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Candida Vulvovaginitis: Sensitivity and Specificity

Introduction: None written.

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Tags: Gynecologic Infection Tag this Diagnosis.

The sensitivity and specificity of findings for Candida Vulvovaginitis are listed below. See the left navigation bar to change the display.

Specific Findings

Finding SensitivitySpecificity Comments, Study
KOH Prep Edit 52%89%

of vaginal discharge / smear.

Study: Acta Cytol. 2007 Nov-Dec;51(6):882-5. PMID: 18077980

Poorly Diagnostic Findings

Finding SensitivitySpecificity Comments, Study
Clinical diagnosis Edit 83.8%84.8%

The clinical examination included a speculum examination for observation of mucopurulent cervicitis and evaluation of secretions for color, viscosity, and homogeneity. Vaginal specimens were collected for wet-prep microscopy (normal saline and 10% potassium hydroxide slides), whiff (amines) test using 10% potassium hydroxide added to the vaginal secretions, and determination of vaginal secretion pH (Phenazine Paper, Decon Laboratories, Inc., King of Prussia, PA).

Study: Obstet Gynecol. 2009 Jan;113(1):89-95. PMID: 19104364

Vaginal pH Edit 57.4%78.8%

pH < 4.5

Study: Infect Dis Obstet Gynecol. 2001;9(2):105-11. PMID: 11495550