2017, Number 6
Effectiveness of the Nugent Score System in the diagnosis of bacterial vaginosis
Santos FRS, Casado MPR, Méndez JO, Martínez MV, Jiménez AD, Cordoví ÁLC
Language: Spanish
References: 0
Page: 729-739
PDF size: 629.02 Kb.
ABSTRACT
Background: the bacterial vaginosis is the commonest cause of vaginal infection. Objective: to establish the diagnostic effectiveness of the Nugent test in the bacterial vaginosis diagnosis. Methods: a transversal study of evaluation of diagnostic tests in a universe of 26 patients diagnosed with bacterial vaginosis according to the Amsel criteria, in the the "Luis Enrique de la Paz Reyna" clinic in Yara, Granma. Age, risk factors, results of the perspired vaginal and results of the Nugent test were identified. Results: of 26 patients diagnosed with bacterial vaginosis, the average age was 29,31 years. The most common risk factor was the inappropriate genital hygiene technique. The result of the vaginal exudate tested positive for Gardenella Vaginalis The analysis of the results of the Nugent test, by means of the construction of the ROC curve, showed that in an area under the curve (95 % CI: 95,83 %, 100 %), with standard error of 0,0083. Conclusions: the bacterial vaginosis is diagnosed mainly in very young adults, taking into account the inadequate techniques of toilet, being the main risk factor. A high percentage of Gardenella vaginalis positive cultivations was obtained. The Nugent punctuation system resulted in a test with a high diagnostic capacity.