| The Pap smear for detection of bacterial vaginosis. | |
| | |
MedLine Citation:
|
PMID: 17466304 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To assess validity of Pap smears in diagnosing bacterial vaginosis. METHOD: A prospective diagnostic accuracy study with 533 women in Mombasa, Kenya. Diagnosis of bacterial vaginosis using clinical observations scored with simplified Amsel's criteria and Bethesda system for Pap smears was compared with a reference standard (Nugent criteria for gram stains). Both laboratory tests were interpreted blindly. RESULT: Bacterial vaginosis prevalence was 36.7% (191/521) with Nugent criteria. Pap smear sensitivity and specificity were 59.4% (111/187) and 83.3% (270/324), with corresponding figures for simplified Amsel's criteria of 44.8% (81/181) and 84.8% (263/310). For Pap smear and simplified Amsel's criteria, positive predictive values were 67.3 and 63.3%, and negative predictive values 78.0% and 72.5%. CONCLUSION: In diagnosing bacterial vaginosis, Pap smears have moderate sensitivity (though higher than simplified Amsel's criteria). Specificity of Pap smears is adequate. Including bacterial vaginosis assessment as a standard component of Pap smears warrants consideration. |
| | |
Authors:
|
A Karani; H De Vuyst; S Luchters; J Othigo; K Mandaliya; M F Chersich; M Temmerman |
Related Documents
:
|
1052104 - Evidence of reservior hosts of brucella mellitensis. 12141994 - Theoretical calculation of heat of formation and heat of combustion for several flammab... 50154 - Concealed ventricular extrasystoles due to interference and due to exit block. 21537234 - Sedentary behaviour: redefining its meaning and links to chronic disease. 21695034 - The public health impact of coccidioidomycosis in arizona and california. 22515864 - Addressing the implementation gap in global road safety: exploring features of an effec... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't Date: 2007-04-26 |
Journal Detail:
|
Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 98 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2007 Jul |
Date Detail:
|
Created Date: 2007-06-18 Completed Date: 2007-10-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
|
Languages: eng Pagination: 20-3 Citation Subset: IM |
Affiliation:
|
International Centre for Reproductive Health, Mombasa, Kenya. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Gentian Violet Humans Kenya / epidemiology Phenazines Prevalence Prospective Studies Reference Standards Sensitivity and Specificity Vaginal Smears / methods* Vaginosis, Bacterial / diagnosis*, epidemiology |
| Chemical | |
Reg. No./Substance:
|
0/Gram's stain; 0/Phenazines; 548-62-9/Gentian Violet |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Reducing maternal mortality due to elective abortion: Potential impact of misoprostol in low-resourc...
Next Document: Echolucent carotid plaques predict in-stent restenosis after bare metal stenting in native coronary ...