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Correspondence
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Volume 338:1548-1549 May 21, 1998 Number 21
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Vaginitis

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 by Sobel, J. D.
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To the Editor: Sobel states that simple diagnostic criteria are sufficient for the diagnosis of bacterial vaginosis but that few clinicians are trained to use microscopy (Dec. 25 issue).1 We believe that clinicians can use wet mounts to demonstrate the abnormal flora of bacterial vaginosis, as they should to diagnose trichomoniasis. We have used gas–liquid chromatography as a measure of lactobacillus-related lactate concentrations in vaginal rinsings with 2 ml of saline in 612 Belgian women seen consecutively in a gynecologic practice (Table 1).

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Table 1. Numbers of Women with Normal and with Abnormal Vaginal Bacterial Flora in Fresh Wet-Mount and . . . [Full Text of this Article]

 
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