Laboratory: Clinical Microbiology
Test Name:
BACTERIAL VAGINOSIS/VAGINAL CANDIDIASIS, MICROSCOPY, GRAM STAIN, VAGINAL SWAB
Test Code: GVAG
Clinical Information:
Test Indications:
Symptomatic vaginal discharge, foul-smelling vaginal discharge, or abnormal discharge on pelvic examination. THIS TEST SHOULD NOT BE PERFORMED ON ASYMPTOMATIC PATIENTS.

Recommendations:
Testing for bacterial vaginosis should be limited to adult women and post-pubertal girls and should not be performed for women after menopause unless they are receiving hormone-replacement therapy.  Testing will not be performed on women over 70 years of age.  The performance characteristics of this test are not known for transgendered populations and results may be unreliable.  To obtain the specimen, swab the fluid from the posterior fornix or vaginal vault with a sterile swab after removing excess discharge.
 
Patient Preparation Instructions:
Accurate patient identification must be made prior to sample collection.
Samples and requisitions must be labeled/completed in accordance with the Shared Health Specimen Acceptance Policy.
Collection Devices:
Preferred Device:
1 - Copan M40 Swab System  - Specimens received in other collection devices will not be processed.
Specimen Required: Adult:  Vaginal swab
Pediatric:  Vaginal swab (for post-pubescent girls)
See "Vaginal culture" for pre-pubescent children.
Referral:

This test is performed concurrently with the test for vaginal candidiasis and both results with be reported for the specimen.
Requisition:
Reference Values:
A descriptive report will be provided. The report will indicate that the specimen stain is consistent with bacterial vaginosis, consistent with altered vaginal flora not meeting criteria for vaginosis or inconsistent with bacterial vaginosis.
Availability:
Daily
See Also:
More Information:
Specimen Handling:
Submit specimen within 24 hours of collection, store at room temperature. Ensure specimens are sent using appropriate packaging in accordance with Transportation of Dangerous Goods Regulation.