The saline wet mount was prepared by combining a small amount of vaginal discharge specimen with one drop of normal saline, covered with a cover slip, and examined by light microscopy for the presence of
clue cells, trichomonads, pseudohyphae, leukocytes, and Lactobacillus sp.
2) In one study of 640 women evaluated for BV, observation of
clue cells was the most reliable diagnostic finding to predict BV.
Matching of the results of
clue cells in the Gram stain and isolation of G.
2,6) Presence of
clue cells found in a wet mount preparation of vaginal secretions is a strong indication for BV.
Clue cells are vaginal epithelial cells coated with coccobacilli giving an appearance as if coated with ground black pepper.
Likewise, any two-criteria combination involving amine odor,
clue cells, or elevated pH also had sensitivities and specificities that rivaled those of the current three-criteria requirement.
Reporting
clue cells in the urine provides one piece of information to the clinician, but is not a definitive clinical finding to diagnose a urinary tract infection or a vaginal condition.
of BV BOH Gram (in years) Cases positive History Staining Cases < 19 02 -- -- -- 20-24 80 39 10 38 25-29 14 03 03 04 30-34 02 -- 01 -- >35 02 -- -- -- TOTAL 100 42 14 42 AGE Whiff Test
Clue Cells pH >4.
Bacterial vaginosis was defined as the presence of
clue cells in a vaginal specimen and at least two of the following findings: a vaginal discharge, vaginal specimen pH greater than 4.
97
Clue cells present (>20%/high-power field) 0.
Q Are
clue cells significant when observed in a clean catch urine specimen?
A wet mount was examined by bright field microscopy at x 400 magnification for the presence of T vaginalis and
clue cells (vaginal epithelial cells studded with coccobacilli).
