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What can be expected from the cytologic examination of cervicovaginal smears for the diagnosis of Chlamydia trachomatis infections? Sekhri A,

 

 

les arabes en general et les algeriens qui publient dans des journaux anglo-saxons et americains se comptent sur les bouts des doigts d une main.seule evaluation scientifique non seulement par ses pairs d un tres haut niveau et le critere le plus important pour evaluer la recherche et le niveau de nos universites tout le reste  n est que bricolage ou ce qu on apelle journees scientifiques que ne sont d abord que des travaux des autres a tel point qu il une infalation de l organisation de ces souks ou kermesses "scientifiques"

What can be expected from the cytologic examination of cervicovaginal smears for the diagnosis of Chlamydia trachomatis infections?

Source

Laboratories of Histology, Faculty of Medicine, Louis Pasteur University, Strasbourg, France.et helas faculte de medecine de constantina algerie

Abstract

The value of Papanicolaou-stained smears for the diagnosis of chlamydial infections is still disputed. A comparative examination of smears from infected and uninfected women has allowed the proposal of a new scheme for the interpretation of the cytologic abnormalities associated with chlamydial infection. In particular, the appearances of metaplastic cells were classified, and two smear types were found to have the highest sensitivities and positive predictive values: smears in which the metaplastic cells had (1) intracytoplasmic vacuoles containing polymorphonuclear leukocytes or (2) numerous small intracytoplasmic vacuoles containing a central eosinophilic granule. The sensitivity of this method is low, however; cytology cannot replace bacteriologic identification for the diagnosis of chlamydial infections. Nevertheless, the examination of Papanicolaou-stained smears could be considered as a screening tool in low-risk populations; provided that all of the cytologic features were considered, presumptive diagnoses of chlamydial infections could be obtained.

PMID:
3201874
[PubMed - indexed for MEDLINE]

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25/05/2011
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