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Showing 15 results for Farzi

Shafi Habibi , Jabraeil Farzi, Rasool Lotfollahzadeh,
Volume 8, Issue 2 (Summer 2008)
Abstract

  Background & Objective: General physicians require a number of different resources to cover the broad scope of their practice. A critical point in their medical practice is timely access to the wide variety of clinical information sources that contribute to patient care decisions. The aims of this study were to assess information seeking behavior of Ardabil general physicians and their approach towards electronic sources.

 Methods: This study was done using Questionnaire research method. A total of 191 questionnaires were distributed among GPs and 167 relevant questionnaires were gathered. Data were analysed applying SPSS.

 Results: 75% of general physicians had access to internet. The majority of them were in search of information for Keeping themselves up-to-date and solving medical problems (78.4%). General physicians' first priority was text books, and the second priority was continuing medical education courses for meeting information needs. They used mostly books followed by medical journals as formal channels, and updated their information taking part in continuing medical education courses followed by congresses and seminar as informal channels. As obstacles to finding necessary information they reported lack of adequate time (61.7%), near to half of them (47.3%) reported lack of sufficient information resources in libraries, and unfamiliarity with medical databases (40%).

 Conclusion: General physicians are aware of the importance of internet in accessing information, but they did not use it as an important tool to answer questions rising in practice. The majority of general physicians used books to access information followed by continuing medical education courses, and used internet in the sixth rate. The majority of them used low rate the internet, electronic resources, and medical databases because of inadequate familiarity with them. General physicians need training in internet, web search tools and search methods, and medical databases.


Jabraeil Farzi, Parviz Salem Safi, Alireza Zohoor, Farbod Ebadi Fard Azar,
Volume 8, Issue 3 (Autumn 2008)
Abstract

 

Background & Objectives: In addition to the socio-economics costs, Diabetes is a major cause of illness and death at all groups. Diabetes affects over %10 of adults in the world. Despite promising trend in improving many aspects of health Care and treatment in the last decade in our country, little attention has been paid to the subject of registering Diabetes on an international standard. Quality improvement of treatment, identifying high risk groups, controlling, preventing and evaluating of diabetes, would materialize only when the national Diabetes Registry System is established and its data are collected and completed on time. The aim of this study was to suggest Diabetes registry system in Iran, to meet the health and medical needs.

Methods: This Comparative Cross-sectional study was conducted to evaluate the developed national diabetes registry systems in 2003. In this study national diabetes registry system in Britain and USA was evaluated by library resources, Websites and Email communication with internal and external specialist. Suggestions were made on the basis of economic cultural and geographic situations. These axes included aims, structures, data elements, registration, data collection processing, and classification and control of quality of system.

Results: The results show that in order to optimize the diabetes registry system, structure, data elements, information gathering process, main goals, registration criteria, Classification systems and quality control mechanism of the current national diabetes registry system should be reevaluated.

Conclusion: Considering the results and international diabetes institutes recommendation, the decrease in poor registry and increase in quality can be the advantages of model suggestion in comparison with the country's current system.


Hosein Alimohammadi, Nasrin Fouladi , Firouz Amani , Mehran Safarzade, Farhad PurFarzi , Effat Mazaheri ,
Volume 8, Issue 4 (Winter 2008)
Abstract

 Background & Objectives: Toxoplasmosis is an important zoonosis parasitical disease. Infection with Toxoplasma gondii in transmission of parasite to fetus or its reactivation among immune-compromised persons can lead to server clinical symptoms. The aim of study was to determine immune level of Toxoplasmosis among women who were to get married and have referred to Health Center of Ardabil.

  Methods: In this study 272 blood samples of women who had referred to health center of Ardabil in 2007 were collected. Samples were tested with ELISA method to detect Anti-Toxoplasma IgM and IgG Antibodies.

  Results: The tests showed that 42.3% of women were IgG Positive, 57.2% were IgG negative and 2.6% women were IgM positive and also IgG positive. They have ( IgG positive women) 11.3% family history of abortion, 96.5% eating raw vegetables, 92.2% eating half cooked meat, 89.6% not washing the vegetables with disinfectants, 29.6% animal contact, 57.4% contact with raw meat and 94.8% used piped water.

  Conclusion: Since 57.7% of women who were to marry in Ardabil city were negative from the view point of Toxoplasmosis, health education for elimination of risk factors especially within pregnancy period seems mandatory.


Marina Jastan Marani , Farhad PourFarzi, Yashar Moharamzad,
Volume 9, Issue 2 (summer 2009)
Abstract

 Background & Objectives: This study aimed to compare the clinical efficacy of two-drug regimen of glucosamine and chloroquine with one-drug regimen of glucosamine in treatment of knee osteoarthritis.

  Methods: In this randomized clinical trial, 30 patients received glucosamine and chloroquine (trial group) and 25 cases underwent treatment by only glucosamine (control group) for 12 weeks. To evaluate pain and disability, WOMAC ( Western Ontario and McMaster Universities) was used.

  Results: Mean value of WOMAC index in the trial group was 3.51 at the beginning, 1.96 in week 6, and 1.84 in week 12. In the control group, this value was 3.15 at the beginning, 2.36 in week 6, and 2.35 in week 12. In week 12, mean value of WOMAC index was significantly lower in the trial group compared to the control group (P = 0.02). In females aged less than 65 years and with body mass index of equal or less than 30, a significant difference regarding mean value of WOMAC index was seen in week 12 between two groups (P < 0.05).

  Conclusion: Two-drug regimen of glucosamine and chloroquine in a 12-week period had a better clinical efficacy than one-drug regimen of glucosamine in lowering the pain and improving joint function of patients with knee osteoarthritis, especially in females with body mass index less than 30 and younger than 65 years of age.


Marina Jastan Marani, Farhad PourFarzi , Reza Abdoli ,
Volume 10, Issue 3 (autumn 2010)
Abstract

  Background & Objectives: This study was conducted to compare the clinical efficacy of two-drug regimen of glucosamine and prednisolone with one-drug regimen of glucosamine in treatment of knee osteoarthritis.

  Methods: In this randomized clinical trial, 30 patients received glucosamine and prednisolone (case group) and 25 cases underwent treatment by only glucosamine (control group) for 12 weeks. For considering pain and disability, WOMAC ( Western Ontario and McMaster Universities) was used.

  Results: Mean value of WOMAC index in the case group was 2.81 at the beginning, 1.53 in week 6, and 1.49 in week 12. In the control group, this value was 3.15 at the beginning, 2.39 in week 6, and 2.35 in week 12. In week 6 and 12, mean value of WOMAC index was significantly lower in the case group compared to the control group (P < 0.05). In patients younger than 65 years old, females, and body mass index of equal or less than 30 a significant difference was seen in both week 6 and 12 between the case and control groups (P < 0.05).

  Conclusion: Two-drug regimen of glucosamine and prednisolone in a 12-week period had a better clinical efficacy than one-drug regimen of glucosamine in lowering the pain and improving joint function of patients with knee osteoarthritis, especially females with body mass index less than 30 and younger than 65 years of age.


Hasan Adalatkhah, Farhad PourFarzi, Mona Akbarighochani,
Volume 10, Issue 4 (winter 2010)
Abstract

  Background & Objectives: Acne vulgaris is a chronic inflammation of pilosebaceous units. In sever forms it may lead to major scars on the face and trunk, and significant face and trunk scarring, and psychological disorders. Antiandrogen therapy can be used as a suitable and effective remedy for female acne. Furthermore, they can treat, accompanying androgenic problems. Also, there is no under consideration drug resistance against androgens. The aim of this study is to compare the therapeutic effects of flutamide and doxycycline in moderate acne in females .

  Methods: This current study is a randomized and blind evaluation trial. 62 female patients participated at this study. They were divided in two groups (case and control). Case group was received 250 mg/day flutamide, control group 100 mg/day doycycline. Both groups also received topical solution of clindamicin 1% twice daily. The length of study was six months .

  At first visit and the end of the second month of study liver function were tested for the case group patients. Evaluation of resolution in lesions was performed by another physician every two months of therapy. The probable side effects of drugs were recorded. Data were analyzed with SPSS16 software using statistical tests and p ≤ 0.05 considered as significant

  Results: The mean of patients age was 19.27 ± 3.55 years, and the difference was not found to be statistically significant in two groups. Number of comdeons on face was found to be statistically decreased in flutamide group (p<0.0001). Mean of ASI was found to be statistically decreased in flutamide group (p<0.002). In flutamide group the levels of satisfaction was higher than that of other group. Both medications well tolerated by participiants. Only two patients in flutamide group had lightly elevated serum Alkalin phosphatase .

  Conclusion: The results of our study showed that flutamide (250 mg /day) is more effective than doxycycline (100 mg/day) in treatment of acne. Satisfaction of participants in flutamide group was higher than those in doxycycline group. In both groups side effects of drugs were insignificant, but using of flutamide in acne treatment needs laboratory considerations .


Farhad PourFarzi , Afsaneh Enteshari Mogaddam, Abbas Yazdanbod , Zahra Tazakkori , Esmaeil Farzaneh , Mehrdad Mirzarahimi,
Volume 11, Issue 1 (spring 2011)
Abstract

  Background & Objectives : Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder that is common through the world including Iran. Because of its chronic nature and lack of effective treatment, patients are always anxious and stressful and physicians are also exhausted of untreated patients. The cause of IBS is unclear and it has not effective treatment. Therefore, there is a need to find and introduce a proper method of treatment to control symptoms including abdominal pain and defecation changes. This study was aimed to determine the effectiveness of probiotic yogurt on the general relief of symptoms associated with IBS.

  Methods : Subjects were recruited from patients of gastroenterology clinic in Imam Khomeini Hospital, Ardabil. A total of sixty patients fulfilling the Rome II criteria took part in this study. Subjects were randomized into two groups of trial and control. Pre- and post- treatment symptoms were investigated using a questionnaire. Thirty one patients received probiotic and 29 patients normal yogurt for 4 weeks. Bottles of yoghurt were manufactured, and coded by a company. Both participants and researcher were blinded for the bottles' code. The symptoms were followed before and after two and four weeks of treatment and two weeks post- discontinuing of trial, too. Data were analyzed by SPSS (Ver. 17) and differences between groups were compared statistically using of chi-square and t-test.

  Results: A total number of 60 patients were recruited in this study of whom 36 (60%) were female and 24(40%) male. The average age of participants was 34.1±9 which did not differ between two groups. The onset of symptoms did not show any difference between two groups. The trial group had a history of 5.7±5.1 years while this was 6.5±4.9 for the controls. In overall, patients who were given probiotic yogurt had shown a better response in the control of abdominal pain and flatulence than those who were treated with normal yogurt. There was not a significant difference between two groups in the response to treat for other symptoms including epigastric pain, vomiting, frequency of defecation and feces consistency.

  Conclusion: According to our research, adding probiotic yogurt to the patient diet may help ease symptoms of IBS especially, abdominal pain and flatulence. Considering the high prevalence of irritable bowel syndrome and the lack of effective therapies, even a slight reduction in symptoms can have positive public health consequences.


Adalat Hoseinian , Farhad PourFarzi, Nasrin Sepahvand , Shahram Habibzadeh, Behzad Babapour , Hosein Doostkami , Nasrin Fouladi, Mehri Seyed Javadi ,
Volume 12, Issue 1 (spring 2012)
Abstract

  Background & Objectives: Myocardial infarction is one of the most common causes of mortality throughout the world. Utilization of thrombolytic drugs at the first hours upon MI leads to decrease in the rate of mortality. Streptokinase (SK) is commonly used because of its cost and availability. The golden time for maximum effect of SK appeared to be first hours after MI. The drug efficiency diminishes after 3 hours and it will be ineffective after 12 hours.

  This study was aimed to investigate interval between onset of the clinical symptoms and streptokinase receiving in patients with acute myocardial infarctionadmitted for drug reception.

  Methods: This cross-sectional study was conducted in 150 patients with STEMI (ST elevation Myocardial Infarction ) who were attended to emergency room of Imam Khomeini hospital and fulfilled a questionnaire containing the data about age, sex, educational level, onset of symptoms, referring time to emergency room, SK utilization, past medical history of cardiac diseases, type and location of AMI, contraindications and side effects of SK.

  Results: In 111 men (74%) and 39 women (26%), the mean for interval between onset of symptoms and drug injection was 8 hour and 27 minutes ± 8 hour and 18 minutes .Only 41% of patients received streptokinase in less than 3 hours after chest pain. The main reasons for delaying in drug consumption were delayed decision to come to hospital in 61% of persons, long distance to hospital for 22% of individuals, delayed admission tor CCU for 13% of cases and delay in physician diagnosis for 0.043% of patients. To have a male sex and residency in city where the hospital was establilished were associated with less-delayed treatment start. However, the educational level, age and history of MI were not correlated with onset of treatment.

  Conclusions: Our results clearly show that the majority of patients receipt streptokinase more than 3 hours after chest pain. With considering the factors associated with delay to receive SK, teaching the patients with ischemic heart disease and giving information about golden time for thrombolytic therapy and its effect in prognosis as well as extending cardiac disease treatment centers in suburbs are recommended.


Nasrin Fouladi , Hosein Alimohammadi Asl, Firouz Amani, Farhad PourFarzi, Nasrin Homayunfar , Mansoureh Karimollahi , Hojjatollah Safir, Adalat Hoseinian ,
Volume 12, Issue 1 (spring 2012)
Abstract

  Background & Objectives: Coronary artery disease is the main cause of mortality in developing and industrial countries. Recently the involvement of infectious agents as a risk factor for Acute Coronary syndrome is drafted. So this study was designed to investigate the probable association between Acute Coronary syndrome and Helicobacter pylori infection.

  Methods: This case-control study was carried out on 300 hospitalized patients with the diagnosis of Acute Coronary syndrome (UA and MI) and 300 hospitalized patients without the history of coronary heart disease. Anti Helicobacter pylori Antibody level was determined by as an indicator of infection history. Using chi-square and t- test the results were analyzed in SPSS software.

  Results: Results showed that 79 patients (26.3%) in control group and 122 patients (40.6%) in case group were seropositive and the difference was significant. Relationship between cronory diseases risk factors and levels of IgG was not significant. Also the results showed that the rate of hypertension in seropositive patients in case group was significantly upper than control group.

  Conclusion: Regarding the findings of this study we can conclude that Helicobacter pylori infection probably is a risk factor for Acute Coronary Syndrome. Thus, further studies are needed to elucidate the association between Helicobacter pylori infection and Acute Coronary Syndrome.


Manoochehr Barak , Farhad PourFarzi , Shima Jirodi , Gity Rahimi , Yasamin Pahlavan ,
Volume 12, Issue 5 (suppl 2012)
Abstract

  Background & Objectives: Nosocomial infections occur following admission of patients in the hospitals and usually are accompanied by significant mortalities. This study was conducted to determine the frequency of nosocomial infections and the causatives in Ardabil Bu Ali hospital during 2010.

  Methods: This study was a cross-sectional study which has been done on collection of information through practical examinations, laboratory tests and files of nosocomillay infected patients in Ardabil Bu Ali hospital during 2010. Data were analyzed by SPSS.

  Results: From a total of 3254 patients, 42 (1.3%) had got nosocomial infections. Of these infected patients 47.6% was males and 52.4% was females. Infection was more frequent in patients with ages between 1 month to1 year old (45.2%). Sepsis (33.3%), pneumonia and blood stream infections (23.8%) and urinary tract infection (19%) were the most frequent infections. The mean length of hospital stay was 26.86 days. Klebsiella pneumoniae was the most common pathogen reported (23.8%). Infection was more common in NICU (38.1%).

  Conclusion: In this study, the frequency of nosocomial infection was lower than other studies. Distribution of infection differed with age, ward and length of stay in the hospital.


Farhad PourFarzi, Abbas Yazdanbod, Reza Daneshvar , Seiyed Hosein Saberi ,
Volume 12, Issue 5 (suppl 2012)
Abstract

  Background & Objectives: Colorectal cancer is considered as the third prevalent malignancy worldwide. Investigation of information on cancers in Iran during 1985-1996 showed an increase in the incidence and prevalence of colorectal cancer. Its rank in Iran has increased from 9 to 5th during 10 years. It was reported as high prevalent cancer in Iranian people aged less than 40 years among Asian countries.

  Methods: In this cases-control study patients with a pathologic report of colorectal cancer were recruited among those cases registered in Ardabil Cancer Registry. Control group were selected from neighbors, frequency matched for age and gender. Subjects were interviewed using a questionnaire consisting information on age, gender, smoking, drugs and alcohol consuming, diet, family history of cancer and serum IgM and IgG level for H. pylori. Data were analyzed using SPSS v16.

  Results: In the current study, 43 persons (53.8%) were male and 37 (46.2%) were female. In the case group, 10 persons (12.5%) were under 40, 34 cases (42.5%) in age group of 41- 60 and 36 persons (45%) were more than 61 years. In the control group 12 persons (15%) were under 40, 36 persons (45.5%) in age group of 41-60 and 40 persons (68%) were more than 61 years. In the control group 3 cases had BMI less than 19, 36 cases (45%) between 19-24.9, 31 cases (38.8%) between 25-29.9 and 10 cases (12.5%) were more than 30, whereas this variable was 2.5, 32.5, 46.2 and 18.8% respectively in the case group.

  Positive history of smoking found to increase the risk of cancer around 1.8 times (OR= 1.78 CI: 0.91- 5.85). However, significant difference was not observed between two groups regarding alcoholic beverage consumption (p=0.385) . There were significant differences between two groups in terms of vegetables and carbohydrates intake. Difference was also significant between two groups regarding positive level of IgG. Among studied persons, 19 and 13 patients in case and control group had positive IgM respectively.

  Conclusion: Our finding showed an increased risk colorectal cancer in those consuming low vegetable and fruits and high carbohydrate consuming, having smoking history, positive family history of cancer and serum IgG level.


Behzad Babapour, Farhad PourFarzi, Mehdi Samadzadeh, Alireza Mohammadzadeh, Elham Atigi, Bita Shahbazzadegan,
Volume 13, Issue 3 (autumn 2013)
Abstract

  Background & Objectives: Hypertension is one of the most important and common health problems in societies. Hypertension is often asymptomatic and can be simply treated. Many of drugs are available for treatment of hypertension i ncluding d iuretics, beta blockers, blockers of calcium channel, angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists, alpha blockers and arterial dilators. This research was performed to evaluate the efficacy of some of these drugs on the hypertension. This may help to choose an appropriate medication for the treatment of stage 2 hypertension.

  Methods: A total of 150 patients with hypertension who were not under antihypertensive treatment and didn’t have contraindications for using hydrochlorothiazide , enalapril and atenolol were randomly allocated into three groups. These groups received atenolol 50 mg daily, hydrochlorothiazide 50 mg daily and enalapril 5 mg twice daily, respectively . After three weeks blood pressure of patients was measured and results were analyzed using SPSS.

  Results: Atenolol reduced systolic blood pressure (26.7±6.7 mm Hg 16.1%), diastolic blood pressure (10.3±1.2 mm Hg 10.4%) and mean arterial blood pressure (16.1±6.4 mm Hg 13.1%). Enalapril reduced systolic blood pressure (30.6±8.8 mm Hg 17.4%), diastolic blood pressure (11.5±4.4 mm Hg 11.4%) and mean arterial blood pressure (17.9±7.0 mm Hg 14.2%). Hydrochlorothiazide reduced systolic blood pressure (25.1±5.8 mm Hg 14.6%), diastolic blood pressure (9.2±2.3 mm Hg 9.3%) and mean arterial blood pressure (14.5±6.4 mm Hg 11.8%).

  Conclusion: Despite recommendations the use of hydrochlorothiazidein the treatment of hypertension, seems lower effect only use of this drug groups in comparison with other groups, and maybe add this category to other drugs and combined treatment is better than monotherapy with these groups .


Hosein Douste Kami , Adalat Hosseinian , Effat Mazaheri, Naser Aslanabadi , Samad Ghaffari , Bahram Sohrabi , Eiraj Mohammadzadeh , Farhad PourFarzi , Naser Moaiiednia ,
Volume 13, Issue 3 (autumn 2013)
Abstract

  Background & Objectives: Coronary bifurcation lesions are important, complex lesions with different therapeutic strategies. In this study, patients with Coronary bifurcation lesions were treated and clinical results in these patients were followed during the nine-month period.

  Methods: This descriptive analytical study was performed between January 2007 to December 2008 at Tabriz Shahid Madani Cardiovascular Center. We have studied 96 patients (83 male and 13 female). Patients on the basis of one or two stents were placed in one group and the other groups were divided based on the use of Drug Eluting Stent and Bare Metal Stent. After diagnostic angiography if coronary bifurcation lesions were present based on Medina classification, appropriate angioplasty treatment was carried out. In a situations including chest pain, electrocardiographic changes or the objective evidence of ischemia and indication of angiography, appropriate diagnostic tests during follow up period were done. Clinical outcomes including acute coronary events were recorded. And result analyzed using SPSS version 16 . Chi-square ، Fisher and T tests were used to compare the relationship between variables.

  Results: In this study 86.5% was male and 13.5% female. The mean age of these patients was 56±9.9 years old. The most prevalent risk factor was HTN with 41.7% incidence and 55.2% of patient had chronic stable angina and 26% of them had history of acute myocardial infarction, 7.2% with history of PCI and 5.2% with history Of CABGS. Most prevalent site of bifurcation was ALD/diagonal with 65.5% incidence. The most prevalent complication was mild bleeding from puncture site with 10.4% and 5.2% of patients had mild hematoma. Among patients with two stents versus one stent presence of AMI presentation with CSA, ST Elevation in ECG was statistically significant. Also involvement of SB (side branch) lesions lengths at SB, kissing ballooning after implantation of two stents were statistically significant. Among patients with DES versus BMS usage of stent in RCA, LAD, lesion lengths at PMB (proximal main branch), DMP (distal main branch) and SB, procedure time, radiation dose, fluoroscopy time were statistically significant. Among two groups MACE (major acute coronary event) in two stents patient between 1-3 month and total MACE at first 6 month were statistically significant

  Conclusion: The age of patients treated with CBL was low, also more usage of BMS and stenting of BFLs with two BMS had weak results in this study but surprisingly total results of BMS and DES did not have significant difference after 9 months follow up between two groups.


Nasrin Fouladi , Farhad PourFarzi , Jalal Tagizadeh, Hosein Alimohammadi , Raheleh Mohammadi,
Volume 14, Issue 4 (winter 2014)
Abstract

  Background & objectives: Addiction is one of the problems in world threating the social, economic and culture factors. It is essential to have an accurate knowledge about the characteristics of drug users in order to diminish the high-risk behaviors of intravenous drug addicts. This research has been done to assess relationship between individual characteristics and high risk behavior in intravenous drug addicts.

  Method: In this descriptive-analytic research, 360 drug users were selected from different places in Ardabil city and interviewed by a prepared questionnaire. The data were analyzed using descriptive and analytical tests including t-test, Pearson correlation and ANOVA with SPSS statistical software.

  Results: The results showed that the age, gender, material status, job position, age of addiction start, age of injection start, injection frequency, injection frequency per day, syringe supply place and the partner’s gender during recent few months had no significant difference compared to drug users with needle sharing and without needle sharing. The educational level of drug users with needle sharing was lower (P=0.037) and the number of new syringe usage per month was also lesser (P=0.001). They predicted to be more likely infected with AIDS (P=0.001) and had a less argument with their partner about using condom, also mostly have not used condom at their last sexual relationship (P=0.001). The average number of their partners during last three months was high (P=0.003) and there was a meaningful relationship between true sense of peril and using condom in drug users with needle sharing group (p=0.001).

  Conclusion: There is a significant relationship between the true sense of danger and the using condom. It is necessary to have an appropriate advertising to increase using condoms among injecting drug users.


Golsom Sorazar, Habib Tavassoli, Shshla Farzi Poor , Behbod Jafari, Masoud Nemati Attar ,
Volume 18, Issue 1 (spring 2018)
Abstract

Background & objectives: Vaginal microbial infections are common, and involvement of bacterial agents in genital infection is equal to that of fungal and protozoal agents. Gardnerella vaginalis is an organism that is often thought to play the most important role in bacterial vaginosis. The aim of this study was to compare the value of the diagnostic method of cultivation with Amsel standard in the diagnosis of Gardnerella Vaginalis infection in patients with genital tract infection.
Methods: A cross-sectional study was performed on 150 women aged 15-55 years who complained of vaginal discharge during the period of the study, Jan 2017 to July 2017, in Alawi Hospital in Ardabil and were examined by a clinical examination. For each of the patients, three of the four diagnostic criteria of Amsel, including homogeneous discharge, PH measurements and whiff test were performed, and if two of them were positive, a questionnaire containing general and clinical information was completed. Using three sterile swabs, samples were taken from vaginal discharge. The first swab was used for culture, the second swab for the whiff testing and the third swab for Papanicolaou staining and verifying the presence of clue cell in the vaginal smear sample as a fourth grade of Amsel to diagnose bacterial vaginosis. In general, if three of the four Amsel criteria were positive in one person, it was considered to be positive in terms of Amsel's standard.
Results: Of 150 participants, 21 were diagnosed with Gardnerella vaginalis infection, of which 14 cases (%66.6) had positive Gardnerella culture. All of 21 patients (%100) with Gardnerella vaginalis had clue cells in Pap smear. The pH of vaginal discharge of 20 samples was 4.5 (%95.23), 18 samples had positive Amine tests (%85.71) and 16 samples had homogeneous secretion (%76.19).
Conclusion: The results of this study showed that culture method in comparison with Amsel diagnostic criteria did not have sufficient accuracy to detect Gardnerella vaginalis infection. In addition, the culture method is costly and time consuming.

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