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Morphological Detection of Liquid-based Thin-layer Film-making Fungi for Fungal Vaginitis in Multiple Hospitals

Conditions
Vaginitis
Interventions
Diagnostic Test: Fluorescence morphological detection of liquid-based thin-layer film-making fungi
Registration Number
NCT04984460
Lead Sponsor
Affiliated Hospital of Nantong University
Brief Summary

The purpose of this study is to compare the results of different detection methods for non-gestational fungal vaginitis (VVC), and to evaluate the significance of different fungal states in the results for diagnosis and treatment.

Detailed Description

The study was divided into two phases: in the first phase, the vaginal secretions of 1000 enrolled patients with fungal vaginitis were detected with 3/4 different methods, and the sensitivity, specificity and consistency of these methods were compared; In the second stage, 1000 patients from the first stage were selected to meet the follow-up stage and divided into two groups. The test of Follow-up fungal culture and fluorescence morphological detection of liquid-based thin-layer film-making fungi were performed periodically. At last, the applicant will analyze the data, write the paper and publish the article.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
1000
Inclusion Criteria
    1. Samples from outpatient or inpatient clinics to be tested for fungal vaginitis.
    1. A sample of one or more of the following characteristics. 2.1 Symptoms: vulva pruritus, burning pain, but also accompanied by pain in urine and sexual pain and other symptoms; Leucorrhea increased.

2.2 Physical signs: Vulva flushing, edema, visible scratches or chaps, white membrane attached to the inner side of the labia minora and the vaginal mucosa, more white bean residue like secretions can be seen in the vagina, which can be curd.

    1. The samples are vaginal secretions from the female body. Each sample should be the amount on one swab.
    1. The sample is not in menstrual period.
    1. The sample subjects did not have vaginal irrigation, medication or sexual intercourse within 3 days.
Exclusion Criteria
    1. Cases with incomplete specimen collection;
    1. Mixed vaginitis cases;
    1. Abscission cases with incomplete follow-up.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
life-style counselingFluorescence morphological detection of liquid-based thin-layer film-making fungiA sample of one or more of the following characteristics. Symptoms: vulva pruritus, burning pain, but also accompanied by pain in urine and sexual pain and other symptoms; Leucorrhea increased. Physical signs: Vulva flushing, edema, visible scratches or chaps, white membrane attached to the inner side of the labia minora and the vaginal mucosa, more white bean residue like secretions can be seen in the vagina, which can be curd.
Primary Outcome Measures
NameTimeMethod
Calculating the proportion of the number of fungi in three different states in the map results of three/four detection methods.From Aug. 1st, 2021 to Jan. 31st, 2022

Counting The number and proportion of mycelia, spores and blastospores, especially the percentage of cases of single spore (+) in all cases of fungus (+).

Comparing the positive detection rate of 3/4 different detection methods in the first phase.From Aug. 1st to Dec. 31st, 2021

The positive coincidence rate (sensitivity), negative coincidence rate (specificity) and total coincidence rate (consistency) was compared, according to the P\<0.05 was used to determine whether it was statistically significant.

Counting the positive numbers of 4 or 6 liquid-based thin-layer fungal fluorescence morphological tests and fungal culture in the Stage 2_follow-up stage.From Mar. 1, 2022 to Dec. 31st, 2022

the positive coincidence rate (sensitivity), negative coincidence rate (specificity) of 4 or 6 liquid-based thin-layer fungal fluorescence morphological tests

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (10)

Zhongshan City People's Hospital

🇨🇳

Zhongshan, Guangdong, China

The First Affiliated Hospital of Ustc

🇨🇳

Hefei, Anhui, China

Affiliated Hospital of Nantong University

🇨🇳

Nantong, Jiangsu, China

Affiliated Nantong Hospital Of Shanghai University

🇨🇳

Nantong, Jiangsu, China

Nantong Maternal and Child Health Hospital

🇨🇳

Nantong, Jiangsu, China

Children's Hospital of Fudan University Qidong Branch

🇨🇳

Qidong, Jiangsu, China

Jiujiang Maternal and Child Health Hospital

🇨🇳

Jiujiang, Jiangxi, China

Jiangxi Maternal and Child Health Hospital

🇨🇳

Nanchang, Jiangxi, China

Changning District Maternal and Child Health Care Hospital

🇨🇳

Shanghai, Shanghai, China

The Second Affiliated Hospital of Nantong University

🇨🇳

Nantong, Jiangsu, China

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