阴道加德纳菌感染诊断中显微镜检查结果与培养结果的比较。

Comparison of microscopic and cultural findings in the diagnosis of Gardnerella vaginalis infection.

作者信息

Milatovic D, Machka K, Brosch R V, Wallner H J, Braveny I

出版信息

Eur J Clin Microbiol. 1982 Oct;1(5):294-7. doi: 10.1007/BF02019974.

DOI:10.1007/BF02019974

Abstract

The diagnosis of Gardnerella vaginalis infection on the basis of microscopic and cultural findings was compared. A total of 340 specimens of vaginal secretion were Gram stained and plated on a medium selective for Gardnerella vaginalis. Positive culture was obtained in 165 cases. Microscopy was unequivocally positive in 95, doubtful in 58 and negative in 187. Positive microscopy was confirmed by culture in 99%. On the other hand, 21% of the negative microscopy results gave a false negative diagnosis. Specimens for which microscopy was doubtful were culture positive in 53% of the cases, including 12% with heavy growth. Thus, positive microscopy proved to be sufficient for a reliable diagnosis of Gardnerella vaginalis infection. However, in specimens with negative or doubtful microscopic findings, additional culture is recommended.

摘要

基于显微镜检查和培养结果对阴道加德纳菌感染的诊断进行了比较。共对340份阴道分泌物标本进行革兰氏染色，并接种于对阴道加德纳菌有选择性的培养基上。165例培养结果呈阳性。显微镜检查明确阳性95例，可疑58例，阴性187例。99%的显微镜检查阳性结果经培养得到证实。另一方面，21%的显微镜检查阴性结果出现假阴性诊断。显微镜检查可疑的标本中，53%培养呈阳性，其中12%生长旺盛。因此，显微镜检查阳性足以可靠诊断阴道加德纳菌感染。然而，对于显微镜检查结果为阴性或可疑的标本，建议进行额外培养。