Accuracy of the cytopathology, bacterioscopy, and vaginal flora culture

Detalhes bibliográficos
Autor(a) principal: Almeida, P. Q. [UNIFESP]
Data de Publicação: 2013
Outros Autores: 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]
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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spelling 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
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