Takei Hidehiro, Ruiz Bernardo, Hicks John
Department of Pathology, Baylor College of Medicine, Houston, TX 77030, USA.
Am J Clin Pathol. 2006 Jun;125(6):855-9. doi: 10.1309/4MM7-0KG5-88EM-045R.
We compared the effectiveness of SurePath (TriPath Imaging, Burlington, NC) with that of conventional Papanicolaou smears (CP) to demonstrate microorganisms in cervicovaginal smears. Samples from 904 randomly selected cases were examined at the Medical Center of Louisiana clinics for 2 years--the year before and the year after the implementation of SurePath. One observer reviewed the CP and SurePath preparations for detection of microorganisms. Comparison of the 2 systems was made, taking into accounting patient age, ethnicity, and previous hysterectomy and seasonal variation in prevalence. A seasonal variation was observed in the prevalence of candidiasis. Trichomonas and a shift in bacterial flora were detected more often with CP than with SurePath (13.4% vs 8.3% and 38.7% vs 30.2%, respectively). In contrast, candidiasis was detected more frequently with SurePath than with CP (13.7% vs 7.7%). At the Medical Center of Louisiana clinics, CP was more effective for detecting trichomoniasis and bacterial vaginosis; SurePath was more effective for detecting candidiasis.
我们比较了SurePath（TriPath Imaging公司，北卡罗来纳州伯灵顿市）与传统巴氏涂片（CP）在检测宫颈阴道涂片微生物方面的有效性。在路易斯安那医疗中心诊所对904例随机选取病例的样本进行了为期两年的检查——实施SurePath之前一年和之后一年。由一名观察者检查CP和SurePath涂片以检测微生物。比较这两种系统时，考虑了患者年龄、种族、既往子宫切除术情况以及患病率的季节性变化。观察到念珠菌病患病率存在季节性变化。CP检测滴虫和细菌菌群变化的频率高于SurePath（分别为13.4%对8.3%和38.7%对30.2%）。相反，SurePath检测念珠菌病的频率高于CP（13.7%对7.7%）。在路易斯安那医疗中心诊所，CP在检测滴虫病和细菌性阴道病方面更有效；SurePath在检测念珠菌病方面更有效。
