دورية أكاديمية
Reliability of conventional Papanicolaou smear in diagnosing bacterial vaginosis among women with clinical genital infection
العنوان: | Reliability of conventional Papanicolaou smear in diagnosing bacterial vaginosis among women with clinical genital infection |
---|---|
المؤلفون: | Kavita Vivek Anand, Sharmila Anil Pimple, Gauravi A. Mishra, Rupali V. Sahare, Saleem Pathuthara, Kedar K. Deodhar, Surendra S. Shastri |
المصدر: | South Asian Journal of Cancer, Vol 09, Iss 01, Pp 13-16 (2020) |
بيانات النشر: | Thieme Medical and Scientific Publishers Pvt. Ltd., 2020. |
سنة النشر: | 2020 |
المجموعة: | LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | bacterial vaginosis, cervicitis, human papillomavirus, nugent score, papanicolaou smear, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Objective: Bacterial vaginosis (BV) is a common reproductive tract infection (RTI) reported among Indian women. BV can influence the persistence of high-risk oncogenic human papillomavirus, a causative factor for cervical cancer. BV and cervical cancer are major public health issues in a developing country like India. It becomes important for a resource-constrained country like India with poor healthcare access to implement control measures to screen and treat RTI in an attempt to prevent the risk for cervical cancer. Papanicolaou (Pap) smear is an established screening tool for cervical cancer and the diagnosis of RTIs, forms a part of its evaluation. The present study explores the validity of conventional Pap smear in diagnosing BV. Methodology: Pap smear and Gram stain smear were collected for 254 women with clinically evident cervicitis/cervicovaginitis (genital infection). Using the Nugent score on Gram stain as a gold standard, we determined the sensitivity and specificity of Pap smear to diagnose BV. Results: The overall prevalence of BV in the study population was 44% using the Nugent score. Pap smear showed sensitivity and specificity of 70.9%. (CI- 61.5% - 79.2%) and 56.8% (CI – 48.2%–65.2%), respectively. The positive predictive value of Pap smear to diagnose BV was 56.5% (CI – 47.8%–64.9%), and the negative predictive value was 71.2% (CI – 61.8%–79.4%). Conclusion: In the present study, conventional Pap smear demonstrates good accuracy to detect BV. Pap testing for cervical cancer screening can additionally serve as an effective screening tool for diagnosing BV among women with genital infection in healthcare settings. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2278-330X 2278-4306 |
Relation: | https://doaj.org/toc/2278-330X; https://doaj.org/toc/2278-4306 |
DOI: | 10.4103/sajc.sajc_421_18 |
URL الوصول: | https://doaj.org/article/76fc0a188a5543fbb14a8321971f3e2d |
رقم الأكسشن: | edsdoj.76fc0a188a5543fbb14a8321971f3e2d |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 2278330X 22784306 |
---|---|
DOI: | 10.4103/sajc.sajc_421_18 |