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Sex Transm Infect 80:204-206 doi:10.1136/sti.2003.007781
  • Primary care

How is the high vaginal swab used to investigate vaginal discharge in primary care and how do GPs’ expectations of the test match the tests performed by their microbiology services?

Table 2

Clinical management of the theoretical case

No of (%) respondents
*Percentages do not total 100 because GPs could tick more than one response.
†STI screen not defined in questionnaire.
‡Options were clotrimazole pessaries and/or cream, or fluconazole orally.
¶Options were metronidazole orally, metronidazole vaginal cream, clindamycin vaginal cream.
Tests done by GPs (n = 553)*
HVS (for M,C&S) 397 (72)
HVS (for M,C&S) only 14 (3)
STI screen† 323 (58)
HVS+STI screen 282 (51)
Would you refer to a GU clinic? (n = 553)
No 72 (13.0)
Missing 141 (25.5)
Yes 340 (61.5)
Tests performed by GPs referring to a GU clinic (n = 340)
No tests 39 (11.5)
Missing 79 (23.2)
HVS only 65 (19.1)
HVS+STI screen 144 (42.4)
STI screen only 13 (3.8)
Would you offer empirical therapy? (n = 553)
No 221 (40.0)
Unsure 45 (8.1)
Missing 39 (7.0)
Yes 248 (44.8)
Treatment prescribed by GPs offering empirical therapy (n = 248)
Treatment for candida‡ 116 (46.8)
Treatment for BV¶ 26 (10.4)
Other 106 (42.8)

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