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However, the absence of trichomonads in saline or fungal parts in KOH samples doesn't rule out these infections, as a result of the sensitivity of microscopy is roughly 50% compared with NAAT (trichomoniasis) or tradition (yeast) (475).
The presence of WBCs without evidence of trichomonads or yeast may counsel cervicitis (see Cervicitis). Because pH testing shouldn't be extremely specific, discharge must be further examined microscopically by first diluting one pattern in a single or two drops of 0.9% normal saline solution on one slide and a second sample in 10% KOH answer (samples that emit an amine odor instantly upon utility of KOH counsel BV or trichomoniasis).
Studies have been undertaken to find out the efficacy of BV treatment among this population, including two trials demonstrating that metronidazole was efficacious during pregnancy using the 250-mg regimen (618,619); nevertheless, metronidazole administered at 500 mg twice daily can be utilized.
However, information are missing on whether or not screening and therapy for asymptomatic trichomoniasis in high prevalence settings or persons at excessive risk can cut back any adverse health events and health disparities or cut back group burden of infection.

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