A Comparison of Newer and Traditional Approaches to Diagnosing Vaginal Infections.

Obstet Gynecol

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland; the Obstetrics and Gynecology Institute, Cleveland Clinic Foundation, Cleveland, Ohio; and the Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University School of Medicine, Philadelphia, Pennsylvania.

Published: April 2024

AI Article Synopsis

  • Molecular diagnostic testing, like PCR-based vaginitis testing, is popular in clinical practice, but experts have concerns about its effectiveness for diagnosing vaginitis.
  • Traditional methods, such as assessing symptoms and using wet mount microscopy, are not as accurate as molecular tests.
  • The article suggests that rather than opposing molecular diagnostics, healthcare providers should adopt and integrate them into practice for quicker and more precise diagnoses of vaginitis.

Article Abstract

Molecular diagnostic testing (eg, polymerase chain reaction [PCR]-based vaginitis testing) is widely used in clinical practice, although vaginitis experts have reservations about its use for vaginitis diagnosis. As with any new technology, cost to the health system is a large concern. Although clinical evaluation of signs and symptoms along with wet mount microscopy is traditionally used for vaginitis diagnosis, it is less accurate compared with molecular diagnostic testing. Here we review the benefits of adopting newer molecular diagnostics into routine gynecologic practice with some guidance from vaginitis experts that favor both traditional and more modern approaches. We argue that instead of trying to resist the oncoming tide of molecular diagnostics, we can embrace them and put them to appropriate use to effect rapid, accurate, and more flexible diagnosis of vaginitis conditions for our patients.

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Source
http://dx.doi.org/10.1097/AOG.0000000000005529DOI Listing

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