McCue J D, Komaroff A L, Pass T M, Cohen A B, Friedland G
J Fam Pract. 1979 Sep;9(3):395-402.
Detailed history, physical examination, laboratory, and follow-up data were obtained from 821 patients presenting to a primary care clinic over an 18-month period with the symptoms of vaginal infection or urinary tract infection (UTI). Information useful in deciding when to perform a vaginal examination, when to obtain various types of cultures, and when to perform microscopic examination of a saline suspension or Gram stain is presented. Of particular interest were the findings that patients with dysuria more commonly have vaginitis than UTI, the superiority of a saline examination to other means of diagnosing yeast vaginitis, and the rarity of a positive trichomonas preparation when the vaginal discharge had a curd-like appearance.
在18个月的时间里，我们从821名到初级保健诊所就诊、有阴道感染或尿路感染（UTI）症状的患者那里获取了详细的病史、体格检查、实验室检查及随访数据。文中给出了在决定何时进行阴道检查、何时获取各类培养物以及何时对生理盐水悬液或革兰氏染色进行显微镜检查时有用的信息。特别值得关注的发现是，排尿困难的患者患阴道炎比患UTI更为常见；生理盐水检查在诊断霉菌性阴道炎方面优于其他方法；当阴道分泌物呈凝乳状时，滴虫检查结果呈阳性的情况很少见。
