Proposed for Early Diagnosis of Vulvovaginal Candidiasis Using Oncotic Cytology
DOI:
https://doi.org/10.36489/saudecoletiva.2025v16i102p17932-17943Keywords:
Vulvovaginitis, Papanicolaou test, Yeast, Early DiagnosisAbstract
Objective: To evaluate the performance of cervical cytology in detecting yeast and propose a protocol for the early diagnosis of vulvovaginal candidiasis. Method: Diagnostic performance parameters were determined by comparing cervical cytology with mycological culture, while clinical signs and symptoms were considered as the diagnostic reference. Results: Yeast was identified in 5% (18/358) of cytological smears and in 15.6% (56/358) of cultures. Cervical cytology had a specificity and positive predictive value of 100%, a negative predictive value of 88.8%, and an accuracy of 89.4%, demonstrating an association with a definitive diagnosis of vulvovaginal candidiasis. Conclusion: Cervical cytology is a useful initial tool, although it should not be used alone to exclude infection. The proposed polyphasic approach can optimize early diagnosis, minimize errors, and promote comprehensive women's health care.
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