A Clinical Outcome Responder was defined as a patient with all of the following: normal vaginal discharge, negative 10 percent KOH Whiff test; and clue cells
less than 20 percent of the total epithelial cells on microscopic examination.
Pseudohyphae, spores, trichomonads and clue cells
are absent, and leukocytes are scarce or absent," says Hills.
The 10 who returned for a checkup 1 month later were in remission, with no symptoms, no clue cells
, a negative amine test result, and no more than one of four Amsel criteria.
It is obvious that if clue cells
are seen they are covered with tiny rods, but it seems to have always been procedure in our lab not to give them recognition in the microscopic results other than to name them as clue cells
This course will describe proper collection and handling of specimens for saline/ KOH wet preps, proper microscopic technique, and correct identification of trichomonas yeast, bacteria, red and white blood cells and clue cells
found on saline/KOH wet preps.
In addition to checking the vaginal pH and checking for clue cells
, your health care professional may place a drop of 10 percent potassium hydroxide on a vaginal fluid specimen and check the odor.
Microscopic examination of a vaginal specimen on a saline wet prep indicates the presence of clue cells
, or epithelial cells covered with bacteria, indicating a loss of protective vaginal microflora.
5 and the presence of clue cells
seen in a microscopic evaluation of vaginal discharge.
Gram stains were considered positive if they demonstrated more than 10 white blood cells per high-power field or if clue cells
, Gram-negative intracellular/extracellular diplococci, or T.
In addition to checking the pH and checking for clue cells
, your health care professional may place a drop of 10 percent potassium hydroxide on a specimen and check the odor.
Additionally, the wet preparation should be examined for trichomonas, yeast/hyphae and clue cells
(vaginal epithelial cells covered with gram variable rods).
All women at risk for preterm labor should be screened for BV, and if clue cells
are present, the patient should be treated, he said, noting that his preferred agent for treating BV is oral metronidazole.