[Epidemiology and diagnostics in the vaginal area. I. Study of the vaginal flora using microscopy and evaluation of the microbial picture of the vagina].

The microscopic characteristic of the vaginal microflora by means of microbial vaginal smears (MVS) according to Jírovec, Peter and Málek corresponds no longer to contemporary ideas on the physiology and pathology of the vaginal environment. The authors revealed on comparison of the results of MVS and the native preparation that in a group of 600 women selected at random the MVS diagnosis allowed to escape 80 cases of trichomoniasis (46.8%), 56 cases of mycotic infections (34.1%) and cases of suspect bacterial vaginosis with the finding of key cells. After elimination of suppurative and non-suppurative bacterial discharge the accurate diagnosis of which involves cultivation, it was revealed that in 156 women (26%) the pathological vaginal discharge was not diagnosed at all or its diagnosis was incomplete. The category of MVS type I, III and V or VI are highly specific but less sensitive. In the category MVS type II the specificity declined substantially, the sensitivity of the test is slightly higher. Predictive values in categories MVS III and MVS V or VI are high, much higher than values obtained in categories MVS I and in particular MVS II. In the diagnosis of vaginal infections transmitted by sexual intercourse native microscopy is irreplaceable. Its assett is rapid and more accurate diagnosis of diobscure findingsseases and the possibility to start immediate and aimed treatment. In case of obscure findings or relapses cultivation is essential.