title: [Vulvovaginitis. Occurrence and importance of mixed and unclassifiable pictures].
abstract: OBJECTIVE
  To evaluate the occurrence of mixed and unclassifiable vulvovaginitis (i.e. those, which fulfill the diagnostic criteria of several diagnostic units or no diagnostic unit) in symptomatic and asymptomatic women.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  In 412 women (115 of them asymptomatic) the authors established the diagnosis of vulvovaginitis on the basis of gynecological examination, pH, the amine test and microscopic examination according to Giemsa and Gram.
  
  
  RESULTS
  Mycosis was diagnosed in 15.5% women (in 9,6% of asymptomatic ones), lactobacillosis in u 5.6% (in 7.0% of asymptomatic), anaerobic vaginosis in 10.7% (8.7% of asymptomatic), aerobic vaginitis in 7.7% women (4.3% of asymptomatic). U 15.0% mixed infections were diagnosed (in 61% asymptomatic). U 29.4% symptomatic women the diagnostic criteria were not fulfilled for any nosological unit.
  
  
  CONCLUSIONS
  Vulvovaginal mycosis, lactobacillosis, anaerobic vaginosis, aerobic vaginosis were considered as dysmicrobia conditions. The authors demonstrated a high occurrence of more units ("clear" diagnoses to "mixed" diagnoses being in the ratio of 1.62:1). The authors also demonstrated a high occurrence of mixed infections in asymptomatic women (36.0%). On the contrary, in 29.4% of symptomatic women the diagnosis could not be established, the findings being "normal" or "unclassifiable".
authors.affiliation: Gynekologicko-porodnická ambulance LEVRET s.r.o., Praha.
authors.forename: Z
authors.initials: Z
authors.lastname: Líbalová
authors.forename: P
authors.initials: P
authors.lastname: Cepický
authors.forename: J
authors.initials: J
authors.lastname: Malina
authors.forename: K
authors.initials: K
authors.lastname: Stanslický
authors.forename: M
authors.initials: M
authors.lastname: Kuzelová
authors.forename: Z
authors.initials: Z
authors.lastname: Medalová
authors.forename: K
authors.initials: K
authors.lastname: Sosnová
mesh_terms: D005260:Female; D006801:Humans; D009181:Mycoses / Q000175:diagnosis / Q000382:microbiology; D016585:Vaginosis, Bacterial / Q000175:diagnosis / Q000382:microbiology; D014848:Vulvovaginitis / Q000175:diagnosis / Q000382:microbiology*