{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T21:10:32Z","timestamp":1675199432748},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2002,10]]},"abstract":"<jats:p>OBJETIVO: Hay un aumento significativo de pacientes con Secreci\u00f3n Genital Femenina, en el Sector P\u00fablico del gran Buenos Aires. Fue necesario actualizar la prevalencia de los microorganismos asociados a los efectos de revisar el apoyo necesario de laboratorio y ajustar las medidas de prevenci\u00f3n y control. M\u00c9TODOS: Se incorporan a este estudio, la totalidad de los casos atendidos (1997-1998): 84 adolescentes (15 a 19 a\u00f1os) y 784 adultas (20 a 60 a\u00f1os) sintom\u00e1ticas. El protocolo incluye (secreci\u00f3n vaginal y endocervical) detecci\u00f3n de Neisseria gonorrhoeae, Streptococcus agalactiae, Trichomonas vaginalis, Candida spp y vaginosis bacteriana. Aplicando m\u00e9todos espec\u00edficos directos y cultivo, Chlamydia trachomatis (detecci\u00f3n de ant\u00edgeno), Ureaplasma urealitycum y Mycoplasma hominis (cultivos) fueron estudiados en parte de la poblaci\u00f3n total. RESULTADOS: El aumento de la demanda de consulta fue continuo desde 1997 y aument\u00f3 2.10 veces del primero al \u00faltimo semestre de 1998. En las mujeres adultas se encontr\u00f3: vaginosis bacteriana, 23,8%; Candida spp 17,8%; S. agalactiae 5,6%; T. vaginalis 2,4%. En 50,3% no se detecto ninguno. En adolescentes se detect\u00f3: vaginosis bacteriana, 17,8%; Candida spp 29,7%; S. agalactiae 3,6%, T. vaginalis 2,4%: En 46,4% de los casos el resultado fue negativo. En el grupo de mujeres adultas sintom\u00e1ticas, no en la totalidad, se detect\u00f3: C. trachomatis (7\/400) 1,76%, U. urealyticum (209\/340) 61,4% y M. hominis (45\/272) 16,5%. CONCLUSIONES: El aumento significativo de consultas se debe a problemas sociales en la poblaci\u00f3n, no al aumento de ninguna patolog\u00eda en especial. Impacta como problema cl\u00ednico concreto la prevalencia de vaginosis bacteriana y Candida spp. Llama la atenci\u00f3n, la nula incidencia de N. gonorrhoeae y la baja circulaci\u00f3n de T. Vaginalis y C. trachomatis, en este tipo de poblaci\u00f3n. La prevalencia de U. urealyticum y M. hominis es alta, pero su real participaci\u00f3n en la patolog\u00eda genital de adultas debe ser reconsiderada. Las prevalencias establecidas motivan la necesidad de adecuar los manuales de procedimientos apuntando a la aplicaci\u00f3n de metodolog\u00edas simples de alto valor predictivo.<\/jats:p>","DOI":"10.1590\/s0034-89102002000600002","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T14:24:48Z","timestamp":1114611888000},"page":"545-552","source":"Crossref","is-referenced-by-count":8,"title":["Prevalencia de microorganismos asociados a secreci\u00f3n genital femenina, Argentina"],"prefix":"10.1590","volume":"36","author":[{"given":"Susana","family":"Di Bartolomeo","sequence":"first","affiliation":[{"name":"Ministerio de Salud y Acci\u00f3n Social de la Naci\u00f3n, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo","family":"Rodriguez Fermepin","sequence":"additional","affiliation":[{"name":"Universidad de Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego H","family":"Sauka","sequence":"additional","affiliation":[{"name":"Universidad de Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram\u00f3n Alberto de","family":"Torres","sequence":"additional","affiliation":[{"name":"Universidad de Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"14","article-title":"Non specific vaginitis: dagnostic and microbial and epidemiological associations","volume":"74","author":"Amsel IR","year":"1983","journal-title":"Am J Med","ISSN":"http:\/\/id.crossref.org\/issn\/0002-9343","issn-type":"print"},{"key":"ref2","series-title":"Microbiolog\u00eda biom\u00e9dica","author":"Basualdo JA","year":"1996"},{"key":"ref3","series-title":"Epi-Info 5: a word processing, database and statistics program for epidemiology by microprocessors","author":"Dean AG","year":"1990"},{"key":"ref4","first-page":"134","article-title":"Dimensi\u00f3n de la 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