Diagnostic Value of Amsel Clinical Criteria Compared to Nugent Scoring System for the Diagnosis of Bacterial Vaginosis in Pregnant Women

Most clinicians prefer to apply more readily accessible clinical techniques for the diagnosis of bacterial vaginosis, which at the same time are time-conserving and highly accurate. The current cross-sectional study sought to evaluate the bacterial vaginosis diagnostic tests on 87 pregnant women referred to our center due to vaginal discharge using Amsel criteria and the Nugent scoring system. Our results showed that the Amsel criteria had a significantly higher sensitivity/specificity than the Nugent scoring system regarding the number of clue cells in the vaginal wet mount test. The specificity of a combination of the wet mount of clue cells in the vagina with other Amsel criteria along with the Nugent scoring system was much higher than both the Amsel criteria and Nugent scoring system. We observed that due to the high efficacy and the great time-conserving and economically-friendly nature of the Amsel criteria, the method is usually opted for by clinicians.