LAB 10 - N-SCORES, BV

Question 1

cause of BV

Answer 1

replacement of normal H2O2 producing Lactobacillus
- GVag, Bacteroides, Mobiluncus, Mycoplasma

Question 2

A physician can always diagnose BV in a patient based on the presence of at least three of the following:

Answer 2

• excessive vaginal discharge
• vaginal pH >4.5
• a fishy odour in the KOH test
• presence of clue cells in DS

Question 3

in most cases, BV has minimal complications. However, there are some serious risks from BV

Answer 3

• increases women’s susceptibility to HIV infection if exposed
• increases chances of HIV-infected women to pass to her partner
• increases chances of developing PID following hysterectomy or abortion
• increases risk for some complications of pregnancy such as preterm delivery
• increased susceptibility to other STIs such as chlamydia, gonorrhoeae

Question 4

N-scores performed on all vag specimens if patient is..

Answer 4

> or equal to 14 years of age
<13 = DS and full culture workup necesar as anaerobes may be part of normal flora

Question 5

treatment for BV

Answer 5

metronidazole and clindamycin