Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis.

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Abstract Text:

J A ,P C Giraldo,A ,

OBJECTIVES: The aim of this study was to establish the prevalence of cervicovaginal infections in normal third-trimester pregnant women and evaluate the accuracy of clinical diagnosis. METHOD: A total of 328 pregnant women were followed at the Prenatal Outpatient Clinic of the Department of Obstetrics and Gynecology at the School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Brazil, from October 1991 to February 1993. The clinical diagnosis was based on the characteristics of the vaginal discharge, and the etiological diagnosis was based on bacterioscopy of the vaginal secretion and direct immunofluorescence for Chlamydia trachomatis. The data were analyzed statistically, determining the sensitivity, specificity, and positive and negative predictive value of the clinical diagnosis related to the laboratory diagnosis of the different infections. RESULTS: The prevalence of infection was 39.6% (Candida albicans, 19.2%; bacterial vaginosis, 9.5%; intermediate vaginal flora, 6.7%; Chlamydia trachomatis, 2.1%; and vaginal trichomoniasis, 2.1%). The accuracy of clinical diagnosis was low, with sensitivity between 50% and 65% and specificity around 60%, with the exception of trichomoniasis, which showed a sensitivity of 100% and chlamydia, with a sensitivity of 0% and a specificity of 100%. CONCLUSION: The accuracy of the clinical diagnosis of infections was low, specifically with respect to the positive predictive value. The results demonstrate the need for specific testing of cervicovaginal infections at prenatal visits. Reliance on simple vaginal examination results in a low yield for detection of vaginal infections.

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Publishing Authors By Initials

JA ,PC Giraldo,A ,

For similar investigative techniques: epidemiologic methods: statistics as topic: sensitivity and specificity research abstracts see: investigative techniques: epidemiologic methods: statistics as topic: sensitivity and specificity research

PUBMED ID PMID:

MEDLINE DATE:

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Infectious diseases in obstetrics and gynecology

VOLUME: 6

Page Numbers: 129-33

Journal Abbreviation: Infect Dis Obstet Gynecol

ISSN: 1064-7449

DAY: 21

MONTH: 01

YEAR: 1998

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9318481

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Keywords Mesh Terms:

KEYWORDS: Sensitivity and Specificity

MESH TERMS: diagnosis

Chemical & Substance for Abstract: Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis.

AFFILIATION: Departamento de Ginecologia e Obstetrícia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), São Paulo, Brasil.

Country: UNITED STATES

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Infect Dis Obstet Gynecol

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis Related Publications

• Effect of a single vaginal administration of levonorgestrel in Carraguard gel on the ovulatory process: a potential candidate for "dual protection" emergency contraception.
• Misoprostol in obstetrics and gynecology.
• Pharmacokinetic study to compare the absorption and tolerability of two doses of levonorgestrel following single vaginal administration of levonorgestrel in Carraguard gel: a new formulation for "dual protection" contraception.
• Prevalence of cervicovaginal infections during gestation and accuracy of clinical diagnosis.
• The medical profession and the defense and promotion of sexual and reproductive rights.
• [Reproductive variables and risk of breast cancer: a case-control study carried out in Brazil]