BMJ (Clinical research ed.) · 1993
Prevalence of cervical pathogens in women with and without inflammatory changes on smear testing.
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Parsons W L, Godwin M, Robbins C, Butler R
Аннотация
OBJECTIVE: To assess correlation between nonspecific cervicitis, inflammation, or exudate on cervical smears tests and confirmed presence of known cervical pathogens.
DESIGN: Investigation of women attending a family practice clinic for smear test by microbiological screening for Chlamydia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum, Trichomonas vaginalis, Candida species, group B streptococcus, Gardnerella vaginalis, and Neisseria gonorrhoeae.
SETTING: Family practice teaching clinic in a university hospital.
PATIENTS: 411 women presenting for a smear test.
MAIN OUTCOME MEASURES: Prevalence of genital infections associated with presence or absence of inflammatory changes on cervical smear.
RESULTS: Of the 132 women with inflammatory changes on cervical smear, 64 (48%) had positive cultures. Of the 248 without inflammatory changes, 117 (47%) had positive cultures. Subgroup analysis on individual organisms also showed no significant difference between the two groups.
CONCLUSION: Reports of inflammatory changes on cervical smear testing are a poor indicator of infection.
DESIGN: Investigation of women attending a family practice clinic for smear test by microbiological screening for Chlamydia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum, Trichomonas vaginalis, Candida species, group B streptococcus, Gardnerella vaginalis, and Neisseria gonorrhoeae.
SETTING: Family practice teaching clinic in a university hospital.
PATIENTS: 411 women presenting for a smear test.
MAIN OUTCOME MEASURES: Prevalence of genital infections associated with presence or absence of inflammatory changes on cervical smear.
RESULTS: Of the 132 women with inflammatory changes on cervical smear, 64 (48%) had positive cultures. Of the 248 without inflammatory changes, 117 (47%) had positive cultures. Subgroup analysis on individual organisms also showed no significant difference between the two groups.
CONCLUSION: Reports of inflammatory changes on cervical smear testing are a poor indicator of infection.