Normal: Gram stain shows a predominance of Lactobacillus acidophilus (3+ or 4+), with or without Gardnerella vaginalis.
Bacterial vaginosis: Gram stain shows mixed flora (gram-positive, gram-negative or gram-variable bacteria) and absent or decreased
L. acidophilus (zero to 2+).
A. L. acidophilus (large gram-positive bacilli)
B. G. vaginalis (small gram-variable rods)
Scoring for each of the above bacterial morphotypes:
Zero = No morphotypes per oil-immersion field
1+ = Less than one morphotype per oil-immersion field
2+ = One to five morphotypes per oil-immersion field
3+ = Six to 30 morphotypes per oil-immersion field
4+ = More than 30 morphotypes per oil-immersion field