Diagnoses by non-examining clinician based on self-obtained vaginal swabs (SOVS)* compared with examining clinician based on speculum examination (SE)
Vaginal infections | True positive diagnoses | Per cent agreement† (±95% CI) | Bias p value | κ (± 95% CI) | Interpretation of κ‡ | p Value |
---|---|---|---|---|---|---|
Bacterial vaginosis | ||||||
Examining clinician | 105 | |||||
Non-examining clinician | 61 | 68.5±6.5 | <0.001 | 0.39±0.06 | Poor | <0.001 |
Trichomonas vaginalis | ||||||
Examining clinician | 35 | |||||
Non-examining clinician | 23 | 90.9±4.0 | 0.16 | 0.66±0.07 | Good | <0.001 |
Vulvovaginal candidiasis | ||||||
Examining clinician | 27 | |||||
Non-examining clinician | 14 | 91.9±3.8 | <0.01 | 0.59±0.09 | Good | <0.001 |
*Non-examining clinician used information from SOVS and patient history to make a diagnosis.
†Per cent agreement includes true positives and true negatives.
‡All κ values were significantly different than 0.