Bacterial vaginosis Flashcards

1
Q

What is bacterial vaginosis?

A

An infection of the vagina

Caused by an imbalance in natural bacteria levels

Often results in discomfort and pain

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2
Q

What is the key anaerobic bacteria associated with bacterial vaginosis?

A

Gardnerella vaginalis

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3
Q

What are the risk factors for bacterial vaginosis? (5)

A

Excessive vaginal cleaning

Multiple/new sexual partners

Recent antibiotic use

Smoking

Use of a copper coil

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4
Q

What is the characteristic presentation of bacterial vaginosis?

A

Fishy smelling discharge

Grey or white watery discharge

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5
Q

Which cells may be seen in the cervix in a patient with bacterial vaginosis on a wet mount?

A

Clue cells

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6
Q

What is the management for bacterial vaginosis in pregnancy?

A

400mg for 5 days during pregnancy

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7
Q

For bacterial vaginosis, which diagnostic method would be most useful?

  • urine NAAT
  • Gram stain
  • TVUS
  • Urinalysis
  • Pelvic MRI
A

Gram stain

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8
Q

Management of bacterial vaginosis?

A

Self limiting if asymptomatic

Metronidazole or clindamycin 2g* stat

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9
Q

What is most common out of :
BV, AV, Candidiasis and trichomonas?

A

Most to least:

  • Bacterial Vaginitis
  • Vaginal candidiasis
  • Trichomonas
  • Atrophic Vaginitis
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10
Q

What pH is expected for Bacterial vaginosis?

A

> 4.5. (Alkaline)

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11
Q

What is a positive whiff test?

A

Adding 10% potassium hydroxide produces fishy odour

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12
Q

What criteria is used for BV?

A

Amsels:

Need 3/4
- pH above 4.5
- grey or milky discharge
- + whiff test
- clue cells on wet mount

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13
Q
A
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