A importância da citologia na detecção de agentes infecciosos em esfregaços do trato genital feminino inferior

Abstract

The Pap test is a wide method used to detect cervical cancer as pre-cancer lesions. This exam can identify the morphology of microbiological agent and cytopatic alterations that some agents could cause. The objective of this work was to evaluate the importance of pap test on the detection of microbiological agent by the study of its prevalence found in cytological smears from women attended by Gynecolgy and Obstetrics’ surgery of HUSM from January, 2002 to December, 2003. In that way, data registered in the folder of HUSM has been analyzed as well as cytological exams reports. From 2006 samples, was verified a predominance of lactobacillus (34,45%) in the feminine genital tract. Among the infected agent, the G. vaginalis was the most prevalent (8,03%). The ages most committed range was between 20 – 30 years old. Among pregnant women, Candida spp (44,93%) was the most prevalent agent. In HIV patients the G. vaginalis as Candida spp were the most prevalent. Among the exams, 7,12% showed ASCUS, pre-maligned and maligned lesion in the squamous cells and among them a expressive number of organisms was observed. The data shows a high number of microbiological agents found with the cytological exam and prove the importance and efficacy of this method in the diagnosis and detection of these agents.