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Affirm VPIII microbial identification test can be used to detect gardnerella vaginalis, Candida albicans and trichomonas vaginalis microbial infections in Korean women
Author(s) -
Byun Seung Won,
Park Yeon Joon,
Hur Soo Young
Publication year - 2016
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12913
Subject(s) - gardnerella vaginalis , trichomonas vaginalis , medicine , vaginitis , bacterial vaginosis , trichomonas , candida albicans , gynecology , asymptomatic , obstetrics , microbiology and biotechnology , biology
Aim The aim of this study was to compare Affirm VPIII Microbial Identification Test results for Korean women to those obtained for Gardnerella vaginalis through Nugent score, Candida albicans based on vaginal culture and Trichomonas vaginalis based on wet smear diagnostic standards. Methods Study participants included 195 women with symptomatic or asymptomatic vulvovaginitis under hospital obstetric or gynecologic care. A definite diagnosis was made based on Nugent score for Gardnerella , vaginal culture for Candida and wet prep for Trichomonas vaginalis . Affirm VPIII Microbial Identification Test results were then compared to diagnostic standard results. Results Of the 195 participants, 152 were symptomatic, while 43 were asymptomatic. Final diagnosis revealed 68 (37.87%) cases of Gardnerella , 29 (14.87%) cases of Candida , one (0.51%) case of Trichomonas , and 10 (5.10%) cases of mixed infections. The detection rates achieved by each detection method (Affirm assay vs diagnostic standard) for Gardnerella and Candida were not significantly different (33.33% vs 34.8% for Gardnerella , 13.33% vs 14.87% for Candida , respectively). The sensitivity and specificity of the Affirm test for Gardnerella compared to the diagnostic standard were 75.0% and 88.98%, respectively. For Candida , the sensitivity and specificity of the Affirm test compared to the diagnostic standard were 82.76% and 98.80%, respectively. The number of Trichomonas cases was too small (1 case) to be statistically analyzed. Conclusions The Affirm test is a quick tool that can help physicians diagnose and treat patients with infectious vaginitis at the point of care.