Hackel H, Hartmann A A, Elsner P, Martius J, Engel C, Burg G
Dermatologische Klinik und Poliklinik, Julius-Maximilians-Universität Würzburg.
Hautarzt. 1991 Mar;42(3):173-5.
The relative value of a semiquantitative Gardnerella vaginalis culture for the diagnosis of bacterial vaginosis (BV) was studied in 113 women attending a STD clinic. The standard diagnosis of BV was based on the BV score, which is a 10-point grading system to evaluate gram-stained vaginal samples objectively and reproducibly. The sensitivity of G. vaginalis culture for the diagnosis of BV was 28%, while the specificity was 89%. The positive and the negative predictive values were 50% and 76% for G. vaginalis culture in our population. Our data suggest that G. vaginalis culture cannot be recommended for the routine diagnosis of BV. However, G. vaginalis culture will detect asymptomatic women with high vaginal colonization with G. vaginalis. Further studies are needed to find whether these women are at risk of developing BV.
对113名就诊于性传播疾病诊所的女性进行了研究，以探讨阴道加德纳菌半定量培养对于细菌性阴道病（BV）诊断的相对价值。BV的标准诊断基于BV评分，这是一种10分制的分级系统，用于客观且可重复地评估革兰氏染色的阴道样本。阴道加德纳菌培养诊断BV的敏感性为28%，而特异性为89%。在我们的研究人群中，阴道加德纳菌培养的阳性预测值和阴性预测值分别为50%和76%。我们的数据表明，不建议将阴道加德纳菌培养用于BV的常规诊断。然而，阴道加德纳菌培养可检测出阴道加德纳菌高定植的无症状女性。需要进一步研究以确定这些女性是否有发生BV的风险。
