Bacterial Vaginosis Screen

CERNER / EPIC MNEMONIC:

BV SCREEN

POE DESCRIPTION:

BV SCREEN

CPT CODE:

87205

TEST INFORMATION:

The Bacterial vaginosis screen utilizes a standardized scoring system (Nugent''''s) for the interpretation of Gram-stained vaginal smears to aid in the diagnosis of bacterial vaginosis.  Test has a sensitivity of 89.1% and specificity of 83.1%.

DAYS PERFORMED:

Daily, 24 hours

TURNAROUND TIME:

2 hours

CONTAINER TYPE:

culturette or sterile cup

COLLECTION:

swab of vaginal wall or discharge

SPECIMEN REQUIREMENTS:

specimen must be from vagina

REJECTION CRITERIA:

specimens other than vaginal secretions

MINIMUM VOLUME:

1 culturette

HANDLING INSTRUCTIONS:

room temperature  24 hours

REFERENCE RANGE:

0-3 normal,  4-6 altered vaginal flora, 7-10 bacterial vaginosis

LIMITATIONS OF TEST:

Interpretation of test has not been validated on pre-menarcheal girls or post-menopausal women

METHODOLOGY:

Gram stain using the Nugent Scoring system

ADDITIONAL INFORMATION:

Nugent score = 4 -6  indicates altered vaginal flora which frequently represents a transitional stage.  If signs and/or symptoms persist, repeat testing may be warranted.

Nugent score = 7 - 10 is indicative of Bacterial vaginosis

Quantity of wbc yeast and clue cells reported.

LAST UPDATED:

6-3-2014

TEST SYNONYM(S):vaginosis screen, non-specific vaginitis, anaerobic vaginosis, Gardnerella vaginalis vaginitis screen