|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Gardnerella <X-ON>From: DoctorJoe@aol.comMon Mar 25 07:01:23 1996
<<> The question about Gardernella is interesting, our group cannot find any > data on the best approach to this finding (we are considering stopping our > routine of getting a culture for this amoung other reasons). My inclination > is to treat but my ID trained partner leans in the other direction. Anyone > aware of any support for either protocol? Quantitative culturing could possibly give some useful information, as high concentrations are more common in women with BV than in healthy women (but high concentrations do occur in women without BV too). Apart from being a week marker for BV in this way - clue cells are a better marker - there is probably no advantage in knowing if G. <X-ON> is present or not.>> The current party line on Gardnerella (except in Houston, Texas) is that Gardnerella vaginalis itself is not something that is routinely cultured or treated. What you treat is BACTERIAL VAGINOSIS, diagnosed by wet smear, sniff test (with or without KOH), and pH (high). In the UK and other places in Europe, this perhaps is known as VAGINAL BACTERIOSIS or VAGINAL ANAEROBIOSIS. You treat by eliminating the anaerobes, allowing Lactobacillus to "grow back" and establish a "normal" flora. So the"party line" is, NO CULTURES... only the wet prep (for clue cells - usually a LACK of WBCs unless there's a concommitant other infection), odor, and perhaps pH (although I usually don't bother with the pH). ************************************************* doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA U.S.A. *************************************************
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Mar 2 05:17:45 2010 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.