Bacterial Vaginosis

Microbiology

  • Commonly caused by Gardnerella vaginalis
  • Other organisms include Mobiluncus sp. and anaerobes

Signs/Symptoms

  • Foul smelling, watery discharge (may be yellow/brown discolouration)
  • There is no inflammation of the vaginal wall
  • There is no pruritus

Diagnosis

  • High vaginal swab to look for ‘clue cells’- epithelial cells covered in gram variable bacilli
    • this is usually inaccurate
  • Vaginal pH (>4.5) may aid diagnosis

Treatment

  • Oral metronidazole¬†
  • NB recurrence is common

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