What does my vaginal swab test report indicate?
Hello Sir, thanks for trusting health care magic.
Can you please upload the report so that I can see the colony count and the antibiotic sensitivity if done and the strain of organism if mentioned.
In general many bacteria are normally present in female genital tract so normally present bacteria if are applied to the swab stick can give fallacious results and also in case colony count is less than 100,000 then also there is nothing to worry.
But in case there is significant infection then there are slightly increased risk of abortion and growth retarded baby.
So kindly send me the report so that I can advice you better.
The report is as below:
Specimen: Vaginal Swab
Gram Negative Diplococcus -
Intra Cellular: Not Found
Extra Cellular: Not Found
Other Organism: Gram Negative Bacilli found in fair numbers
Pus Cells: Found in fair numbers
Epithelial Cells: Found in fair numbers
Ratio P/E: 15:1
KOH Preparation: Fungal hyphae not found
Wet Film: Trichomonads not found
Culture & Sensitivity
Specimen of: Vaginal Swab
Organism Isolated: No Growth Obtained on routine aerobic culture
I called up the pathology after your response to check on the the count and they told me that the count is not obtained with a vaginal swab test. It is obtained from Urine test.
We did do a urine test for her few days back - Routine Urine (Protein, Sugar, Microscopy) - Not sure if a presence of infection will be highlighted in this test or there is any other specific urine test for the same. Here are the results from the urine test:
Colour: Pale Yellow
Specific Gravity: 1.010
Appearance: Slight Hazy
Urobilinogen: 0.2 eu/dl
PUS CELLS: 2-4/HPF
Epithelial Cells: 12-16/HPF
RBC: Not found
Hi, sir, I appreciate your decision on not relying on vague online information.
In my opinion she needs to take tablet azithromycin 1 gram one tablet stat and also tablet cefixime 200 mg twice a day for 5 days.
Along with this ask her to use vWash liquid daily after bath which will help to maintain normal flora in the vaginal area and thus immunity against future infection.
Asymptomatic infection is less common in vaginal area and usually an incidental finding.
1. Are there chances of the developing baby to be affected by the prescribed antibiotics ?
2. Regarding asymptomatic infection, although she doesn't have burning / foul odor / irritation but the color of her discharge is sometimes Greenish. Please let me know if this is normal ?
No dear these antibiotics are safe for both mother and baby and thus nothing to worry.
Greenish discharge increses in pregnancy and if not associated with itching or bad odor then there is no need to take it seriously.
Just ask her to wear cotton based underwear and avoid tight clothes like jeans for long intervals.
Also she should increase her water intake.
These simple measures will help in avoiding infection in future.
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