Cervicitis diagnostic study of choice: Difference between revisions
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**Purulent or [[mucopurulent]] endocervical [[exudate]] visible in the [[endocervical canal]] or on an endocervical [[swab]] [[specimen]] (commonly referred to as [[mucopurulent]] cervicitis) | **Purulent or [[mucopurulent]] endocervical [[exudate]] visible in the [[endocervical canal]] or on an endocervical [[swab]] [[specimen]] (commonly referred to as [[mucopurulent]] cervicitis) | ||
**Sustained [[endocervical]] [[bleeding]] is easily induced by gentle passage of a cotton swab through the [[cervical]] os. | **Sustained [[endocervical]] [[bleeding]] is easily induced by gentle passage of a cotton swab through the [[cervical]] os. | ||
*Cervicitis is usually [[asymptomatic]], [[symptoms]] observed include: | *Cervicitis is usually [[asymptomatic]], [[symptoms]] observed include:<ref name="pmid25544050">{{cite journal| author=Holló P, Jókai H, Herszényi K, Kárpáti S| title=[Genitourethral infections caused by D-K serotypes of Chlamydia trachomatis]. | journal=Orv Hetil | year= 2015 | volume= 156 | issue= 1 | pages= 19-23 | pmid=25544050 | doi=10.1556/OH.2015.30078 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25544050 }} </ref><ref name="pmid76760">{{cite journal| author=Barlow D, Phillips I| title=Gonorrhoea in women. Diagnostic, clinical, and laboratory aspects. | journal=Lancet | year= 1978 | volume= 1 | issue= 8067 | pages= 761-4 | pmid=76760 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=76760 }} </ref> | ||
**[[Abnormal]] [[vaginal discharge]] | **[[Abnormal]] [[vaginal discharge]] | ||
**Intermenstrual [[vaginal]] [[bleeding]] (e.g., especially after sexual intercourse) | **Intermenstrual [[vaginal]] [[bleeding]] (e.g., especially after sexual intercourse) |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
Diagnostic Study of Choice
Study of choice
There is no single diagnostic study of choice for the diagnosis of cervicitis.
- There are two major diagnostic signs that characterize cervicitis:
- Purulent or mucopurulent endocervical exudate visible in the endocervical canal or on an endocervical swab specimen (commonly referred to as mucopurulent cervicitis)
- Sustained endocervical bleeding is easily induced by gentle passage of a cotton swab through the cervical os.
- Cervicitis is usually asymptomatic, symptoms observed include:[1][2]
- Abnormal vaginal discharge
- Intermenstrual vaginal bleeding (e.g., especially after sexual intercourse)
- Increased number of WBCs on endocervical Gram stain in the diagnosis of cervicitis has not been standardized; it is not sensitive, has a low positive predictive value for C. trachomatis and N. gonorrhea infections, and is not available in most clinical settings.
- Leukorrhea, defined as >10 WBCs/HPF on microscopic examination of vaginal fluid, might be a sensitive indicator of cervical inflammation with a high negative predictive value (i.e., cervicitis is unlikely in the absence of leukorrhea).
- Presence of gram-negative intracellular diplococci on Gram stain of endocervical exudate might be specific for diagnosing gonococcal cervical infection when evaluated by an experienced laboratorian, it is not a sensitive indicator of infection
References
- ↑ Holló P, Jókai H, Herszényi K, Kárpáti S (2015). "[Genitourethral infections caused by D-K serotypes of Chlamydia trachomatis]". Orv Hetil. 156 (1): 19–23. doi:10.1556/OH.2015.30078. PMID 25544050.
- ↑ Barlow D, Phillips I (1978). "Gonorrhoea in women. Diagnostic, clinical, and laboratory aspects". Lancet. 1 (8067): 761–4. PMID 76760.