Efficacy of cytology for the diagnosis of Chlamydia trachomatis in pregnant women
Braz. j. infect. dis
;
10(5): 337-340, Oct. 2006. tab
Artículo
en Inglés
| LILACS
| ID: lil-440693
ABSTRACT
This study evaluated the effectiveness of Papanicolaou staining for the initial diagnosis of Chlamydial infection in pregnant women. A hundred thirteen patients were examined with a Papanicolaou test, independent of gestational age, parity or maternal age. Three endocervical samples were collected; the first two were collected with a brush (Cytobrush plus, Mediscand, Sweden) and the third with Ayre's spatula. The first specimen was used for McCoy cell culture and the other two were examined cytologically. Chlamydial infection was detected in 9 (7.9 percent) patients. Only one (0.8 percent) was diagnosed by cytological exam. The sensitivity and specificity of the cytological examination were 10 and 98 percent, respectively. The estimated positive predictive value was 33.3 percent and the negative predictive value was 92.7 percent. When Papanicolaou stain diagnosis suggests Chlamydia, a more specific complementary exam should be added to confirm infection; subsequently adequate treatment can be implemented, thereby preventing the frequent complications of untreated subclinical infections.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Complicaciones Infecciosas del Embarazo
/
Frotis Vaginal
/
Infecciones por Chlamydia
/
Chlamydia trachomatis
/
Enfermedades de los Genitales Femeninos
Tipo de estudio:
Estudio diagnóstico
/
Estudios de evaluación
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Braz. j. infect. dis
Asunto de la revista:
Enfermedades Transmisibles
Año:
2006
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Federal University of Rio Grande do Norte/BR
/
Federal University of São Paulo/BR
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