National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Bacterial Vaginosis (BV) is the most common cause of vaginitis and is of special public health concern in India because of high burden of reproductive and pregnancy related morbidity. Early diagnosis and treatment might be useful in prevention of complications and can only be achieved by accurate, reproducible and inexpensive method. Although Nugent's criterion is considered as the gold standard in diagnosis of BV, routinely a combination of various methods is used for the diagnosis of bacterial vaginosis(BV). In the present study we compared Amsel’s composite clinical criteria with Nugent's method for the diagnosis of BV. The study was undertaken from March 2016 - December, 2016 at a Tertiary Care Hospital in Punjab. The study consisted of women with complaints of vaginal discharge. BV was diagnosed based on Amsel’s™ criteria and Neugent™ scoring. Nugent scoring system was considered the gold standard. Sensitivity, specificity, positive predictive value and negative predictive value of Amsel’s™ criteria were compared with those of Nugent scoring system. The present study included 200 cases of abnormal vaginal discharge. Prevalence of BV was 34%. Age group 24-29 years was most affected. Amsel’s criteria detected 60/200 whereas Nugent score identified 68/200 subjects as having bacterial vaginosis. In comparison with Nugent’s criteria the sensitivity, specificity, positive predictive value and negative predictive value of Amsel’s criteria were 88%, 100%, 100% and 94.2%. With limited resources in developing countries like ours, there is a great need for inexpensive diagnostic methods for bacterial vaginosis. Amsel’s criteria is as good as Nugent’s scoring in diagnosis of BV and it is simple, easy, cost effective, fast and reliable, and can be done in OPD which can be used for precise and fast treatment.
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