Bacterial vaginosis - Revision history

Danbot: Fix cite error: add CDC STI guidelines citation to empty named ref

2026-03-21T01:01:26Z

Fix cite error: add CDC STI guidelines citation to empty named ref

← Older revision		Revision as of 01:01, 21 March 2026
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	*Wet mount shows '''clue cells''': vaginal epithelial cells with "stippled appearance" due to coverage by bacteria		*Wet mount shows '''clue cells''': vaginal epithelial cells with "stippled appearance" due to coverage by bacteria
	*Whiff Test: fishy odor with 10% KOH prep		*Whiff Test: fishy odor with 10% KOH prep
	*CDC recommends testing all women with BV for HIV and other STDs <ref name="cdc" />		*CDC recommends testing all women with BV for HIV and other STDs <ref name="cdc">Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1-187. doi:10.15585/mmwr.rr7004a1</ref>

	===Diagnosis===		===Diagnosis===

2025-05-06T14:47:01Z

Management

← Older revision		Revision as of 14:47, 6 May 2025
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	*No need to treat if asymptomatic		*No need to treat if asymptomatic
	**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>		**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>
	*Consider partner treatment to reduce risk of recurrence<ref>N Engl J Med. 2025 Mar 6;392(10):947-957. doi: 10.1056/NEJMoa2405404.</ref>		*Consider partner treatment to reduce risk of recurrence<ref>Vodstrcil LA, et al. Male-Partner Treatment to Prevent Recurrence of Bacterial Vaginosis. N Engl J Med. 2025 Mar 6;392(10):947-957. doi: 10.1056/NEJMoa2405404. PMID: 40043236.</ref>
	*Does ''not'' need a test of cure		*Does ''not'' need a test of cure

2025-05-06T14:45:24Z

Management

← Older revision		Revision as of 14:45, 6 May 2025
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	*No need to treat if asymptomatic		*No need to treat if asymptomatic
	**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>		**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>
	*~~Do NOT need~~ to ~~treat sexual partner~~		*Consider partner treatment to reduce risk of recurrence<ref>N Engl J Med. 2025 Mar 6;392(10):947-957. doi: 10.1056/NEJMoa2405404.</ref>
	*Does ''not'' need a test of cure		*Does ''not'' need a test of cure

2024-06-19T22:37:53Z

Management

← Older revision		Revision as of 22:37, 19 June 2024
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	**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>		**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>
	*Do NOT need to treat sexual partner		*Do NOT need to treat sexual partner
			*Does ''not'' need a test of cure

	===[[Antibiotics]]===		===[[Antibiotics]]===
	{{BV Antibiotics}}		{{BV Antibiotics}}

2024-06-05T21:52:02Z

Background

← Older revision		Revision as of 21:52, 5 June 2024
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	==Background==		==Background==
	*Is a vaginal dysbiosis resulting from replacement of the normally dominant ''Lactobacillus'' species in the vagina, with high concentrations of [[anaerobic bacteria]].		*Is a vaginal dysbiosis resulting from replacement of the normally dominant ''Lactobacillus'' species in the vagina, with high concentrations of [[anaerobic bacteria]].
	*Is '''not''' an infection, nor is it sexually transmitted, ~~though~~ it is associated with sexual activity.		*Is '''not''' an infection, nor is it sexually transmitted, although it is associated with sexual activity.
	*Accounts for up to 50% of cases of [[vaginitis]]		*Accounts for up to 50% of cases of [[vaginitis]]
	*Associated with [[preterm labor]] and premature rupture of membranes		*Associated with [[preterm labor]] and premature rupture of membranes

2024-06-05T21:50:53Z

Background

← Older revision		Revision as of 21:50, 5 June 2024
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	==Background==		==Background==
			*Is a vaginal dysbiosis resulting from replacement of the normally dominant ''Lactobacillus'' species in the vagina, with high concentrations of [[anaerobic bacteria]].
			*Is '''not''' an infection, nor is it sexually transmitted, though it is associated with sexual activity.
	*Accounts for up to 50% of cases of [[vaginitis]]		*Accounts for up to 50% of cases of [[vaginitis]]
	*Associated with [[preterm labor]] and premature rupture of membranes		*Associated with [[preterm labor]] and premature rupture of membranes

2019-10-03T17:27:23Z

← Older revision		Revision as of 17:27, 3 October 2019
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	==Clinical Features==		==Clinical Features==
	*~~whitish~~-gray discharge and odor		*Whitish-gray [[vaginal discharge]] and odor
	**Lack of discharge makes diagnosis less likely		**Lack of discharge makes diagnosis less likely
	*May have history of "physiologic whiff test" after contact with male ejaculate which is alkaline (like KOH)		*May have history of "physiologic whiff test" after contact with male ejaculate which is alkaline (like KOH)

2019-09-18T00:40:51Z

Diagnosis

← Older revision		Revision as of 00:40, 18 September 2019
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	===Diagnosis===		===Diagnosis===
	Amsel criteria (3/4 must be present):		''Amsel criteria (3/4 must be present)''
	*Homogeneous, thin, gray-white discharge		*Homogeneous, thin, gray-white discharge
	*Positive whiff test		*Positive whiff test

2019-09-18T00:40:25Z

Evaluation

← Older revision		Revision as of 00:40, 18 September 2019
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	*CDC recommends testing all women with BV for HIV and other STDs <ref name="cdc" />		*CDC recommends testing all women with BV for HIV and other STDs <ref name="cdc" />

	===Amsel criteria ~~for diagnosis~~ (3/4 must be present)~~===~~		===Diagnosis===
			Amsel criteria (3/4 must be present):
	*Homogeneous, thin, gray-white discharge		*Homogeneous, thin, gray-white discharge
	*Positive whiff test		*Positive whiff test

2018-10-23T01:14:08Z

Management

← Older revision		Revision as of 01:14, 23 October 2018
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	==Management==		==Management==
	*No need to treat if asymptomatic ~~(even if~~ pregnant)		*No need to treat if asymptomatic
			**In pregnant patients, consider treating to prevent preterm birth, though evidence is conflicting<ref>Cochrane Database of Systemic REviews. January 2013. Antibiotics for treating bacterial vaginosis in pregnancy. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0010584/</ref>
	*Do NOT need to treat sexual partner		*Do NOT need to treat sexual partner
	===[[Antibiotics]]===		===[[Antibiotics]]===