Comparative Study of PAP Smear and Microbiological Pattern in Bacterial Vaginosis in a Tertiary Care Hospital, South Bihar (India)
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Pap smears are routinely used in cervical cancer screening. The purpose of our study was to determine whether the Pap smear is of diagnostic value for the detection of bacterial vaginosis using vaginal gram stain as the diagnostic standard. The pap smear was a screening test to diagnose cervical cancer and also been used as a diagnostic test in cervical infection caused by different pathogenic organisms. Material and Methods: A retrospective analysis of cervical pap smear study was done over a period of one years from September 2017 to September 2018 in a Tertiary Care Unit, Department of Pathology, Vardhman Institute of Medical Sciences, Pawapuri, Nalanda, Bihar and Associated Hospital of Bihar. This study was undertaken to determine the prevalence, clinical significance and seasonal variation in cervicovaginal infections. The Chi-square test was used for statistical analysis. A p-value of <0.05 was considered significant for statistical evaluation. Results: One hundred and eight cases were determined as BV-positive by Pap smear, compared with 112 BV-positive cases determined by Gram stain. Sensitivity and specifity were 93% and 94% respectively with Pap smear and 97% and 94%, respectively with Gram stain. Positive predictive values were determined as 86% for the Pap-smear method and 88% for the Gram stain method. The comparison of results obtained from both groups with Amsel’s criteria did yield significant difference. The prevalence of organisms among total infectious organisms is 48.4% (BV), 32% (Can), 13.4% (TV), and mixed infections 3.5% and 2.7% (BV + TV and BV + Can). Conclusion: We concluded that cervical cytology is important for diagnosis of cervical infections. The most important cause of cervico vaginitis are bacterial vaginosis, next important cause is candidiasis. It is important to mobilize all reproductive age women to undergo pap smear examination and to prevent complications caused by infectious agents.
Authors and Affiliations
Imtiaz Ahmad, Rakesh Kumar Nirala, Chandan Kumar Poddar, Pawan Kumar Chaudhary
Keywords
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