الفهرس 
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Abstract
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SUMMARY
Non specific vaginitis is one of the commonest diseases
of the vagina. This disease leads to malodourous
vaginal discharge and/or vulval itching. The causative
organisms of this disease are the gardnerella vaginalis
and the anaerobic bacteria. This disease may be present
at different ages, but more commonly in the reproductive
period.
In our study, we aimed at detect the incidence of
N.S.V. and its symptomatology and clinical signs in
Egyptian patients attending to out patient clinic of
Simbellawain General Hospital - Dakahlia Governorate-
Egypt. These patients who were complainingof vaginaldischarge
and/or vulval iLching. Also we looked for the
association of nonspecific vaginitis with other types
of specific vaginitis namely; trichomoniasisand candidiasis.
This study included 300 successive women. They were
not menstruating, not pregnant, not taking any antibiotics
or vaginal chemicals for at least 3 months. Also they
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were not using any contraceptive method for at least 3
months.
A complete history was taken and carful vaginal
examination was done, with special reference to the vaginal
discharge.
Three specimens of vaginal discharge were collected
by cusco’s vaginal speculum, The first specimen for PH
determination, the second for testing the fishy odour
(Whiff test) and the third was examined microscopically
to detect the clue cells.
The diagnosis of N.S.V. was made if at least three
of these four criteria were found in the vaginal discharge.
These criteria are; (a) The characteristic vaginal
discharge of N.S.V. (b) Acidic PH of the vaginal discharge
ranging from 4 to 6.5. (c) positive Whiff test and
(d) presence of clue cells when examined the discharge
microscopically.
In this study, we found that the incidence of pure
nonspecific vaginitis was 37.33% There was association
-1
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between N.S.V. , trichononiasis and candida in 18 cases
(6.0%). Also, we found that the incidence was higher in
age groups 16-25 years (38.4%) and 25-35 years(34.8%).
The incidence of pure nonspecific vaginitis was
higher in multiparous women (65.2%) than in nUllipara
or grandmultipara (5 or more).
We found also that the frequent diagnostic criteria
of N.S.V. was the presence of clue cells microscopically
(83.1%) and the most common combination of diagnostic
criteria was the presence of the characteristic vaginal
discharge, vaginal PH of 4-6.5 and the presence of clue
cells (30.3%).
As regard to the clinical presentation we found
that the most frequent symptom was the vaginal discharge
(76.8%) which was moderate in amount (65.1%), white to
grey in colour (44.2%), malodourous (91.9%) and had frothy
in 24.4% of cases. There also was itching in 11.6%
and itching associated with discharge in 9.8% of cases.
The clinical evidences of inflamation were found
as redness of vulva in (6.3%) and redness of vagina in
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8% of cases.
We found also that 64.3% of patients with nonspecific
vagin had a PH range from 5 to 5.5.