The vaginal flora of premenopausal women normally consists predominantly of lactobacilli, and of a wide variety of facultative aerobic and anaerobic bacteria. Other bacteria, such as Enterobacteriaceae, are not proven causes of vaginitis. Vaginitis in prepubertal girls may be due to N. Bacterial vaginosis nonspecific vaginitis is a condition characterized by an excessive, malodorous, vaginal discharge associated with a significant increase of Gardnerella vaginalis and various obligate anaerobes, and a decrease in the number of vaginal lactobacilli. Urethritis in women is also often caused by N. Ascending infections with N.
The accuracy of this test for the diagnosis of bacterial vaginosis has only been established for women of childbearing age and postmenopausal women on estrogen replacement therapy. This test is intended for women of childbearing age since the results are not reliably interpretable for younger and older patients due to a shift in the normal vaginal flora present. There is no standard alternative test, but below are a list of options. Wound Culture LAB of a genital swab may identify bacterial pathogens associated with genital ulcers, lesions, or abscesses, but is not recommended to diagnose vaginosis. Gram stain for bacterial vaginosis and yeast reference range: The presence or absence of Yeast and white cells, Bacterial vaginosis BV is graded as:. Laboratory Critical Values Table. Clinical Information This test is intended for women of childbearing age since the results are not reliably interpretable for younger and older patients due to a shift in the normal vaginal flora present.
Bacterial vaginosis BV is an extremely common health problem for women. In addition to the troublesome symptoms often associated with a disruption in the balance of vaginal flora, BV is associated with adverse gynecological and pregnancy outcomes. Although not technically a sexually transmitted infection, BV is a sexually associated condition. The inappropriate use of vaginal culture can be misleading.
Bacterial vaginosis is so-named because bacteria are the cause and an associated inflammatory response is lacking. It results in an increase in thin, gray, homogeneous vaginal discharge and vaginal malodor and is caused by a change in the vaginal flora. Bacterial vaginosis is a synergistic polymicrobial infection not caused by a specific organism.