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Description

Livengood et al used the Amsel criteria and Nugent score to determine cure in a woman treated for bacterial vaginosis. The authors are from multiple universities in the United States and Mission Pharmacal Company.


 

Criteria for cure:

(1) Amsel score 0 (out of 4)

(2) Nugent score <= 3

 

where:

• An Amsel score >= 3 indicates bacterial vaginosis.

• A Nugent score 4-6 indicated disturbed flora and 7-10 indicates vaginosis.

 

In theory these can be expanded to describe the therapeutic response:

 

Amsel Score

Nugent Score

Response

4

>= 4

bacterial vaginosis

0

0 to 3

complete cure

increased

increased

progression

unchanged

unchanged

nonresponse

decreased

decreased

partial response (if not meeting criteria for complete cure)

 

where:

• The study used an Amsel score of 4 but an Amsel score =3 also indicates vaginosis.

 


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