title: [Vaginal discharge in pregnant women: comparison between syndromic approach and examination of clinical nursing practice].
abstract: This is a study for assessment of a quantitative approach in pregnant women (N=104), in which findings of vaginal infection were compared. The findings were obtained by two means, flowchart of vaginal discharge, and typical examinations in the clinical nursing practice. Data were collected from January to July 2011 through interviews and gynecological examinations. The flowchart showed no efficacy to identify candidiasis and trichomoniasis. Furthermore, it showed low sensitivity (0.0%; 50%) and positive predictive value (0.0%; 3.6%) for both infections, and low specificity for trichomoniasis (46%). The flowchart was shown to be satisfactory for bacterial vaginosis, with high sensitivity (100%), negative predictive value (100%), and accuracy (74%). We conclude that use of the flowchart should be reassessed, as it was not able to identify important infections in pregnant women. A continuous effort must be directed for development of effective tests in order to prevent the spread of infection and reduce the number of unnecessary treatments.
authors.affiliation: Universidade Federal do Ceará, Brasil, FortalezaCE, Doutoranda em Enfermagem, Universidade Federal do Ceará , Fortaleza , CE , Brasil .lianinhamara@yahoo.com.br.
authors.forename: Thais Marques
authors.initials: TM
authors.lastname: Lima
authors.affiliation: Universidade Federal do Ceará, Brasil, FortalezaCE, Doutoranda em Enfermagem, Universidade Federal do Ceará , Fortaleza , CE , Brasil.
authors.forename: Liana Mara Rocha
authors.initials: LM
authors.lastname: Teles
authors.affiliation: Universidade Federal do Ceará, Brasil, FortalezaCE, Mestranda em Enfermagem, Universidade Federal do Ceará , Fortaleza , CE , Brasil.
authors.forename: Amanda Souza
authors.initials: AS
authors.lastname: de Oliveira
authors.affiliation: Universidade Federal do Ceará, Brasil, FortalezaCE, Graduanda de Enfermagem, Universidade Federal do Ceará , Fortaleza , CE , Brasil.
authors.forename: Fernanda Câmara
authors.initials: FC
authors.lastname: Campos
authors.affiliation: Departamento de Farmácia, Universidade Federal do Ceará, Brasil, FortalezaCE, Professora Doutora, Departamento de Farmácia , Universidade Federal do Ceará , Fortaleza , CE , Brasil.
authors.forename: Rita de Cássia Carvalho
authors.initials: Rde C
authors.lastname: Barbosa
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Brasil, FortalezaCE, Professora Adjunta, Departamento de Enfermagem , Universidade Federal do Ceará , Fortaleza , CE , Brasil.
authors.forename: Ana Karina Bezerra
authors.initials: AK
authors.lastname: Pinheiro
authors.affiliation: Departamento de Enfermagem, Universidade Federal do Ceará, Brasil, FortalezaCE, Professora Adjunta, Departamento de Enfermagem , Universidade Federal do Ceará , Fortaleza , CE , Brasil.
authors.forename: Ana Kelve de Castro
authors.initials: AK
authors.lastname: Damasceno
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D009733:Nursing Diagnosis; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D019522:Vaginal Discharge / Q000175:diagnosis* / Q000382:microbiology*; D055815:Young Adult