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首页> 外文期刊>Journal of lower genital tract disease. >Detection of bacterial vaginosis, Trichomonas vaginalis infection, and vaginal Candida infection: a comparative study of methods of extracting exudates, with and without a speculum, during pregnancy.
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Detection of bacterial vaginosis, Trichomonas vaginalis infection, and vaginal Candida infection: a comparative study of methods of extracting exudates, with and without a speculum, during pregnancy.

机译：细菌性阴道病，阴道毛滴虫感染和阴道念珠菌感染的检测：妊娠期有无窥器抽出渗出液方法的比较研究。

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PURPOSE: To compare the collection of vaginal exudates with and without the use of a speculum to diagnose vaginal infections. MATERIAL AND METHODS: We examined 45 patients with vaginal discharge. Two vaginal swabs were taken, one with and the other without a speculum. Both were examined by wet mount microscopy to detect bacterial vaginosis (BV), Trichomonas vaginalis, and the presence of blastospores with or without pseudomycelium. RESULTS: A total of 90.9% of patients whose vaginal exudates were negative for BV when extracted with a speculum were also negative in the swab taken without a speculum. In the case of BV-positive exudates using a speculum, the correspondence was 90.5% with the swabs taken without a speculum. Among those exudates obtained with a speculum that were negative for Candida, 92.6% of those obtained without a speculum tested negative. In patients with pseudomycelium, when a speculum was used, 100% also presented a diagnosis of pseudomycelium from the swabs taken without a speculum. A concordance test between the techniques involving the use or nonuse of a speculum was performed for each of the diagnoses showed a good agreement according to the observed Kappa statistics (0.8467 and 0.8396 for BV and Candida, respectively). CONCLUSIONS: A very good agreement between the results obtained with and without the use of a speculum was observed. Swabbing without the use of a speculum is especially convenient for pregnant women who require frequent testing for these types of infections during their pregnancies.
机译：目的：比较在使用和不使用窥镜的情况下阴道分泌物的收集情况，以诊断阴道感染。材料与方法：我们检查了45例白带患者。取了两个阴道拭子，一个带窥镜，另一个不带窥器。两者均通过湿式显微镜检查，以检测细菌性阴道病（BV），阴道毛滴虫以及有或没有假菌丝体的芽孢杆菌的存在。结果：总共有90.9％的患者在用窥镜摘除阴道分泌物时BV阴性，而在没有窥镜的情况下拭子阴性。在使用窥镜的BV阳性渗出液的情况下，拭子不戴窥镜时的对应率为90.5％。在通过窥镜检查得到的假丝酵母阴性分泌物中，有92.6％的患者在没有窥镜检查的情况下阴性。在假菌丝体患者中，当使用窥器时，100％的人也诊断出无拭子的拭子中的假菌丝体。根据观察到的Kappa统计数据（涉及BV和假丝酵母分别为0.8467和0.8396），对每种诊断进行了涉及使用或不使用镜的技术之间的一致性测试，显示出良好的一致性。结论：在使用和不使用窥器的情况下，观察到的结果之间有很好的一致性。对于在怀孕期间需要频繁检查这些类型感染的孕妇，特别方便的是不使用窥镜拭擦。

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