巴氏涂片在细菌性阴道病诊断中的表现

Q2 Nursing

Texto Contexto Enfermagem Pub Date : 2023-05-29 DOI:10.1590/1980-265x-tce-2022-0258en

Letícia Nunes Coca dos Santos, J. Andrade, M. A. O. Ignácio, Laviny Moraes Barros, Scarllet Zamuner Nibi, R. Alencar

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引用次数: 0

摘要

目的:探讨巴氏涂片对育龄妇女细菌性阴道病的诊断价值。方法:横断面，回顾性研究在一个城市的卫生单位在圣保罗市内部进行。该研究包括1173名妇女的信息，这些妇女在2013年1月至2020年6月期间接受了巴氏涂片和革兰氏染色阴道涂片(细菌性阴道病诊断的参考标准测试)的收集，并根据纽金特评分进行了分析。从信息和内部控制系统收集的二次数据被使用。结果:本组细菌性阴道病检出率为31.8%。两种诊断方法Kappa指数的一致度为0.54，认为是中等，值<0.001。敏感性为55.2%，特异性为94.1%，准确率为81.7%，阳性预测值为81.4%，阴性预测值为81.8%。结论:巴氏涂片与参考标准的符合率为0.77，但不能代替革兰氏染色阴道涂片，可作为细菌性阴道病诊断的辅助方法。

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PAP SMEAR PERFORMANCE IN BACTERIAL VAGINOSIS DIAGNOSIS

ABSTRACT Objective: to assess Pap smear performance in bacterial vaginosis diagnosis in women of childbearing age. Method: a cross-sectional, retrospective study carried out in a health unit in a city in the interior of São Paulo. The study included information from 1,173 women who underwent collection of Pap smear and Gram-stained vaginal smears (reference standard test for bacterial vaginosis diagnosis) and analysis based on the Nugent score, from January 2013 to June 2020. Secondary data collected from the information and internal control systems were used. Results: the prevalence of bacterial vaginosis in the sample was 31.8%. The degree of agreement between the two diagnostic methods by the Kappa index was 0.54, considered moderate, with a value <0.001. Sensitivity was 55.2% and specificity was 94.1%, with accuracy of 81.7% and positive predictive value of 81.4% and negative of 81.8%. Conclusion: Pap smear showed agreement with the reference standard of 0.77, however, does not replace the Gram-stained vaginal smear, but can be used as an auxiliary method for bacterial vaginosis diagnosis.

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来源期刊

Texto Contexto Enfermagem Nursing-General Nursing

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Texto & Contexto Enfermagem provides space for reflection and deepening of knowledge about issues of practice, teaching and research in health and nursing, at national and international levels. The journal is published quarterly in the rolling pass or Continuous flow mode, accepting manuscripts in Portuguese, English or Spanish, in the categories original article, reflection, experience report and review. Contributions designated to the dissemination of unpublished original research results are prioritized for publication. Special issues are published at the discretion of the Board of Directors and Associate Editors. All manuscripts are published in two versions, one of which is English, aiming to cover the largest number of readers worldwide. The editorial policy of Texto & Contexto Enfermagem is based on rigorous quality criteria for indexing and publishing (including technical and normative aspects, graphic and textual quality and excellence in scientific content); on responsibility for shared management between the Board of Directors, Editorial Board and Internal and External Editors Associates; and on the rigorous and constructive peer review, preserving the anonymity of authors and reviewers (double blinded).