Bacterial Vaginosis Flashcards
What is Vaginitis ?
Inflammation of the vagina
Symptoms of vaginitis?
Abnormal vaginal discharge
Itching, pain
why vaginitis occurs?
Imbalance in microbial flora
Infection
what bacteria is found normally in the vagina?
Lactobacillus
what bacteria may colonize the vagina?
Escherichia coli
Group B Streptococcus
bacteria that may colonize the vagina can lead to what?
neonatal meningitis
pneumonia*
what does lactobacilli help do?
keep ph at 4.5
prevents growth of potential pathogens
Supression of Lactobacilli by antibiotics/other reasons can result in what?
overgrowth of other normal flora - vaginitis
what bacteria can overgrow if lactobacillus is inhibited?
Vaginal candidiasis
Bacterial vaginosis
what is Bacterial vaginosis?
overgrowth of Mobiluncus + Gardnerella*
what is Vaginal candidiasis?
overgrowth of Candida albicans*
what are the Important colonizers of vagina?
E.coli *
Group B Streptococcus *
how does Bacterial vaginosis present?
Thin, grey, vaginal discharge*
Fishy odor after coitus
how do you confirm a diagnosis of bacterial vaginosis?
- presence of Clue cells *
- pH>4.5
- Positive whiff test
what are clue cells?
Squamous epithelial cells studded with coccobacilli
what is a positive KOH whiff test?
Add KOH → fishy odor
what is the treatment for bacterial vaginosis?
- Oral metronidazole or clindamycin
- Topical intravaginal cream – Metronidazole or Clindamycin
what are the most common causes of vaginitis in symptomatic women?
- Bacterial vaginosis
- Vaginal candidiasis
- Trichomoniasis
what is this?
vaginal candidiasis
what is seen in Vaginal Candidiasis?
Abnormal curd-like/cottage-cheese discharge
Itching, pain
Mucocutaneous
how does vaginal candidiasis look like under the microscope?
Budding yeast-like cells
vaginal candidiasis is what?
a Pseudohyphae
treatment for vaginal candidiasis?
Antifungal intravaginal creams:
- miconazole
- clotrimazole
what is seen with trichomoniasis?
- Abnormal yellowish, watery discharge
- Itching, burning & painful urination
how does trichomoniasis spread?
Sexually transmitted infection
what test is used to detect and confirm trichomoniasis infection?
pap smear
what is seen under the microscope in trichomoniasis?
motile trophozoites
treatment for trichomoniasis?
Metronidazole
what is this?
trichomoniasis in a pap smear
