Gram stain scoring system for vaginal swabs to diagnose bacterial vaginosis
Nugent score
Purpose
diagnose bacterial vaginosis
The Nugent Score is a Gram stain scoring system for vaginal swabs to diagnose bacterial vaginosis (BV). The Nugent score is calculated by assessing for the presence of large Gram-positive rods (Lactobacillus morphotypes; decrease in Lactobacillus scored as 0 to 4), small Gram-variable rods (Gardnerella vaginalis morphotypes; scored as 0 to 4), and curved Gram-variable rods (Mobiluncus spp. morphotypes; scored as 0 to 2). A score of 7 to 10 is consistent with bacterial vaginosis without culture. The Nugent Score is now rarely used by physicians due to the time it takes to read the slides and requires the use of a trained microscopist.[1] Bacterial vaginosis diagnosis is done by evaluating the pH, the presences of Lactobacillus spp. versus a mixed flora consisting of Gardnerella vaginalis, Bacteroides spp, Mobiluncus spp, and Mycoplasma hominis. The Amsel Criteria for bacterial vaginosis includes pH, evaluating the presence of clue cells, white discharge and an odor of amines after mixing with KOH.[2]
^Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013;
^Colonna, Caitlin; Steelman, Michael (July 13, 2020). "Amsel Criteria". Pubmed. PMID 31194459. Retrieved October 7, 2020.
The NugentScore is a Gram stain scoring system for vaginal swabs to diagnose bacterial vaginosis (BV). The Nugentscore is calculated by assessing for...
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capacity to increase throughput of the NugentScore and has demonstrate to be directly comparable to clinical NugentScore measurement. Screening during pregnancy...
a Nugentscore. To obtain a Nugentscore, gram stain techniques are carried out and it characterizes the bacterial morphology on a scale. A score greater...
2019). "Impact of oral administration of four Lactobacillus strains on Nugentscore - systematic review and meta-analysis". Beneficial Microbes. 10 (5):...
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