Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://www.irog.net/download/?magazine=112 http://repositorio.unifesp.br/handle/11600/43297 |
Resumo: | Introduction: 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. |
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Accuracy of the cytopathology, bacterioscopy, and vaginal flora cultureCytologyBacterioscopyCultureVaginal contentIntroduction: 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.Fed Univ Sao Paulo UNIFESP, Gynegol Dis Prevent Ctr NUPREV, Dept Gynecol, Escola Paulista Med EPM, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Gynegol Dis Prevent Ctr NUPREV, Dept Gynecol, Escola Paulista Med EPM, Sao Paulo, BrazilWeb of ScienceConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)I R O G Canada, IncUniversidade Federal de São Paulo (UNIFESP)Almeida, P. Q. [UNIFESP]Pereira, M. A. P. [UNIFESP]Palomo, F. S. [UNIFESP]Okazaki, C. [UNIFESP]Schimidt, M. A. [UNIFESP]Speck, Neila Maria de Góis [UNIFESP] ]Ribalta, Julisa Chamorro Lascasas [UNIFESP]2018-06-15T16:52:39Z2018-06-15T16:52:39Z2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion243-245http://www.irog.net/download/?magazine=112Clinical And Experimental Obstetrics & Gynecology. Montreal: I R O G Canada, Inc, v. 40, n. 2, p. 243-245, 2013.0390-6663http://repositorio.unifesp.br/handle/11600/43297WOS:000320151900017engClinical And Experimental Obstetrics & Gynecologyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-05-02T15:52:08Zoai:repositorio.unifesp.br/:11600/43297Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-05-02T15:52:08Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
title |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
spellingShingle |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture Almeida, P. Q. [UNIFESP] Cytology Bacterioscopy Culture Vaginal content |
title_short |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
title_full |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
title_fullStr |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
title_full_unstemmed |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
title_sort |
Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture |
author |
Almeida, P. Q. [UNIFESP] |
author_facet |
Almeida, P. Q. [UNIFESP] Pereira, M. A. P. [UNIFESP] Palomo, F. S. [UNIFESP] Okazaki, C. [UNIFESP] Schimidt, M. A. [UNIFESP] Speck, Neila Maria de Góis [UNIFESP] ] Ribalta, Julisa Chamorro Lascasas [UNIFESP] |
author_role |
author |
author2 |
Pereira, M. A. P. [UNIFESP] Palomo, F. S. [UNIFESP] Okazaki, C. [UNIFESP] Schimidt, M. A. [UNIFESP] Speck, Neila Maria de Góis [UNIFESP] ] Ribalta, Julisa Chamorro Lascasas [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Almeida, P. Q. [UNIFESP] Pereira, M. A. P. [UNIFESP] Palomo, F. S. [UNIFESP] Okazaki, C. [UNIFESP] Schimidt, M. A. [UNIFESP] Speck, Neila Maria de Góis [UNIFESP] ] Ribalta, Julisa Chamorro Lascasas [UNIFESP] |
dc.subject.por.fl_str_mv |
Cytology Bacterioscopy Culture Vaginal content |
topic |
Cytology Bacterioscopy Culture Vaginal content |
description |
Introduction: 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. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-01-01 2018-06-15T16:52:39Z 2018-06-15T16:52:39Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.irog.net/download/?magazine=112 Clinical And Experimental Obstetrics & Gynecology. Montreal: I R O G Canada, Inc, v. 40, n. 2, p. 243-245, 2013. 0390-6663 http://repositorio.unifesp.br/handle/11600/43297 WOS:000320151900017 |
url |
http://www.irog.net/download/?magazine=112 http://repositorio.unifesp.br/handle/11600/43297 |
identifier_str_mv |
Clinical And Experimental Obstetrics & Gynecology. Montreal: I R O G Canada, Inc, v. 40, n. 2, p. 243-245, 2013. 0390-6663 WOS:000320151900017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Clinical And Experimental Obstetrics & Gynecology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
243-245 |
dc.publisher.none.fl_str_mv |
I R O G Canada, Inc |
publisher.none.fl_str_mv |
I R O G Canada, Inc |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268372588691456 |