Bacterial Vaginosis Flashcards
1
Q
What is bacterial vaginosis?
A
Overgrowth of vaginal flora by anaerobes
2
Q
What are the features of BV?
A
Thin discharge
‘Fishy’ smelling discharge
No vulval soreness
3
Q
What criteria is used for BV?
A
Amsel’s criteria
4
Q
What is Amsel’s criteria?
A
3 out of 4 needed for diagnosis
Thin, white homogenous discharge
Clue cells on microscopy
Vaginal pH >4.5
Positive whiff test
5
Q
What are clue cells?
A
Stippled vaginal epithelial cells
6
Q
How is BV managed?
A
Oral metronidazole (5-7d)
Topical clindamycin