Protocolo Propuesto para el Diagnóstico Inicial de la Candidiasis Vulvovaginal Basado en la Citología Oncótica
DOI:
https://doi.org/10.36489/saudecoletiva.2025v16i102p17932-17943Palabras clave:
Vulvovaginitis, Prueba de Papanicolaou, Candidiasis, Diagnóstico precozResumen
Objetivo: Evaluar el desempeño de la citología oncótica en la detección de levaduras y proponer un protocolo para el diagnóstico precoz de la candidiasis vulvovaginal. Método: Se determinaron los parámetros de rendimiento diagnóstico comparando la citología oncótica con el cultivo micológico, mientras que los signos y síntomas clínicos se consideraron como referencia diagnóstica. Resultados: Se identificaron levaduras en el 5% (18/358) de los frotis citológicos y en el 15,6% (56/358) de los cultivos. La citología oncótica presentó especificidad y valor predictivo positivo del 100%, valor predictivo negativo del 88,8% y exactitud del 89,4%, evidenciando su asociación con el diagnóstico definitivo de candidiasis vulvovaginal. Conclusión: La citología oncótica constituye una herramienta inicial útil, aunque no debe emplearse de forma aislada para excluir la infección. El enfoque polifásico propuesto podría optimizar el diagnóstico temprano, minimizar los errores y promover una atención integral a la salud femenina.
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