asymptomatic in 50%

Bacterial vaginosis

How is Bacterial vaginosis diagnosed?

3 of the following 4 points should be present

  • thin, white homogenous discharge
  • clue cells on microscopy: stippled vaginal epithelial cells
  • vaginal pH > 4.5
  • positive whiff test (addition of potassium hydroxide results in fishy odour)

Bacterial vaginosis

What is the management of Bacterial vaginosis?

if symptomatic: oral metronidazole for 5-7 days

Bacterial vaginosis

What is the causative bacteria of Bacterial vaginosis?

Gardnerella vaginalis

Bacterial vaginosis