Efficacy of cytology for the diagnosis of Chlamydia trachomatis in pregnant women
Braz. j. infect. dis
;
10(5): 337-340, Oct. 2006. tab
Artigo
em Inglês
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Complicações Infecciosas na Gravidez
/
Esfregaço Vaginal
/
Infecções por Chlamydia
/
Chlamydia trachomatis
/
Doenças dos Genitais Femininos
Tipo de estudo:
Estudo diagnóstico
/
Estudos de avaliação
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Assunto da revista:
Doenças Transmissíveis
Ano de publicação:
2006
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Federal University of Rio Grande do Norte/BR
/
Federal University of São Paulo/BR
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