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  • Review: vaginal signs and symptoms perform poorly in diagnosing vaginal candidiasis, bacterial vaginosis, and vaginal trichomoniasis

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Diagnosis
Review: vaginal signs and symptoms perform poorly in diagnosing vaginal candidiasis, bacterial vaginosis, and vaginal trichomoniasis

https://doi.org/10.1136/ebm.9.5.153

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    Anderson MR, Klink K, Cohrssen A. Evaluation of vaginal complaints. JAMA 2004;291:1368–79.
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 Q In patients with vaginitis, how do individual symptoms, physical examination signs, and laboratory tests perform in diagnosing vaginal candidiasis (VC), bacterial vaginosis (BV), and vaginal trichomoniasis (VT)?

    Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Emergency medicine ★★★★★☆☆ Infectious diseases ★★★★☆☆☆

    METHODS

    Embedded ImageData sources:

    studies were identified by searching Medline (1966–April 2003), hand searching the most recent American College of Obstetricians and Gynecologists Technical Bulletin, and scanning bibliographies of relevant studies.

    Embedded ImageStudy selection and assessment:

    studies were selected if they included symptomatic patients in primary care or sexually transmitted disease clinics, compared a diagnostic test with a recognised gold standard, calculated sensitivity and specificity, and discussed tests that would provide diagnostic information during the office visit. Gold standard tests …

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    Footnotes

    • For correspondence: Dr M R Anderson, Albert Einstein College of Medicine, Bronx, NY, USA. andersonmaaol.com

    • Source of funding: no external funding.