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Vaginal Swab Testing

This document provides guidelines for vaginal swab laboratory testing based on a patient's symptoms and risk factors. Asymptomatic patients with no STI risk do not require testing, while those with STI risk or symptoms receive different tests. For asymptomatic patients with STI risk, only a chlamydia/gonorrhea test is considered; symptomatic patients without risk receive a vaginal swab culture and gram stain if indicated by symptoms; and symptomatic patients with risk receive a full panel of STI tests plus culture. The guidelines specify appropriate tests based on a patient's reported clinical details.

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Fathi Meso
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52 views1 page

Vaginal Swab Testing

This document provides guidelines for vaginal swab laboratory testing based on a patient's symptoms and risk factors. Asymptomatic patients with no STI risk do not require testing, while those with STI risk or symptoms receive different tests. For asymptomatic patients with STI risk, only a chlamydia/gonorrhea test is considered; symptomatic patients without risk receive a vaginal swab culture and gram stain if indicated by symptoms; and symptomatic patients with risk receive a full panel of STI tests plus culture. The guidelines specify appropriate tests based on a patient's reported clinical details.

Uploaded by

Fathi Meso
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Vaginal Swab Laboratory Testing Guide

Asymptomatic Asymptomatic Symptomatic Symptomatic


– no STI risk – STI risk – no STI risk – STI risk

Clinical information of “STI Provide clinical symptoms & Provide clinical symptoms &
No clinical reason for testing
screen” / “STI check” reason for testing indicate STI risk

No swabs Black CT/GC tube only,


White Swab only White Swab &
consider TV (Specific Request)
Black CT/GC tube,
consider TV (Specific Request)

No tests Tests performed: Tests performed:


- CT/NG NAAT - Gram stain for BV, Yeast
- TV NAAT (if specifically - Culture (only if clinical details Tests performed:
requested) indicate) - Gram stain for BV, Yeast
- CT/NG NAAT
- TV NAAT (if specifically
requested)
- Culture (only if clinical details
indicate)

Example clinical details: Example clinical details: Example clinical details: Example clinical details:
• Routine • STI screen • Discharge • Discharge ?STI
• Pregnant • STI check • ?Thrush • Pre TOP
• UPSI • ?BV • Post TOP infection
• New partner • Post-partum infection • Pelvic pain ?PID
• Post-surgery • Sexual abuse / assault

CT = Chlamydia trachomatis; NG and GC = Neisseria gonorrhoeae; TV = Trichomonas vaginalis; NAAT = Nucleic Acid Amplification Test; STI = Sexually transmitted infection; BV = Bacterial vaginosis
References: http://nzshs.org/docman/guidelines/principles-of-sexual-health-care/148-sexual-health-check-summary/file
http://www.bpac.org.nz/resources/handbook/sti/sti.asp?artID=1 October 2017

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