Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture

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dc.contributor.authorAlmeida, P. Q. [UNIFESP]
dc.contributor.authorPereira, M. A. P. [UNIFESP]
dc.contributor.authorPalomo, F. S. [UNIFESP]
dc.contributor.authorOkazaki, C. [UNIFESP]
dc.contributor.authorSchimidt, M. A. [UNIFESP]
dc.contributor.authorSpeck, Neila Maria de Góis [UNIFESP] ]
dc.contributor.authorRibalta, Julisa Chamorro Lascasas [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T16:52:39Z
dc.date.available2018-06-15T16:52:39Z
dc.date.issued2013-01-01
dc.description.abstractIntroduction: An over-population of vaginal microorganisms causing inflammatory processes renders it difficult to properly assess the cytopathological exam that aims to screen precedent cervical lesions. On the contrary, the occurrence of the microbial flora saprophyte does not influence correct cythodiagnosis. Objective: To assess the composition of vaginal tract aerobic microorganisms of asymptomatic women in menacme and post-menopause, and to analyze the accuracy of cytopathologic, bacterioscopic exams, and culturing of the flora. Methods: The women were first submitted to a focused anamnestic interrogatory and then submitted to gynecological exam. A sample of the vaginal fluid was collected with a culture swab and a smear was made on two glass slides for stained bacterioscopic exam (GRAM). The collection of material was then compiled in a cytopathologic smear analysis. All women signed the free and informed consent letter and the project was approved by the Ethics Research Board of Hospital Sao Paulo - UNIFESP. Results: Bacterioscopy and culture proved to be better than the cytopathologic exam in featuring the bacilli and cocci. The bacterioscopy provided a better detection of the presence of bacilli (p < 0.001); no statistical difference was seen between both exams with respect to the detected cocci. The beta-hemolytic Streptococcus group was of significance in post-menopausal women (p < 0.05). Conclusion: In this study, the bacterioscopic and culture exams of the vaginal fluid were more effective in assessing the vaginal flora and in the detection of bacilli, compared to the cytopathological exam.en
dc.description.affiliationFed Univ Sao Paulo UNIFESP, Gynegol Dis Prevent Ctr NUPREV, Dept Gynecol, Escola Paulista Med EPM, Sao Paulo, Brazil
dc.description.affiliationUnifespFed Univ Sao Paulo UNIFESP, Gynegol Dis Prevent Ctr NUPREV, Dept Gynecol, Escola Paulista Med EPM, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent243-245
dc.identifierhttp://www.irog.net/download/?magazine=112
dc.identifier.citationClinical And Experimental Obstetrics & Gynecology. Montreal: I R O G Canada, Inc, v. 40, n. 2, p. 243-245, 2013.
dc.identifier.issn0390-6663
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/43297
dc.identifier.wosWOS:000320151900017
dc.language.isoeng
dc.publisherI R O G Canada, Inc
dc.relation.ispartofClinical And Experimental Obstetrics & Gynecology
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCytologyen
dc.subjectBacterioscopyen
dc.subjectCultureen
dc.subjectVaginal contenten
dc.titleAccuracy of the cytopathology, bacterioscopy, and vaginal flora cultureen
dc.typeinfo:eu-repo/semantics/article
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