Diagnóstico de HPV: o processo de interação da mulher com seu parceiro

Pesquisa descritiva, com abordagem qualitativa, que objetivou analisar o processo de interação da mulher com seu parceiro a partir do diagnóstico de infecção pelo papilomavírus humano (HPV). Foi realizada em treze comunidades dos municípios de Duque de Caxias e Nova Iguaçu, Estado do Rio de Janeiro, de outubro/2006 a setembro/2008. Foram entrevistadas 20 mulheres com diagnóstico de infecção pelo HPV de alto risco oncogênico. Os pressupostos do Interacionismo Simbólico e da Grounded Theory nortearam a coleta e análise dos dados. Os resultados revelaram que o diagnóstico do HPV significa sérios desafios no relacionamento das mulheres com seu parceiro principalmente no que se refere à adoção de medidas preventivas. Conclui-se que estas questões indicam a necessidade de um atendimento humanizado que favoreça o empoderamento das mulheres

Accuracy of a self-collection kit for the microbiological study of the vaginal content

Diagnosis of vaginal discharge is frequently performed in an empirical way, leading to inadequate treatment. This study tested the accuracy of a self-collection kit for microbiological study of the vaginal content. One hundred and forty-two women of Family Health Program units in Niteroi and Pirai cities were enrolled in order to have their vaginal content studied. A brief explanation and a self-collection kit were provided in order to sample the vaginal content. The self-collection kit was composed of one empty plastic tube, two glass slides, a long handle cytobrush, an identification card and guideline notes. The vaginal sample was applied on the glass slides by the women and stained by Gram technique. A second sampling was done by the medical personnel. The microbiological diagnosis in a blinded analysis was made under optical microscopy. A validation diagnosis test was done taking the medical collection results as a gold standard. A total of 106 women had followed the protocol and were included in the study. Microbiological analysis was unsatisfactory in 12 cases (6 cases of self-collection material and 6 cases of medical collection). The microbiological analyses in the self-collection and in the medical collection material were respectively: bacterial vaginosis in 21.7% and 17.9%, non bacillar flora in 10.3% and 11.3%, vaginal trichomoniasis in 5.66% and 5.6%, candidiasis in 3.78% and 2.8% and a normal microbiota in 52.8% and 56.6%. The Kappa coefficient suggested a "very good correlation" of the microbiological results between the two methods of collection (K=0.7945). The self-collection kit provides samples for microbiological analysis of the vaginal microbiota as good as medical collection.11224925

Evaluation of hygienic douching on the vaginal microflora of female sex workers

To determine the frequency of abnormal vaginal flora and bacterial vaginosis (BV) in female sex workers (FSW) and the association between douching and vaginal microflora. imbalance, a cross-sectional study enrolled 94 users and 61 non-users of vaginal douching. The social-demographic and sexual profile of these women was obtained and their abnormal vaginal flora, BV, vaginal candidiasis, trichomoniasis and cytolitic vaginosis on blinded samples were identified by Gram stain. A stepwise multivariate, regression determined the risk of development of vaginal microflora. imbalance. Prevalence of abnormal flora, BV, candidiasis, trichomoniasis and cytolytic vaginosis in the entire FSW was 75.5%, 51.0%, 5.1%, 0.64% and 1.9%, respectively. There were no significant differences in these findings between users and non-users of vaginal douching. Regression analysis did not identify any increased risk for altered vaginal flora or BV in vaginal douche users. In conclusion, vaginal douching did not increase the rate of these alterations in FSW.181177077