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A study of bacterial vaginosis in HUSM towards a standard diagnostic method

The diagnosis of Bacterial Vaginosis (BV) is commonly established by using the Amsel's criteria, which is based ma1nly on clinical presentation. However. BV was often under diagnosed when the clinical criteria are used because of Its inherent subjectivity. A more objective method like the Nug...

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Main Author: Azura, Hussin
Format: Article
Language:English
Published: Pusat Pengajian Sains Perubatan Universiti Sains Malaysia 2006
Subjects:
R Medicine (General)
Online Access:http://eprints.usm.my/50327/1/DR.%20AZURA%20BINTI%20HUSSIN%20-%2024%20pages.pdf
http://eprints.usm.my/50327/
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spelling my.usm.eprints.50327 http://eprints.usm.my/50327/ A study of bacterial vaginosis in HUSM towards a standard diagnostic method Azura, Hussin R Medicine (General) The diagnosis of Bacterial Vaginosis (BV) is commonly established by using the Amsel's criteria, which is based ma1nly on clinical presentation. However. BV was often under diagnosed when the clinical criteria are used because of Its inherent subjectivity. A more objective method like the Nugent's criteria is more reliable especially In asymptomatic patients. This study is performed to study the prevalence of BV among pregnant women in HUSM and to evaluate its accuracy comparing to the standard Amsel's criteria. Methodology: A cross sectional study was randomly conducted among pregnant women, attending Obstetric and Gynaecology Clinic in HUSM for six months duration. The prevalence of BV was determined by the Amsel's and Nugent's criteria. The agreement of the two criteria was observed and the validity of the Nugent's criteria was evaluated using the Amsel's criteria a.s gold standard. Res ults: 270 patients were recruited into the study. The prevalence of bacterial vaginosis us1ng the Amsel's criteria was 1.0 % (95°.4 Cl) and 2.6% (95% Ct) by Nugent's critena The sensitivity, specificity. positive predictive value and negative predictive value of the Nugent's criteria, using the Amsel's criteria as gold standard was 100%, 96.5%, 42.9% and 100%. respectively, with moderate agreement between the two criteria (11.=0.594 and p=<0.001). Conclusion: The prevalence of BV among pregnant women In HUSM by using the Amsel's criteria Is slightly lower (1.0%) compared to the Nugent's criteria (2.6%). Both criteria could be used to diagnose BV. however Nugent's critena is more standardized, objective and simple to perform, thus more suitable especially for research purpose. Pusat Pengajian Sains Perubatan Universiti Sains Malaysia 2006 Article PeerReviewed application/pdf en http://eprints.usm.my/50327/1/DR.%20AZURA%20BINTI%20HUSSIN%20-%2024%20pages.pdf Azura, Hussin (2006) A study of bacterial vaginosis in HUSM towards a standard diagnostic method. Universiti Sains Malaysia. (Submitted)
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Azura, Hussin
A study of bacterial vaginosis in HUSM towards a standard diagnostic method
description The diagnosis of Bacterial Vaginosis (BV) is commonly established by using the Amsel's criteria, which is based ma1nly on clinical presentation. However. BV was often under diagnosed when the clinical criteria are used because of Its inherent subjectivity. A more objective method like the Nugent's criteria is more reliable especially In asymptomatic patients. This study is performed to study the prevalence of BV among pregnant women in HUSM and to evaluate its accuracy comparing to the standard Amsel's criteria. Methodology: A cross sectional study was randomly conducted among pregnant women, attending Obstetric and Gynaecology Clinic in HUSM for six months duration. The prevalence of BV was determined by the Amsel's and Nugent's criteria. The agreement of the two criteria was observed and the validity of the Nugent's criteria was evaluated using the Amsel's criteria a.s gold standard. Res ults: 270 patients were recruited into the study. The prevalence of bacterial vaginosis us1ng the Amsel's criteria was 1.0 % (95°.4 Cl) and 2.6% (95% Ct) by Nugent's critena The sensitivity, specificity. positive predictive value and negative predictive value of the Nugent's criteria, using the Amsel's criteria as gold standard was 100%, 96.5%, 42.9% and 100%. respectively, with moderate agreement between the two criteria (11.=0.594 and p=<0.001). Conclusion: The prevalence of BV among pregnant women In HUSM by using the Amsel's criteria Is slightly lower (1.0%) compared to the Nugent's criteria (2.6%). Both criteria could be used to diagnose BV. however Nugent's critena is more standardized, objective and simple to perform, thus more suitable especially for research purpose.
format Article
author Azura, Hussin
author_facet Azura, Hussin
author_sort Azura, Hussin
title A study of bacterial vaginosis in HUSM towards a standard diagnostic method
title_short A study of bacterial vaginosis in HUSM towards a standard diagnostic method
title_full A study of bacterial vaginosis in HUSM towards a standard diagnostic method
title_fullStr A study of bacterial vaginosis in HUSM towards a standard diagnostic method
title_full_unstemmed A study of bacterial vaginosis in HUSM towards a standard diagnostic method
title_sort study of bacterial vaginosis in husm towards a standard diagnostic method
publisher Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
publishDate 2006
url http://eprints.usm.my/50327/1/DR.%20AZURA%20BINTI%20HUSSIN%20-%2024%20pages.pdf
http://eprints.usm.my/50327/
_version_ 1715190773701410816
score 13.211869

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