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全科医疗中阴道加德纳菌的临床预测

Clinical prediction of Gardnerella vaginalis in general practice.

作者信息

O'Dowd T C, West R R

出版信息

J R Coll Gen Pract. 1987 Feb;37(295):59-61.

Abstract

In a study of 162 women with vaginal symptoms the clinical features of increased discharge, yellow discharge, 'high cheese' odour and pH greater than 5 were statistically strongly associated with the presence of Gardnerella vaginalis, confirmed by microbiological culture. The sensitivities and specificities of these clinical tests, although not as high as those of previously described sideroom tests using the amine test and microscopy for 'clue cells' nevertheless allow the clinician to predict G. vaginalis reliably and initiate treatment at first consultation.

摘要

在一项针对162名有阴道症状女性的研究中,分泌物增多、黄色分泌物、“高奶酪样”气味以及pH值大于5等临床特征与阴道加德纳菌的存在在统计学上显著相关,这通过微生物培养得以证实。这些临床检测的敏感性和特异性,尽管不如先前描述的使用胺试验和显微镜检查“线索细胞”的侧室试验,但仍能让临床医生可靠地预测阴道加德纳菌,并在首次会诊时就开始治疗。

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