Diagnostic Value of Amsel Clinical Criteria Compared to Nugent Scoring System for the Diagnosis of Bacterial Vaginosis in Pregnant Women

Sheervalilou, Roghayeh; Haidari, Fatemeh; Razavi, Maryam

doi:10.22034/cas.2022.350010.1025

Diagnostic Value of Amsel Clinical Criteria Compared to Nugent Scoring System for the Diagnosis of Bacterial Vaginosis in Pregnant Women

Document Type : Original Article

Authors

Roghayeh Sheervalilou ¹

Fatemeh Haidari ²

Maryam Razavi ³^{, 4}^{, 5}

¹ Pharmacology Research Center, Zahedan University of Medical Sciences, Zahedan, Iran 2 Zahedan University of Medical Sciences, Zahedan, Iran

² Zahedan University of Medical Sciences, Zahedan, Iran

³ Department of Obstetrics and Gynecology, School of Medicine, Ali IbneAbitaleb Hospital, Zahedan University of Medical Sciences, Zahedan, Iran

⁴ Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

⁵ Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

https://doi.org/10.22034/cas.2022.350010.1025

Abstract

Most clinicians prefer to apply more readily accessible clinical techniques for the diagnosis of bacterial vaginosis, which at the same time are time-conserving and highly accurate. The current cross-sectional study sought to evaluate the bacterial vaginosis diagnostic tests on 87 pregnant women referred to our center due to vaginal discharge using Amsel criteria and the Nugent scoring system. Our results showed that the Amsel criteria had a significantly higher sensitivity/specificity than the Nugent scoring system regarding the number of clue cells in the vaginal wet mount test. The specificity of a combination of the wet mount of clue cells in the vagina with other Amsel criteria along with the Nugent scoring system was much higher than both the Amsel criteria and Nugent scoring system. We observed that due to the high efficacy and the great time-conserving and economically-friendly nature of the Amsel criteria, the method is usually opted for by clinicians.

Graphical Abstract