Bacterial Vaginosis Dr. Yashika Causative agent : Gardnerella vaginalis Clinical features: Malodorous vaginal discharge. (Homogenous, greyish white, adherent to vaginal wall) No vaginal inflammation. During pregnancy preterm membrane rupture, preterm labour, chorioamnionitis. Complications: Recurrent infection leads to PID. Development of PID following abortion. Vaginal cuff cellulitis following hysterectomy. Pregnancy complications. Diagnosis Amsel’s criteria : Homogenous vaginal discharge Vaginal discharge > 4.5 Positive whiff’s test Presence of clue cells > 20% of cells. Whiffs test: Appearance of fishy (amine) odour when a drop of discharge is mixed with 10% solution of KOH. Clue cells: Presence of stippled epithelial cells. Treatment: Metronidazole 200 mg TDS x 7 days. Clindamycin cream. Metronidazole gel.

1. Bacterial Vaginosis
Dr. Yashika

2. Causative agent : Gardnerella vaginalis
Clinical features:
Malodorous vaginal discharge.
(Homogenous, greyish white, adherent to vaginal wall)
No vaginal inflammation.
During pregnancy
• preterm membrane rupture,
• preterm labour,
• chorioamnionitis.

3. Complications:
• Recurrent infection leads to PID.
• Development of PID following abortion.
• Vaginal cuff cellulitis following hysterectomy.
• Pregnancy complications.

4. Diagnosis
Amsel’s criteria :
• Homogenous vaginal discharge
• Vaginal discharge > 4.5
• Positive whiff’s test
• Presence of clue cells > 20% of cells.

5. Whiffs test:
Appearance of fishy (amine)
odour when a drop of
discharge is mixed with 10%
solution of KOH.
Clue cells:
Presence of stippled epithelial
cells.

6. Treatment:
• Metronidazole 200 mg TDS x 7 days.
• Clindamycin cream.
• Metronidazole gel.