Literature DB >> 8499824

Prevalence of cervical pathogens in women with and without inflammatory changes on smear testing.

W L Parsons1, M Godwin, C Robbins, R Butler.   

Abstract

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.

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Mesh:

Year:  1993        PMID: 8499824      PMCID: PMC1677692          DOI: 10.1136/bmj.306.6886.1173

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  13 in total

1.  Sensitivity and specificity of the Papanicolaou-stained cervical smear in the diagnosis of Chlamydia trachomatis infection.

Authors:  S Geerling; J A Nettum; L E Lindner; S L Miller; L Dutton; S Wechter
Journal:  Acta Cytol       Date:  1985 Sep-Oct       Impact factor: 2.319

2.  Detection of chlamydial cervicitis with Papanicolaou-stained smears and cultures in a university student population.

Authors:  E Wiesmeier; D L Rosenthal; S Weideman
Journal:  J Reprod Med       Date:  1987-04       Impact factor: 0.142

3.  Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in two different populations of women.

Authors:  W R Bowie; C J Borrie-Hume; L M Manzon; A Fawcett; R K Percival-Smith; H D Jones
Journal:  Can Med Assoc J       Date:  1981-06-01       Impact factor: 8.262

4.  Recovery of Chlamydia and Genital Mycoplasma transported in sucrose phosphate buffer and urease color test medium.

Authors:  T F Smith; L A Weed; G R Pettersen; J W Segura
Journal:  Health Lab Sci       Date:  1977-01

5.  Chlamydial endocervical infections and cytologic findings in sexually active female adolescents.

Authors:  M A Shafer; K L Chew; L K Kromhout; A Beck; R L Sweet; J Schachter; E B King
Journal:  Am J Obstet Gynecol       Date:  1985-03-15       Impact factor: 8.661

6.  Inflammation on the cervical Papanicolaou smear: the predictive value for infection in asymptomatic women.

Authors:  J G Bertolino; J E Rangel; R L Blake; D Silverstein; E Ingram
Journal:  Fam Med       Date:  1992-08       Impact factor: 1.756

7.  Implications of inflammatory changes on cervical cytology.

Authors:  J D Wilson; A J Robinson; S A Kinghorn; D A Hicks
Journal:  BMJ       Date:  1990-03-10

8.  Selective screening for Chlamydia trachomatis infection in nonurban family planning clinics in Wisconsin.

Authors:  D G Addiss; M L Vaughn; M A Holzhueter; L L Bakken; J P Davis
Journal:  Fam Plann Perspect       Date:  1987 Nov-Dec

9.  Detection of chlamydial cervicitis by Papanicolaou stained smears and culture.

Authors:  S A Dorman; L M Danos; D J Wilson; K L Noller; G D Malkasian; J R Goellner; T F Smith
Journal:  Am J Clin Pathol       Date:  1983-04       Impact factor: 2.493

10.  Cytologic manifestations of cervical and vaginal infections. I. Epithelial and inflammatory cellular changes.

Authors:  N B Kiviat; J A Paavonen; J Brockway; C W Critchlow; R C Brunham; C E Stevens; W E Stamm; C C Kuo; T DeRouen; K K Holmes
Journal:  JAMA       Date:  1985-02-15       Impact factor: 56.272

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  8 in total

1.  Interpreting inflammatory changes in cervical smears.

Authors:  B N Mali; J V Joshi
Journal:  BMJ       Date:  1993-08-07

2.  Endocervical Gram stain smears and their usefulness in the diagnosis of Chlamydia trachomatis.

Authors:  L Myziuk; B Romanowski; M Brown
Journal:  Sex Transm Infect       Date:  2001-04       Impact factor: 3.519

3.  Development and evaluation of screening strategies for Chlamydia trachomatis infections in an STD clinic.

Authors:  Y T van Duynhoven; M J van de Laar; J S Fennema; G J van Doornum; J A van den Hoek
Journal:  Genitourin Med       Date:  1995-12

4.  Inflammation on the cervical papanicolaou smear: evidence for infection in asymptomatic women?

Authors:  Stavroula Baka; Ioanna Tsirmpa; Anthia Chasiakou; Iliana Tsouma; Ekaterina Politi; Vassiliki Gennimata; Evangelia Kouskouni
Journal:  Infect Dis Obstet Gynecol       Date:  2013-09-24

5.  Papanicolaou smear: A diagnostic aid in sexually transmitted infections.

Authors:  Sabeena Jayapalan; R S Bindu
Journal:  Indian J Sex Transm Dis AIDS       Date:  2020-07-31

6.  Cervical cytological changes in HIV-infected patients attending care and treatment clinic at Muhimbili National Hospital, Dar es Salaam, Tanzania.

Authors:  Amos R Mwakigonja; Liset Maria M Torres; Henry A Mwakyoma; Ephata E Kaaya
Journal:  Infect Agent Cancer       Date:  2012-02-15       Impact factor: 2.965

7.  Transformation of the genital epithelial tract occurs early in California sea lion development.

Authors:  Cecilia Barragán-Vargas; Jorge Montano-Frías; Germán Ávila Rosales; Carlos R Godínez-Reyes; Karina Acevedo-Whitehouse
Journal:  R Soc Open Sci       Date:  2016-03-09       Impact factor: 2.963

8.  Barriers to Cervical Cancer Screening and the Cervical Cancer Care Continuum in Rural Guatemala: A Mixed-Method Analysis.

Authors:  Kirsten Austad; Anita Chary; Sandy Mux Xocop; Sarah Messmer; Nora King; Lauren Carlson; Peter Rohloff
Journal:  J Glob Oncol       Date:  2018-07
  8 in total

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