Research Article

Efficacy of Acacia nilotica Linn. Pod’s Sitz Bath plus Vaginal Pessary in Syndromic Management of Abnormal Vaginal Discharge: A Randomized Controlled Trial

Table 3

Microbiological evaluation in the Acacia and placebo groups.

InvestigationAcacia group (n = 33) valuePlacebo group (n = 33) value
Day 0Day 11–14Day 0Day 11-14

Amsel’s criteria
Whiff test0.021.00
 Negative24 (72.72)31 (93.93)25 (75.75)25 (75.75)
 Positive9 (27.27)2 (6.06)8 (24.24)8 (24.24)
Clue cells0.021
 Negative24 (72.72)31 (93.93)24 (72.72)24(72.72)
 Positive9 (27.27)2 (6.06)9 (27.27)9 (27.27)
Vaginal pH4.54 ± 0.463.93 ± 0.48a<0.00014.57 ± 0.474.59 ± 0.44b0.78
Vaginal wet mount test for microscopic investigation of vaginal discharge
KOH slide for hyphae1.001.00
 Present0 (0)0 (0)1 (3.03)1 (3.03)
 Absent33 (100)33 (100)32 (96.96)32 (96.96)
Normal saline test for trichomonas1.001.00
 Absent33 (100)33 (100)33 (100)33( 100)
 Present0000
Pus cells (hpf)<0.0010.93
 <103 (9.09)24 (72.72)5 (15.15)5 (15.15)
 11–206 (18.18)6 (18.18)8 (24.24)7 (21.21)
 21–3021 (63.63)2 (6.06)15 (45.45)14 (42.42)
 >303 (9.09)1 (3.03)5 (15.15)7 (21.21)
Pus cells (hpf)22.96 ± 8.488.21 ± 7.85<0.00123.15 ± 7.3222.15 ± 8.70.47
Pap smear
 Normal4 (12.12)20 (60.60)<0.0014 (12.12)8 (24.24)0.63
 Inflammatory22 (66.66)11 (33.33)22 (66.66)18 (54.54)
 BV7 (21.21)2 (6.06)6 (18.18)6 (18.18)
 Candidiasis0(0)0(0)a1 (3.03)1(3.03)b

Data presented were as follows: no (%) or mean ± SD; aP < 0.0001 considered extremely significant on day 11 from day 0 in the Acacia group; bP > 0.05 considered not significant on day 11 from day 0 in the Placebo group; Tests used were as follows: fisher’s exact test and Wilcoxon matched paired test.