학술논문

A Comparison of Newer and Traditional Approaches to Diagnosing Vaginal Infections.
Document Type
Article
Source
Obstetrics & Gynecology. Apr2024, Vol. 143 Issue 4, p491-498. 8p.
Subject
Language
ISSN
0029-7844
Abstract
Molecular diagnostic tests (eg, polymerase chain reaction–based vaginitis swabs) for vaginitis are prevalent in clinical practice, and, although more expensive, they may be more cost effective, sensitive, and specific for routine practice. 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. [ABSTRACT FROM AUTHOR]