Rendimiento comparativo del exudado vulvovaginal frente al endocervical para la detección de Chlamydia, Gonorrhea, Mycoplasma genitalium y Tricomoniasis: un estudio transversal en España

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista clinica espanola Pub Date : 2024-06-01 DOI:10.1016/j.rce.2024.04.014

M. Linares-Rufo , P. Galicia , A. Rojas , Á.M. Benito , J. Cuadros-González , J.M. Ramos-Rincón

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Abstract

Introduction

The global increase in sexual transmitted infections (STI) makes it necessary to seek public health strategies that facilitate rapid and minimally invasive diagnosis. The objective was to evaluate the concordance between vaginal and endocervical samples for STI diagnosis.

Materials and methods

A retrospective cross-sectional study was carried out on vaginal and endocervical samples from women attended in our reference area with symptoms suggestive of vulvovaginitis or for STI screening during the study period.

Results

A total of 130 paired samples were analyzed; fifty-seven and 59 samples were positive for vaginal and endocervical specimens (Kappa index of 0.969 (Standard error = 0.022). The sensitivity of the vaginal samples was 96.5% (IC95%: 87.2-99.4), with a specificity of 100% (IC95%: 93.0-100).

Discussion

The introduction of STI screening in vaginal samples in our environment can facilitate rapid and effective diagnosis and allow early treatment of STI. Additionally, it facilitates sample collection and diagnosis in the community setting, essential for optimal screening.

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外阴阴道拭子与宫颈内膜拭子在检测衣原体、淋病、生殖器支原体和滴虫病方面的性能比较：西班牙的一项横断面研究。

导言性传播感染（STI）在全球范围内呈上升趋势，因此有必要寻求有利于快速和微创诊断的公共卫生策略。本研究旨在评估阴道样本和宫颈内膜样本在性传播感染诊断中的一致性。材料与方法本研究对研究期间在我们的参照区就诊的、有外阴阴道炎症状或接受性传播感染筛查的妇女的阴道样本和宫颈内膜样本进行了回顾性横断面研究。阴道样本的灵敏度为 96.5%（IC95%：87.2-99.4），特异性为 100%（IC95%：93.0-100）。此外，它还有助于在社区环境中进行样本采集和诊断，这对优化筛查至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista clinica espanola 医学-医学：内科

CiteScore

4.40

自引率

6.90%

发文量

审稿时长

28 days

期刊介绍： Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.