Bacillary vaginosis Flashcards
1
Q
How to classify?
A
Fastidious gram negative
2
Q
How does it come about?
A
Disturbance of normal bacterial flora (lactic acid producing Lactobacillus) in vaginal canal replaced by high concentrations of anaerobes (Gardnerella vaginalis, Prevotella spp, Mobiluncus spp and others)
3
Q
What kind of birth outcomes is it associated?
A
Adverse
- gynecologic sequelae, increased risk of HIV and STI acquisition
4
Q
What are the symptoms?
A
- Thin vaginal discharge with strong fish-like odour
- Vaginal itching
- Psychological disturbance
5
Q
What are the risk factors?
A
Douching, multiple or new sex partners
Not an STI though
6
Q
How to diagnose?
A
Amsel criteria (thin vaginal discharge with pH>4.5, amine smell from KOH whiff test, clue cells)
Nugent criteria
