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Possibilities of detection of non-viral pathogens causing sexully transmitted diseases by means of cytological analysis of VCE-smears stained by Papanicolaou

Marija Pajtler


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page 49-53

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Full text: croatian pdf 2.329 Kb

page 49-53

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Abstract

Non-viral pathogens causing sexually transmitted diseases, found in Papanicolaou smears, include Chlamydia trachomatis, Gardenella vaginalis, Trichomonas vaginalis and fungi. Cytological diagnosis of Chlamydia trachomatis by means of intracytoplasmic inclusion and inflammatory exudate with the sensitivity of 0-54% and specificity of 5-59% is not specific enough to enable the differentiation from other infections. The diagnosis of Gardenella vaginalis infections by means of "clue-cells" finding has the sensitivity of 49-90%, specificity of 97 - 100% and the predictive value of 90-97%, making it usable for detection and diagnosis not required to be verified microbiologically. Identification of protozoa in the smear in Trichomonas vaginalis infection indicates the cytological sensitivity to be 56-92% and the specificity 83-99%, thus playing a significant role in the detection of asymptomatic infection; however, verification of the finding is necessary before therapy. Identification of spores and pseudomycelium in the diagnosis of fungal infection indicates the sensitivity of smear of 3:49%, specificity of 98-100%, positive predictive value of 20-100% and negative predictive value of 71-85%.

Keywords

Cytological analysis; Detection of non-viral pathogens sexualy transmitted diseases; VCE-smears stained by Papanicolaou

Hrčak ID:

191967

URI

https://hrcak.srce.hr/191967

Publication date:

1.12.1999.

Article data in other languages: croatian

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