An Evaluation About the Frequency of Trichomonas Vaginalis, Candida and Gardnerella Vaginalis at The Serviko-Vaginal Pap Smear Examination According to Age

Abstract

Objective: In this study, it is aimed to find the rates of vaginitis determinants identified at the pap smear examination according to age. Materials and Methods: The results of an examination of a total of 3831 pap smears were reviewed. 2001 Bethesda system was used in the pathological evaluation. As well as normal cervical findings, inflamation and epithelial cell abnormalities, vaginit agents such as Trichomonas vaginalis, Candida types and Gardnerella vaginalis were evaluated and reported, too. Results: Vaginal infection agents were found at 377 cases (% 9,8) of a total of 3831 pap smear. The determinants were, respectively, Gardnerella vaginalis in 319 cases (% 8,3), Candida in 46 cases (% 1,2), Trikomonas vaginalis in 12 cases (% 0,3). Age average at cases in which the agent of vaginal infection was identified, was 37,85± 9,61 for Gardnerella vaginalis and 36,29± 10,05 for Candida albicans, respectively. The lowest age was 26 and the maximum age was 53 for Trichomonas vaginalis.It was between the ages of 17-66 for Gardnerella vaginalis, 23-65 for Candida albicans. Conclusion: Vaginal infection agents may be identified in a pap smear examination. We consider that reporting these agents at pathology reports may contribute to the patient management in clinical.

Keywords

• Smear, Trichomonas vaginalis, Candida albicans, Gardnerella vaginalis

Serviko-Vajinal Pap Smear Taramasında Trichomonas Vaginalis, Candida ve Gardnerella Vaginalis Sıklığının Yaşa Göre Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı pap smear taramasında tespit edilen vajinit etkenlerinin yaş dağılımına göre oranlarını tespit etmektir. Gereç ve Yöntem: Toplam 3831 pap smear tarama sonucu tekrar gözden geçirildi. Patolojik değerlendirmede 2001 Bethesda sistemi kullanıldı. Normal servikal bulgular, inflamasyon, epitelyal hücre anormallikleri ile birlikte Trichomonas vaginalis, Candida türleri, Gardnerella vaginalis gibi vajinit ajanları değerlendirilerek rapor edildi. Bulgular: Toplam 3831 pap smearın 377 ( % 9,8 )' sinde vajinal enfeksiyon ajanı tespit edildi. Etkenler sırası ile 319 ( % 8,3 ) olguda Gardnerella vaginalis, 46 ( % 1,2 ) olguda Candida, 12 ( % 0,3 ) olguda Trichomonas vaginalis idi. Vajinal enfeksiyon ajanlarının tespit edildiği yaş ortalamaları ise sırası ile Gardnerella vaginalis için 37,85± 9,61, Candida için 36,29± 10,05 idi. Trichomonas vaginalis için en küçük yaş 26, en büyük yaş 53, Gardnerella vaginalis için 17- 66, Candida için 23- 65 yaş arasında idi. Sonuç: Pap smear taramasında vajinal enfeksiyon ajanları da tespit edilebilir. Patoloji raporlarında bu ajanların bildirilmesinin, klinik olarak hasta yönetimine katkıda bulunabileceğini düşünmekteyiz.

Keywords

• Smear, Trikomonas vaginalis, Candida albicans, Gardnerella vajinalis

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