Infecciones vaginales en un Centro de Salud Familiar de la Región Metropolitana, Chile

Villaseca, Rodrigo; Ovalle, Alfredo; Amaya, Fernando; Labra, Bayron; Escalona, Natalia; Lizana, Paola; Montoya, Méndez; Lillo, Eduardo; Martínez, María Angélica

doi:10.4067/s0716-10182015000200005

Cited by 13 publications

(5 citation statements)

References 32 publications

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“…The frequency of vulvovaginitis in Chilean adolescents and young adults is of $ 12.8%, 3 and, when including older women, it reaches $ 46.5%, 4 which implies a significant number of consultations in primary health centers, considering that $ 80% of the population is registered in the public health system. 5 Abnormal vaginal discharge includes a heterogenous group of vaginal secretions of diverse etiology constituting, in addition to a frequent reason for consultation, a complex public health issue, because they cause a deterioration in the quality of life of women.…”

Section: Introductionmentioning

confidence: 99%

“…The frequency of vulvovaginitis in Chilean adolescents and young adults is of ∼ 12.8%, 3 and, when including older women, it reaches ∼ 46.5%, 4 which implies a significant number of consultations in primary health centers, considering that ∼ 80% of the population is registered in the public health system. 5…”

Section: Introductionmentioning

confidence: 99%

“…The main clinical diagnoses of vaginitis or vulvovaginitis point to trichomoniasis, candidiasis, and bacterial vaginosis (BV). 4 11 The signs and symptoms in these infections are often uncharacteristic because they are not always caused by a single microorganism; there can be two or more, making it difficult for the midwife to make an accurate diagnosis and sowing doubts regarding the effectiveness of the treatment indicated. There is evidence that the correlation between the clinical and laboratory diagnosis is poor 12 13 ; however, in many countries such as Chile, the use of making a clinical diagnosis (based on signs and symptoms) without a laboratory diagnosis before indicating treatment for an AVD continues.…”

Section: Introductionmentioning

confidence: 99%

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Concordance Between Clinical and Laboratory Diagnosis of Abnormal Vaginal Discharge in Chilean Women

Melo

Ossa

Fetis

et al. 2021

Rev Bras Ginecol Obstet

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Objective To determine the concordance between the clinical diagnosis of women with abnormal vaginal discharge (AVD) and laboratory results using molecular detection and observation of the vaginal microbiota. Methods Cross-sectional study conducted in 2018 in Temuco, Chile. A total of 25 midwives from 12 health centers participated. A total of 125 women > 18 years old, volunteers, were recruited. The sample of the posterior vaginal fornix was obtained by speculoscopy. Characteristics of the discharge and of the external and internal genitalia were observed. Gram staining was used to observe vaginal microbiota, blastoconidia and pseudohyphae, and polymerase chain reaction was used for the detection of Trichomonas vaginalis and Candida albicans. The Cohen kappa coefficient was used in the concordance analysis. Results Out of a total of 125 women with AVD, 85.6% consulted spontaneously and 14.4% were diagnosed clinically during a routine check-up. Absolute concordance was significant (p = 0.0012), with an agreement of 13.6%. The relative concordance was significant, but fair for bacterial vaginosis (Kappa = 0.21; p = 0.003) and candidiasis (Kappa = 0.22; p = 0.001), and slight for trichomoniasis (Kappa = 0.14; p = 0.009). The percentage of coincidence of the diagnoses (single or mixed) by laboratory and midwives was: bacterial vaginosis 63.2% (12/19), candidiasis 36.5% (27/74), and trichomoniasis 12.5% (4/32). There was 20% coinfection. A total of 36% of the clinical diagnoses of AVD had negative laboratory tests. Conclusion The vulvovaginitis conditions candidiasis and trichomoniasis appear to be overdiagnosed, and bacterial vaginosis appears to be underdiagnosed by the clinical diagnosis when compared with the laboratory diagnosis. The low concordance obtained shows the importance of complementing the clinical diagnosis with a laboratory study of AVD, particularly in women with failed treatments and/or coinfections with unspecific and varying signs and symptoms.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Concordance Between Clinical and Laboratory Diagnosis of Abnormal Vaginal Discharge in Chilean Women

Melo

Ossa

Fetis

et al. 2021

Rev Bras Ginecol Obstet

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“…En relación a T. vaginalis, detectamos una frecuencia baja, en línea con lo reportado en otros estudios naciona-les, efectuados en mujeres embarazadas, con cifras que varían entre 2,2 y 2,4% 6,16 .…”

Section: Discussionunclassified

“…La infección por T. vaginalis es un factor de riesgo para la adquisición de otras ITS bacterianas y virales y, en la mujer embarazada, es un factor de riesgo muy significativo de parto prematuro 9 . En el área metropolitana de Santiago ha sido detectada en 2,2 y 3,6% de mujeres gestantes y no embarazadas, respectivamente, enroladas en atención primaria 16 . En otro estudio en atención primaria fue detectada en 2,4% en mujeres embarazadas 6 .…”

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Cribado de infecciones cervicales de transmisión sexual en mujeres embarazadas y su relación con la microbiota vaginal

Palma

Martínez

Santander

2019

Rev. chil. infectol.

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Screening of cervical sexually transmitted infections in pregnant women and the relation with the vaginal microbiota Background: Pregnant woman is exposed to many sexual transmitted infections (STI). Many of these infections may produce diseases in the fetus and newborn, and also alteration in the normal course of the pregnancy. Aim: Screening of asymptomatic cervical infection in pregnant woman and its relationship with the vaginal microbiota. Patients and Methods: 85 pregnant women without clinical cervicitis who consult in the routine pregnant control (47 patients) and women derived from STI service (38 patients). The samples were obtained from the vaginal fund sac and were analyzed with optic microscopy, cultures and PCR of Neisseria gonorrhoeae, Trichomonas vaginalis and Chlamydia trachomatis. Results: 12,9% of the enrolled women were positive for C. trachomatis, 2,4% for T. vaginalis. In this study, we did not found N. gonorrhoeae. We observed 23,3% of patients with altered microbiota (bacterial vaginosis and intermediate microbiota) was positive for C. trachomatis. Conclusions: In this study, we found a high frequency of C. trachomatis infection, that correlates with the presence of altered microbiota. This high frequency would promote preventive strategies in the pregnant women routine controls.

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Vulvovaginal Candidosis

Donders

Ruban²,

Bellen³

et al. 2018

Diagnostics to Pathogenomics of Sexually Transmitted Infections

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Infecciones vaginales en un Centro de Salud Familiar de la Región Metropolitana, Chile

Cited by 13 publications

References 32 publications

Concordance Between Clinical and Laboratory Diagnosis of Abnormal Vaginal Discharge in Chilean Women

Concordance Between Clinical and Laboratory Diagnosis of Abnormal Vaginal Discharge in Chilean Women

Cribado de infecciones cervicales de transmisión sexual en mujeres embarazadas y su relación con la microbiota vaginal

Vulvovaginal Candidosis

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