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Family Practice Vol. 12, No. 2, 155-158
© Oxford University Press 1995

research-article

The high vaginal swab in general practice: clinical correlates of possible pathogens

RS Dykhuizen, G Harvey* and IM Gould*

Infection Unit, City Hospital Aberdeen, UK
*Department of Microbiology, Aberdeen Royal Infirmary Aberdeen, UK

Correspondence to Dr RS Dykhuizen, Infection Unit, Aberdeen Royal Infirmary, Forresterhill, Aberdeen AB9 2ZB, UK

Clinical features, diagnosis and treatment of 286 women whose high vaginal swabs (HVS} submitted by their general practitioners showed pure, heavy growth of Staphylococcus aureus, beta haemolytic streptococci groups A, C or G, Streptococcus milleri, Streptococcus pneumoniae or Haemophilus influenzae were analysed. Women with group A, C and G streptococci frequently had clinical vulvovaginitis and although the numbers were too small for statistical confirmation, S. pneumoniae and H. influenzae appeared to cause clinical disease as well. The association of S. aureus or S. milleri with clinical vulvovaginitis was much less convincing. It seems relevant for laboratories tox report sensitivities for group A, C and G streptococci. Further research is needed to determine the pathogenicity of S. pneumoniae and H. influenzae.


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This article has been cited by other articles:


Home page
 Sex. Transm. Infect.Home page
H Noble, C Estcourt, C Ison, P Goold, L Tite, and Y H Carter
How is the high vaginal swab used to investigate vaginal discharge in primary care and how do GPs' expectations of the test match the tests performed by their microbiology services?
Sex Transm Inf, June 1, 2004; 80(3): 204 - 206.
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