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Comparison of Classical and Secondary Cytologic Criteria Relative to Hybrid Capture for Diagnosing Cervical-vaginal Infection by Human Papillomavirus.
Etchebehere, Renata Margarida; Almeida, Élia Cláudia Souza; Côbo, Eliângela Castro; Duque, Ana Cristina da Rocha; Murta, Eddie Fernando Cândido; Adad, Sheila Jorge.
Afiliação
  • Etchebehere RM; Hospital de Clínicas, Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
  • Almeida ÉC; UFTM, Uberaba, Minas Gerais, Brazil.
  • Côbo EC; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
  • Duque AC; UFTM, Uberaba, Minas Gerais, Brazil.
  • Murta EF; UFTM, Uberaba, Minas Gerais, Brazil.
  • Adad SJ; UFTM, Uberaba, Minas Gerais, Brazil.
Rev Bras Ginecol Obstet ; 38(1): 41-6, 2016 Jan.
Article em En | MEDLINE | ID: mdl-26814693
OBJECTIVE: To compare the diagnostic accuracy of the classic Meisels cytologic criteria and the Schneider secondary criteria relative to the hybrid capture method for diagnosing HPV infection. METHODS: This was a retrospective study performed at a public university hospital. A total of 41 patients with a cytologic diagnosis of HPV infection and 40 HPV-negative patients were selected for review of the cervical-vaginal smears seeking to classical and secondary criteria. A single pathologist reviewed the slides in search of the criteria. The classical and secondary cytologic criteria were compared with the hybrid capture for diagnosing HPV infection. Bartleti test was applied for the age analysis, and Fisher's exact test was used to compare proportions. The tests were considered significant when the probability of rejecting the null hypothesis was less than 5% (p < 0.05). RESULTS: The Meisels criteria were less sensitive (34.0%) than the secondary Schneider criteria (57.5%) when compared with the hybrid capture (p < 0.0001), although the specificity of the former criteria was non-significantly higher (91.2% and 67.7%, respectively). In cases of moderate or intense inflammation, the sensitivity and specificity of the Schneider criteria were decreased, 33.3% and 50.0% respectively (p = 0.0115). CONCLUSIONS: Compared with hybrid capture for diagnosis of HPV infection, the sensitivity of the secondary Schneider criteria was higher than the classical Meisels criteria.Moderate or intense inflammation reduces the sensitivity and specificity of the secondary Schneider criteria for diagnosing HPV infection using the hybrid capture as the gold standard.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: DNA Viral / Infecções por Papillomavirus Tipo de estudo: Diagnostic_studies / Observational_studies Limite: Adult / Female / Humans Idioma: En Revista: Rev Bras Ginecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: DNA Viral / Infecções por Papillomavirus Tipo de estudo: Diagnostic_studies / Observational_studies Limite: Adult / Female / Humans Idioma: En Revista: Rev Bras Ginecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil