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Comparison of Hay's criteria with Nugent's scoring system for diagnosis of bacterial vaginosis.
Biomed Res Int. 2013; 2013:365194.BR

Abstract

Although Nugent's criterion is considered as the gold standard for the diagnosis of bacterial vaginosis (BV), the method requires an experienced slide reader and considerable time and skill. In this study, we compared the method of Hay and Ison with Nugent's scoring criteria. Vaginal specimens were collected from a total of 213 women, presenting with or without the symptoms of vaginitis. Diagnosis of BV was done using Nugent' and Hay's method. Sensitivity, specificity, and predictive values for positive and negative test were calculated for Hay's method using Nugent's method as the gold standard. We diagnosed 70 cases (32.86%) of BV by Nugent's method and 87 (40.85%) cases by the Hay's method. Sensitivity, specificity, predictive value of positive result, predictive value of negative result, and Kappa value when evaluating Hay's criteria using Nugent's criteria as the gold standard were ≥97.2%, ≥88.1%, ≥80.4%, ≥97.1%, and ≥0.830, respectively, when Hay's grade II and/or Nugent's intermediate score were considered either as negative or positive or excluded. Using Nugent score for the intermediate group is the most difficult. Hay's method shows good agreement with the gold standard method of Nugent et al. and can be used as an alternative to Nugent's criteria in busy tertiary care hospitals.

Authors+Show Affiliations

Centre of AIDS and Related Diseases, National Centre for Disease Control, 22 Shamnath Marg, New Delhi 110054, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23841066

Citation

Chawla, Rohit, et al. "Comparison of Hay's Criteria With Nugent's Scoring System for Diagnosis of Bacterial Vaginosis." BioMed Research International, vol. 2013, 2013, p. 365194.
Chawla R, Bhalla P, Chadha S, et al. Comparison of Hay's criteria with Nugent's scoring system for diagnosis of bacterial vaginosis. Biomed Res Int. 2013;2013:365194.
Chawla, R., Bhalla, P., Chadha, S., Grover, S., & Garg, S. (2013). Comparison of Hay's criteria with Nugent's scoring system for diagnosis of bacterial vaginosis. BioMed Research International, 2013, 365194. https://doi.org/10.1155/2013/365194
Chawla R, et al. Comparison of Hay's Criteria With Nugent's Scoring System for Diagnosis of Bacterial Vaginosis. Biomed Res Int. 2013;2013:365194. PubMed PMID: 23841066.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of Hay's criteria with Nugent's scoring system for diagnosis of bacterial vaginosis. AU - Chawla,Rohit, AU - Bhalla,Preena, AU - Chadha,Sanjim, AU - Grover,Sujatha, AU - Garg,Suneela, Y1 - 2013/06/13/ PY - 2013/04/30/received PY - 2013/05/28/accepted PY - 2013/7/11/entrez PY - 2013/7/11/pubmed PY - 2014/1/1/medline SP - 365194 EP - 365194 JF - BioMed research international JO - Biomed Res Int VL - 2013 N2 - Although Nugent's criterion is considered as the gold standard for the diagnosis of bacterial vaginosis (BV), the method requires an experienced slide reader and considerable time and skill. In this study, we compared the method of Hay and Ison with Nugent's scoring criteria. Vaginal specimens were collected from a total of 213 women, presenting with or without the symptoms of vaginitis. Diagnosis of BV was done using Nugent' and Hay's method. Sensitivity, specificity, and predictive values for positive and negative test were calculated for Hay's method using Nugent's method as the gold standard. We diagnosed 70 cases (32.86%) of BV by Nugent's method and 87 (40.85%) cases by the Hay's method. Sensitivity, specificity, predictive value of positive result, predictive value of negative result, and Kappa value when evaluating Hay's criteria using Nugent's criteria as the gold standard were ≥97.2%, ≥88.1%, ≥80.4%, ≥97.1%, and ≥0.830, respectively, when Hay's grade II and/or Nugent's intermediate score were considered either as negative or positive or excluded. Using Nugent score for the intermediate group is the most difficult. Hay's method shows good agreement with the gold standard method of Nugent et al. and can be used as an alternative to Nugent's criteria in busy tertiary care hospitals. SN - 2314-6141 UR - https://www.unboundmedicine.com/medline/citation/23841066/Comparison_of_Hay's_criteria_with_Nugent's_scoring_system_for_diagnosis_of_bacterial_vaginosis_ L2 - https://doi.org/10.1155/2013/365194 DB - PRIME DP - Unbound Medicine ER -