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Related Experiment Videos

Sampling for vaginal candidosis: how good is it?

J Emmerson1, A Gunputrao, J Hawkswell

  • 1Department of Genitourinary Medicine, Retford Hospital, UK.

International Journal of STD & AIDS
|September 1, 1994
PubMed
Summary

Screening for vaginal candidosis in genitourinary medicine patients found a 26.3% positive rate. Microscopy aids early diagnosis, detecting most symptomatic cases and identifying optimal sample sites for accurate results.

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Area of Science:

  • Medical Microbiology
  • Clinical Diagnostics
  • Genitourinary Medicine

Background:

  • Vaginal candidosis is a common condition requiring effective diagnostic methods.
  • Genitourinary medicine departments manage diverse patient populations with potential infections.

Purpose of the Study:

  • To determine the prevalence of vaginal candidosis in patients attending a genitourinary medicine department.
  • To evaluate the utility of microscopy in diagnosing vaginal candidosis.
  • To identify the most sensitive sample site for microbiological diagnosis.

Main Methods:

  • Screening of patients attending a genitourinary medicine clinic for vaginal candidosis.
  • Microscopic examination of Gram-stained vaginal smears for diagnosis.
  • Vaginal cultures performed on samples from different anatomical sites (anterior fornix, left lateral vaginal wall).

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Main Results:

  • A 26.3% positive rate for vaginal candidosis was observed in the studied population.
  • Microscopy detected 64.8% of symptomatic cases, proving useful for early diagnosis.
  • The anterior fornix was the most sensitive site for culture diagnosis (positive predictive value 0.88), while the left lateral vaginal wall was least sensitive (0.81).

Conclusions:

  • Vaginal candidosis screening in genitourinary medicine settings reveals significant prevalence.
  • Gram-stained microscopy is a valuable tool for the rapid diagnosis of symptomatic vaginal candidosis.
  • Anatomical site selection is crucial for optimizing the sensitivity of culture-based diagnosis of vaginal candidosis.