TY - JOUR T1 - Clinical diagnosis of vaginitis was moderately accurate in symptomatic women JF - Evidence Based Medicine JO - Evid Based Med SP - 88 LP - 88 DO - 10.1136/ebm.14.3.88 VL - 14 IS - 3 A2 - , Y1 - 2009/06/01 UR - http://ebm.bmj.com/content/14/3/88.abstract N2 - In women with vulvovaginal symptoms, how accurate is a clinical diagnosis of vaginitis?Design:blinded comparison of clinical diagnosis with DNA probe analysis.Setting:4 US military medical clinics.Patients:535 women 18–50 years of age (mean age 26 y) who presented with vulvovaginal symptoms (51% with abnormal discharge, 33% with itching/irritation, 10% with malodour, and 4% with vulvar burning). Women who were menstruating or had had coitus in <24 hours were excluded.Description of test:standard clinical diagnosis by a nurse practitioner consisting of history; physical examination; and pH determination, amines (whiff) test, and wet-prep microscopy of vaginal secretions.Diagnostic standard:DNA probe analysis on vaginal secretions for Gardnerella vaginalis, Trichomonas vaginalis, and candida species.Outcomes:sensitivity, … ER -