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Microbiology

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Genital Culture

Bacterial Vaginosis and routine Candidiasis are diagnosed clinically.

See Investigation of Vaginal Discharge in Adult Women (pdf)

Nucleic Acid Amplification Testing (NAAT) is available for Trichomonas Vaginalis, Chlamydia Trachomatis, Neisseria Gonorrhoeae and Herpes Simplex Virus - see Sexually Transmitted Infections (STIs)

Samples from the following categories or with the following clinical details will be cultured:

  • Semen
  • Females under 15 years of age
  • All hospital or outpatient department patients
  • Blood loss / intramenstrual bleeding / spotting / post coital bleeding
  • Abdominal pain
  • Cervicitis
  • Dyspareunia
  • Endometriosis
  • Group B streptococci
  • Labour
  • Miscarriage / termination of pregnancy
  • Postnatal
  • Postoperative
  • Preoperative
  • Pelvic inflammatory disease
  • Persistent or recurrent (4 or more episodes per year) of Candidiasis or treatment failure
  • Septic abortion / intrauterine death
  • Symptoms not characteristic of Candidiasis or Bacterial Vaginosis

Sample type

For bacterial culture:

  • high or low vaginal swab
  • cervical swab
  • semen sample

Specimen requirements

Swabs should be sent in ∑-TRANSWAB® (MWE) (purple top); if unavailable use Amies medium black top swab

Semen samples should be sent in a sterile universal container

Minimum volume

N/A

Frequency of test

Daily

Turnaround time

5 days

What to request on EPR

Genital swab MCS

Last reviewed:17 February 2023