Proposta de Protocolo para Diagnóstico Inicial de Candidíase Vulvovaginal a Partir de Citologia Oncótica
DOI:
https://doi.org/10.36489/saudecoletiva.2025v16i102p17932-17943Palavras-chave:
Vulvovaginite, Colpocitologia, Levedura, Diagnóstico PrecoceResumo
Objetivo: Avaliar o desempenho da citologia oncótica na detecção de leveduras e propor um protocolo para o diagnóstico precoce da candidíase vulvovaginal. Método: Foram determinados os parâmetros de desempenho diagnóstico comparando a citologia oncótica com a cultura micológica, enquanto os sinais e sintomas clínicos foram considerados como referência diagnóstica. Resultados: Identificaram-se leveduras em 5% (18/358) dos esfregaços citológicos e em 15,6% (56/358) das culturas. A citologia oncótica apresentou especificidade e valor preditivo positivo de 100%, valor preditivo negativo de 88,8% e acurácia de 89,4%, evidenciando associação com o diagnóstico definitivo de candidíase vulvovaginal. Conclusão: A citologia oncótica constitui uma ferramenta inicial útil, embora não deva ser empregada isoladamente para excluir a infecção. O enfoque polifásico proposto pode otimizar o diagnóstico precoce, minimizar erros e promover uma atenção integral à saúde feminina.
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