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Differentiation of Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis infections of the vagina.
J Fam Pract. 1989 Jun; 28(6):673-80.JF

Abstract

This study evaluated the positive predictive values of factors associated with Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis for diagnosing vaginitis in a community-based population. One hundred ninety-six women with and without vaginal complaints were evaluated for historical factors, physical examination findings, and office laboratory results that were potentially associated with each of the three vaginal organisms. Extensive microbiological tests were performed to detect pathogenic organisms in the vagina and cervix. Gardnerella vaginalis was associated with findings of clue cells, gray or creamy vaginal discharge, amine ordor on application of potassium hydroxide solution to the discharge, pH greater than 5, and a history of more than six sexual partners. Candida albicans was associated with the presence of pseudohyphae or budding yeast on microscopic examination and the lack of clue cells. Current use of oral contraceptives and the recent use of antibiotics were not predictive of a Candida albicans infection. Trichomonas vaginalis was more common in patients presenting with symptoms, but otherwise was not predicted by the factors tested.

Authors+Show Affiliations

Department of Family and Preventive Medicine, University of Utah Medical Center, Salt Lake City.No affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

2656903

Citation

Reed, B D., et al. "Differentiation of Gardnerella Vaginalis, Candida Albicans, and Trichomonas Vaginalis Infections of the Vagina." The Journal of Family Practice, vol. 28, no. 6, 1989, pp. 673-80.
Reed BD, Huck W, Zazove P. Differentiation of Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis infections of the vagina. J Fam Pract. 1989;28(6):673-80.
Reed, B. D., Huck, W., & Zazove, P. (1989). Differentiation of Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis infections of the vagina. The Journal of Family Practice, 28(6), 673-80.
Reed BD, Huck W, Zazove P. Differentiation of Gardnerella Vaginalis, Candida Albicans, and Trichomonas Vaginalis Infections of the Vagina. J Fam Pract. 1989;28(6):673-80. PubMed PMID: 2656903.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differentiation of Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis infections of the vagina. AU - Reed,B D, AU - Huck,W, AU - Zazove,P, PY - 1989/6/1/pubmed PY - 1989/6/1/medline PY - 1989/6/1/entrez SP - 673 EP - 80 JF - The Journal of family practice JO - J Fam Pract VL - 28 IS - 6 N2 - This study evaluated the positive predictive values of factors associated with Gardnerella vaginalis, Candida albicans, and Trichomonas vaginalis for diagnosing vaginitis in a community-based population. One hundred ninety-six women with and without vaginal complaints were evaluated for historical factors, physical examination findings, and office laboratory results that were potentially associated with each of the three vaginal organisms. Extensive microbiological tests were performed to detect pathogenic organisms in the vagina and cervix. Gardnerella vaginalis was associated with findings of clue cells, gray or creamy vaginal discharge, amine ordor on application of potassium hydroxide solution to the discharge, pH greater than 5, and a history of more than six sexual partners. Candida albicans was associated with the presence of pseudohyphae or budding yeast on microscopic examination and the lack of clue cells. Current use of oral contraceptives and the recent use of antibiotics were not predictive of a Candida albicans infection. Trichomonas vaginalis was more common in patients presenting with symptoms, but otherwise was not predicted by the factors tested. SN - 0094-3509 UR - https://www.unboundmedicine.com/medline/citation/2656903/Differentiation_of_Gardnerella_vaginalis_Candida_albicans_and_Trichomonas_vaginalis_infections_of_the_vagina_ DB - PRIME DP - Unbound Medicine ER -