Bacterial vaginosis Amsel criteria: Difference between revisions
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For clinicians, BV is characterized by at least three of the following four Amsel criteria:<ref name=CDC_MMWR-2015>Center for Disease Control and prevention. Mortality and morbidity weekly reports. Sexually transmitted disease treatment guideline. (2015) https://www.cdc.gov/std/tg2015/tg-2015-print.pdf Accessed on October 20, 2016</ref><ref name="pmid6600371">Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK (1983) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=6600371 Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations.] ''Am J Med'' 74 (1):14-22. PMID: [https://pubmed.gov/6600371 6600371]</ref> | For clinicians, BV is characterized by at least three of the following four Amsel criteria:<ref name=CDC_MMWR-2015>Center for Disease Control and prevention. Mortality and morbidity weekly reports. Sexually transmitted disease treatment guideline. (2015) https://www.cdc.gov/std/tg2015/tg-2015-print.pdf Accessed on October 20, 2016</ref><ref name="pmid6600371">Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK (1983) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=6600371 Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations.] ''Am J Med'' 74 (1):14-22. PMID: [https://pubmed.gov/6600371 6600371]</ref> | ||
# Thin, gray/white vaginal discharge | # Thin, gray/white vaginal discharge | ||
# Malodorous “fishy” discharge upon adding 10 % potassium hydroxide | # Malodorous “fishy” discharge upon adding 10% potassium hydroxide | ||
# High vaginal pH (>4.5) | # High vaginal [[pH]] (>4.5) | ||
# Identification of vaginal epithelial cells heavily coated with bacteria (clue cells) | # Identification of vaginal epithelial cells heavily coated with bacteria (clue cells) | ||
[[Image:PHIL 3719 lores.jpg|“Clue cells” are epithelial cells that have had bacteria adhere to their surface<ref name=CDCBVPIC>Centers for Disease Control and Prevention. Public Health Image Library (PHIL) http://phil.cdc.gov/phil/home.asp Accessed on October 20, 2016</ref>|400px|thumb|center]] | [[Image:PHIL 3719 lores.jpg|“Clue cells” are epithelial cells that have had bacteria adhere to their surface<ref name=CDCBVPIC>Centers for Disease Control and Prevention. Public Health Image Library (PHIL) http://phil.cdc.gov/phil/home.asp Accessed on October 20, 2016</ref>|400px|thumb|center]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
For clinicians, BV is a common vaginal condition characterized by at least three of the following four Amsel criteria include thin, gray/white discharge, malodorous “fishy” discharge upon adding 10 % potassium hydroxide, high vaginal pH (>4.5), and identification of clue cells.[1][2]
Amsel criteria
For clinicians, BV is characterized by at least three of the following four Amsel criteria:[1][2]
- Thin, gray/white vaginal discharge
- Malodorous “fishy” discharge upon adding 10% potassium hydroxide
- High vaginal pH (>4.5)
- Identification of vaginal epithelial cells heavily coated with bacteria (clue cells)
References
- ↑ 1.0 1.1 Center for Disease Control and prevention. Mortality and morbidity weekly reports. Sexually transmitted disease treatment guideline. (2015) https://www.cdc.gov/std/tg2015/tg-2015-print.pdf Accessed on October 20, 2016
- ↑ 2.0 2.1 Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK (1983) Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med 74 (1):14-22. PMID: 6600371
- ↑ Centers for Disease Control and Prevention. Public Health Image Library (PHIL) http://phil.cdc.gov/phil/home.asp Accessed on October 20, 2016