Bacterial Vaginosis

Question 1

what causes bacterial vaginosis?

Answer 1

overgrowth of Gardnerella vaginalis

Question 2

T/F. BV is an STI

Answer 2

False

Question 3

what are signs of BV?

Answer 3

1. musty or fishy odor
2. vaginal itching
3. thin, gray-white, yellow discharge homogenous discharge (adhere to vaginal wall)

Question 4

what are tests for BV?

Answer 4

1. positive whiff test (fishy odor during KOH)
2. saline wet mount (clue cells)
3. DNA probe - affirm VP III
4. PCR Aptima BV

Question 5

what cells are seen on saline wet mount that indicates BV?

Answer 5

clue cells
*epithelial cells covered with bacteria

Question 6

what is the gold standard for diagnosis of BV?

Answer 6

Gram stain
*nugents criteria

Question 7

what are the AMSEL criteria for BV?

Answer 7

3 of the 4
1. Thin white-grey, non-inflammatory, homogenous discharge
2. Positive Whiff-amine test (10% KOH)
3. Vaginal pH >4.5
4. >20% clue cells in saline wet mount

Question 8

what is the treatment for BV?

Answer 8

Metronidazole (Flagyl) 500 PO BID X 7 days
- NO alcohol
OR clindamycin vaginal cream X 7days OR metronidazole gel X 7 days

Question 9

T/F. You should still treat BV, even if it is asymptomatic.

Answer 9

false

Question 10

What is the treatment for BV in pregnancy (even if asymptomatic)

Answer 10

Metronidazole

Question 11

What are some predisposing factors of BV

Answer 11

1. Recent ATB
2. Wearing IUD
3. Decreased estrogen

Question 12

what are complications of BV?

Answer 12

1. Premature ruptured of membranes
2. Pre-term labor
3. PID