Evidence map›Paper›PMID 40022063›Full record

SynthesisBMC women's health2025

BVBlue as a diagnostic instrument for the diagnosis of bacterial vaginosis: a systematic review.

Igor Ian Wiguna, Kevin Tanoto, Valencia Hadinata, Nadir Chan, Budi Iman Santoso

Abstract readSystematic Review
In one paragraph

Synthesis in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Igor Ian WigunaFaculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jalan Salemba Raya No. 4, Jakarta, Indonesia. igorwiguna@yahoo.com.
Kevin TanotoFaculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jalan Salemba Raya No. 4, Jakarta, Indonesia.
Valencia HadinataFaculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jalan Salemba Raya No. 4, Jakarta, Indonesia.
Nadir ChanYPK Mandiri Hospital, Jakarta, Indonesia.
Budi Iman SantosoDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBacterial vaginosis (BV) refers to an imbalance in normal vaginal flora, affecting approximately 50-60% of individuals engaging in high-risk sexual behaviors. BV diagnosis traditionally relies on Amsel's criteria or Nugent's scoring, but these methods are sluggishly effective, leading to delayed treatment. BVBlue, a swift point-of-care test, holds promise as a potential diagnostic tool for BV. This systematic review aims to evaluate the accuracy of the BVBlue criteria compared with Nugent's scoring in diagnosing BV.

methodsWe conducted a systematic search using designated terms in PubMed, ProQuest, and Scopus to identify all studies reporting BVBlue in diagnosing BV. We subsequently screened and critically evaluated the journals via the QUADAS-2 Quality Assessment Tool. This systematic review has been registered in PROSPERO (no. CRD42024545022).

resultOut of 19 studies identified in our research, five were ultimately included. The quality assessment results revealed that all the included studies had good quality and low risk of bias. BVBlue has a sensitivity ranging from 38% to 91.7% and a specificity ranging from 91 to 100% in diagnosing BV. Four studies endorsed the BVBlue scale because of its high sensitivity, specificity, and rapidity in diagnosing BV. However, one study advised against its use in certain populations with mixed vaginal infections because of its inability to detect variation in composition and diversity of vaginal bacterial flora, that may be sialidase-negative.

conclusionOur systematic review revealed that BVBlue is a promising diagnostic tool for BV because of its accuracy and speed. Nevertheless, additional research is essential, particularly in elucidating the bacterial epidemiology of BV in certain countries, to validate its diagnostic credibility thoroughly.

Indexed as

Vaginosis, BacterialFemaleHumansSensitivity and SpecificityVaginaAmsel’s CriteriaBacterial VaginosisBVBlueNugent’s ScoreVaginal Infections

Identifiers

PMID40022063
PMCPMC11869707

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.