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The limited value of symptoms and signs in the diagnosis of vaginal infections.
Arch Intern Med. 1990 Sep; 150(9):1929-33.AI

Abstract

The etiology of vaginitis can be difficult to prove. To determine the relationship between clinical criteria (symptoms and signs) and three causes of vaginitis, we prospectively evaluated 22 criteria in 123 unselected symptomatic patients. Diagnoses of Candida albicans and Trichomonas vaginalis infection were based on culture. Bacterial vaginosis was defined by the presence of 3 of 4 clinical criteria. Only 49% of our patients received diagnoses, and itching was the only symptom more frequently noted among those with diagnoses. Symptoms did not differ among the three infections, and lack of vaginal odor in yeast infection was the only significantly different physical sign. Yeast and trichomonads were seen on microscopy in 63% and 75% of culture-positive specimens. Bacterial vaginosis had no significant clinical criteria beyond those that defined the diagnosis. We conclude that presenting symptoms and signs in vaginitis evaluation have limited value, and that half of the women with vaginitis may lack a microbiologic diagnosis.

Authors+Show Affiliations

Department of Health Policy and Administration, School of Public Health, University of California, Berkeley.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

2393324

Citation

Schaaf, V M., et al. "The Limited Value of Symptoms and Signs in the Diagnosis of Vaginal Infections." Archives of Internal Medicine, vol. 150, no. 9, 1990, pp. 1929-33.
Schaaf VM, Perez-Stable EJ, Borchardt K. The limited value of symptoms and signs in the diagnosis of vaginal infections. Arch Intern Med. 1990;150(9):1929-33.
Schaaf, V. M., Perez-Stable, E. J., & Borchardt, K. (1990). The limited value of symptoms and signs in the diagnosis of vaginal infections. Archives of Internal Medicine, 150(9), 1929-33.
Schaaf VM, Perez-Stable EJ, Borchardt K. The Limited Value of Symptoms and Signs in the Diagnosis of Vaginal Infections. Arch Intern Med. 1990;150(9):1929-33. PubMed PMID: 2393324.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The limited value of symptoms and signs in the diagnosis of vaginal infections. AU - Schaaf,V M, AU - Perez-Stable,E J, AU - Borchardt,K, PY - 1990/9/1/pubmed PY - 1990/9/1/medline PY - 1990/9/1/entrez SP - 1929 EP - 33 JF - Archives of internal medicine JO - Arch Intern Med VL - 150 IS - 9 N2 - The etiology of vaginitis can be difficult to prove. To determine the relationship between clinical criteria (symptoms and signs) and three causes of vaginitis, we prospectively evaluated 22 criteria in 123 unselected symptomatic patients. Diagnoses of Candida albicans and Trichomonas vaginalis infection were based on culture. Bacterial vaginosis was defined by the presence of 3 of 4 clinical criteria. Only 49% of our patients received diagnoses, and itching was the only symptom more frequently noted among those with diagnoses. Symptoms did not differ among the three infections, and lack of vaginal odor in yeast infection was the only significantly different physical sign. Yeast and trichomonads were seen on microscopy in 63% and 75% of culture-positive specimens. Bacterial vaginosis had no significant clinical criteria beyond those that defined the diagnosis. We conclude that presenting symptoms and signs in vaginitis evaluation have limited value, and that half of the women with vaginitis may lack a microbiologic diagnosis. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/2393324/The_limited_value_of_symptoms_and_signs_in_the_diagnosis_of_vaginal_infections_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/150/pg/1929 DB - PRIME DP - Unbound Medicine ER -