{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:25:52Z","timestamp":1787757952708,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Background:<\/jats:title>\n \n Bacterial vaginosis (BV) is the most common cause of vaginal discharge (VD) in women of reproductive age group. It is marked by displacement of beneficial\n Lactobacillus<\/jats:italic>\n sp. by polymicrobial flora. BV is becoming a major public health concern as it is associated with adverse birth outcomes and increased susceptibility to sexually transmitted infections (STIs). Diagnosis of BV is currently done using clinical criteria (Amsel's) and the microbiological criteria (Nugent's scoring), the latter being the gold standard. Many out patient settings lack in microscopy facility and also skilled microbiologists, so reliance is placed on findings of clinical examination.\n <\/jats:p>\n <\/jats:sec>\n \n Aims and Objectives:<\/jats:title>\n The aim of the study was to correlate Amsel's criteria with low (7\u20138) versus high (9\u201310) positive Nugent's scores for better understanding on utility of clinical criteria.<\/jats:p>\n <\/jats:sec>\n \n Material and Methods:<\/jats:title>\n Patients with self-reported symptoms of vaginal discharge, genital itching were included and their pelvic examination was performed. Two swab samples were collected from lateral wall of vagina and posterior fornix and tested for BV infection using both Amsel's criteria and Nugent's score.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of the total 125 women, 29 (23.2%) were positive for BV by Amsel's criteria, whereas 34 (27.2%) were positive by Nugent's scoring. Amsel's criteria showed a sensitivity of 100% with high Nugent's scores and 81% with low scores, thereby implying very few cases of diseased individuals being missed.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This study demonstrates the continued utility of the Clinical criteria in outpatient setting as a screening test.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijstd.ijstd_67_21","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T06:17:59Z","timestamp":1654496279000},"page":"56-58","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Amsel\u2019s criteria with low and high Nugent\u2019s scores for the diagnosis of bacterial vaginosis"],"prefix":"10.4103","volume":"43","author":[{"given":"Rajni","family":"Mala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seema","family":"Sood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arti","family":"Kapil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somesh","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeta","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20240831","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1128\/CMR.00075-15","article-title":"The human microbiome during bacterial vaginosis","volume":"29","author":"Onderdonk","year":"2016","journal-title":"Clin Microbiol Rev"},{"key":"R2-11-20240831","doi-asserted-by":"crossref","first-page":"181","DOI":"10.3389\/fmed.2018.00181","article-title":"The vaginal microenvironment: The physiologic role of Lactobacilli","volume":"5","author":"Amabebe","year":"2018","journal-title":"Front Med (Lausanne"},{"key":"R3-11-20240831","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.jogc.2017.04.018","article-title":"No.211- Screening and management of bacterial vaginosis in pregnancy","volume":"39","author":"Yudin","year":"2017","journal-title":"J Obstet Gynaecol Can"},{"key":"R4-11-20240831","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1093\/epirev\/mxf008","article-title":"Bacterial vaginosis in pregnancy: Current findings and future directions","volume":"24","author":"Nelson","year":"2002","journal-title":"Epidemiol Rev"},{"key":"R5-11-20240831","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/S0749-3797(01)00256-2","article-title":"Screening for bacterial vaginosis in pregnancy","volume":"20","author":"Guise","year":"2001","journal-title":"Am J Prev Med"},{"key":"R6-11-20240831","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.2105\/AJPH.91.10.1664","article-title":"Factors linked to bacterial vaginosis in nonpregnant women","volume":"91","author":"Holzman","year":"2001","journal-title":"Am J Public Health"},{"key":"R7-11-20240831","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1093\/cid\/cir497","article-title":"Progression of carotid intima-media thickness in a contemporary human immunodeficiency virus cohort","volume":"53","author":"Allsworth","year":"2011","journal-title":"Clin Infect Dis"},{"key":"R8-11-20240831","doi-asserted-by":"crossref","first-page":"202","DOI":"10.2174\/157016212800618165","article-title":"The role of bacterial vaginosis and trichomonas in HIV transmission across the female genital tract","volume":"10","author":"Mirmonsef","year":"2012","journal-title":"Curr HIV Res"},{"key":"R9-11-20240831","doi-asserted-by":"crossref","first-page":"S282","DOI":"10.1093\/clinids\/16.Supplement_4.S282","article-title":"Bacterial vaginosis and anaerobes in obstetric-gynecologic infection","volume":"16","author":"Eschenbach","year":"1993","journal-title":"Clin Infect Dis"},{"key":"R10-11-20240831","doi-asserted-by":"crossref","first-page":"4607","DOI":"10.1128\/JCM.43.9.4607-4612.2005","article-title":"Utility of Amsel criteria, Nugent score, and quantitative PCR for Gardnerella vaginalis, Mycoplasma hominis, and Lactobacillus spp.for diagnosis of bacterial vaginosis in human immunodeficiency virus-infected women","volume":"43","author":"Sha","year":"2005","journal-title":"J Clin Microbiol"},{"key":"R11-11-20240831","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/0002-9343(83)91112-9","article-title":"Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations","volume":"74","author":"Amsel","year":"1983","journal-title":"Am J Med"},{"key":"R12-11-20240831","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1128\/jcm.29.2.297-301.1991","article-title":"Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation","volume":"29","author":"Nugent","year":"1991","journal-title":"J Clin Microbiol"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_67_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:59:49Z","timestamp":1787756389000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_67_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_67_21","relation":{},"ISSN":["2589-0557"],"issn-type":[{"value":"2589-0557","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}