Format

Send to

Choose Destination
Indian J Sex Transm Dis AIDS. 2018 Jul-Dec;39(2):120-123. doi: 10.4103/ijstd.IJSTD_98_16.

Evaluation of interobserver reliability of Nugent score for diagnosis of bacterial vaginosis.

Author information

1
Department of Microbiology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, India.
2
Department of Obstetrics and Gynaecology, Aarupadai Veedu Medical College and Hospital, Puducherry, India.

Abstract

Background:

Vaginal discharge is the commonly narrated compliant of the female attendees of sexually transmitted infection clinic, among which bacterial vaginosis (BV) is responsible for one-third of the visits. BV is often diagnosed clinically which warrants laboratory confirmation.

Aims:

The study aims to detect the reliability of the Nugent scoring system between observers for the diagnosis of BV.

Materials and Methods:

This is a prospective study including 177 high vaginal swabs. The gram-stained smears were examined by three independent microbiologists, and the Nugent scoring was performed. Statistical analysis was performed using IBM-SPSS version-22 statistical package for kappa value.

Results:

Concordant results were seen in 64.03% of smears, discordant results were given in 4.51% of smears, and partial agreement was observed in 31.63% of smears.

Conclusion:

Interobserver reliability is good for the Nugent score. The Nugent score is a simple and reliable method for the diagnosis of BV that can be adapted even in the resource poor settings.

KEYWORDS:

Bacterial vaginosis; Nugent score; reliability

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center