Document Detail


Use of DNA hybridization test for diagnosing bacterial vaginosis in women with symptoms suggestive of infection.
MedLine Citation:
PMID:  17078859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to evaluate a DNA hybridization test (Affirm VPIII) as an alternative to Gram stain for the rapid diagnosis of bacterial vaginosis in women with clinical signs of vaginal infection. Vaginal specimens were collected from 321 symptomatic women, and analyzed for bacterial vaginosis by both Gram stain using Nugent criteria and DNA hybridization test. Sensitivity, specificity, positive predictive value, and negative predictive value of the DNA hybridization test were determined using the Gram staining as the standard for diagnosis of bacterial vaginosis. Of the 321 patients, 115 (35.8%) were Gram positive for bacterial vaginosis and 126 (39.2%) were negative. 80 patients (25.0%) demonstrated intermediate Gram staining that was also considered negative. The Affirm system detected G. vaginalis in 107 (93.0%) of 115 vaginal specimens positive for bacterial vaginosis diagnosed by Gram stain. Compared to the Gram stain, DNA hybridization test had a sensitivity of 87.7% and a specificity of 96.0%. Positive and negative predictive values of the DNA hybridization test were 93.0% and 92.7%, respectively. In conclusion, Affirm VPIII hybridization test correlated well with Gram stain and may be used as a rapid diagnostic tool to exclude bacterial vaginosis in women with genital complaints.
Authors:
Horu Gazi; Kenan Degerli; Ozgur Kurt; Asli Teker; Yildiz Uyar; Husnu Caglar; Semra Kurutepe; Suheyla Surucuoglu
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  APMIS : acta pathologica, microbiologica, et immunologica Scandinavica     Volume:  114     ISSN:  0903-4641     ISO Abbreviation:  APMIS     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-02     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803400     Medline TA:  APMIS     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  784-7     Citation Subset:  IM    
Affiliation:
Department of Microbiology and Clinical Microbiology, Celal Bayar University, School of Medicine, Manisa, Turkey. horugazi@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
DNA, Bacterial / analysis*
Female
Gardnerella vaginalis / isolation & purification
Gram-Negative Bacteria / isolation & purification
Gram-Positive Bacteria / isolation & purification
Humans
Middle Aged
Nucleic Acid Hybridization / methods*
Sensitivity and Specificity
Vaginosis, Bacterial / diagnosis*
Chemical
Reg. No./Substance:
0/DNA, Bacterial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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