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Provedor de dados:  BJID
País:  Brazil
Título:  Accuracy of a self-collection kit for the microbiological study of the vaginal content
Autores:  Passos,Mauro Romero L.
Varella,Renata Q.
Barreto,Nero A.
Garcia,Maria Luiza
Giraldo,Paulo C.
Data:  2007-04-01
Ano:  2007
Palavras-chave:  Self-collection kit
Vaginitis
Diagnosis
Vaginal discharge
Bacterial vaginosis
Vaginal flora
Resumo:  Diagnosis of vaginal discharge is frequently performed in an empirical way, leading to inadequate treatment. This study tested the accuracy of a self-collection kit for microbiological study of the vaginal content. One hundred and forty-two women of Family Health Program units in Niterói and Piraí cities were enrolled in order to have their vaginal content studied. A brief explanation and a self-collection kit were provided in order to sample the vaginal content. The self-collection kit was composed of one empty plastic tube, two glass slides, a long handle cytobrush, an identification card and guideline notes. The vaginal sample was applied on the glass slides by the women and stained by Gram technique. A second sampling was done by the medical personnel. The microbiological diagnosis in a blinded analysis was made under optical microscopy. A validation diagnosis test was done taking the medical collection results as a gold standard. A total of 106 women had followed the protocol and were included in the study. Microbiological analysis was unsatisfactory in 12 cases (6 cases of self-collection material and 6 cases of medical collection). The microbiological analyses in the self-collection and in the medical collection material were respectively: bacterial vaginosis in 21.7% and 17.9%, non bacillar flora in 10.3% and 11.3%, vaginal trichomoniasis in 5.66% and 5.6%, candidiasis in 3.78% and 2.8% and a normal microbiota in 52.8% and 56.6%. The Kappa coefficient suggested a "very good correlation" of the microbiological results between the two methods of collection (K=0.7945). The self-collection kit provides samples for microbiological analysis of the vaginal microbiota as good as medical collection.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000200017
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702007000200017
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.11 n.2 2007
Direitos:  info:eu-repo/semantics/openAccess
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