Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/2979
DC FieldValueLanguage
dc.contributor.authorPillay, Pavitraen_US
dc.contributor.authorvan Lieshout, Lisetteen_US
dc.contributor.authorTaylor, Myraen_US
dc.contributor.authorSebitloane, Motshedisien_US
dc.contributor.authorZulu, Siphosenkosi Giften_US
dc.contributor.authorKleppa, Elisabethen_US
dc.contributor.authorRoald, Borghilden_US
dc.contributor.authorKjetland, Eyrun Floereckeen_US
dc.date.accessioned2018-05-24T07:33:42Z-
dc.date.available2018-05-24T07:33:42Z-
dc.date.issued2016-04-20-
dc.identifier.citationPillay, P. et al. 2016. Cervical cytology as a diagnostic tool for female genital schistosomiasis : correlation to cervical atypia and Schistosoma polymerase chain reaction. Cytojournal. 13: 10.en_US
dc.identifier.issn0974-5963 (print)-
dc.identifier.issn1742-6413 (online)-
dc.identifier.urihttp://hdl.handle.net/10321/2979-
dc.description.abstractBackground: Female genital schistosomiasis (FGS) is a tissue reaction to lodged ova of Schistosoma haematobium in the genital mucosa. Lesions can make the mucosa friable and prone to bleeding and discharge. Women with FGS may have an increased risk of HIV acquisition, and FGS may act as a cofactor in the development of cervical cancer. Objectives: To explore cytology as a method for diagnosing FGS and to discuss the diagnostic challenges in low-resource rural areas. The correlation between FGS and squamous cell atypia (SCA) is also explored and discussed. Cytology results are compared to Schistosoma polymerase chain reaction (PCR) in vaginal lavage and urine and in urine microscopy. Materials and Methods: In a clinical study, 394 women aged between 16 and 23 years from rural high schools in KwaZulu-Natal, South Africa, underwent structured interviews and the following laboratory tests: Cytology Papanicolaou (Pap) smears for S. haematobium ova and cervical SCA, real-time PCR for Schistosoma-specific DNA in vaginal lavage and urine samples, and urine microscopy for the presence of S. haematobium ova. Results: In Pap smears, S. haematobium ova were detected in 8/394 (2.0%). SCA was found in 107/394 (27.1%), seven of these had high-grade squamous intraepithelial lesion (HSIL). Schistosoma specific DNA was detected in 38/394 (9.6%) of vaginal lavages and in 91/394 (23.0%) of urines. Ova were found microscopically in 78/394 (19.7%) of urines. Conclusion: Schistosoma PCR on lavage was a better way to diagnose FGS compared to cytology. There was a significant association between S. haematobium ova in Pap smears and the other diagnostic methods. In low-resource Schistosoma-endemic areas, it is important that cytology screeners are aware of diagnostic challenges in the identification of schistosomiasis in addition to the cytological diagnosis of SCA. Importantly, in this study, three of eight urines were negative but showed Schistosoma ova in their Pap smear, and one of them was also negative for Schistosoma DNA in urine. In this study, SCA was not significantly associated with schistosomiasis. HSIL detected in this young population might need future consideration.en_US
dc.format.extent10 pen_US
dc.language.isoenen_US
dc.publisherCytopathology Foundation Inc with Wolters Kluweren_US
dc.relation.ispartofCytoJournalen_US
dc.subjectCervical atypiaen_US
dc.subjectCytologyen_US
dc.subjectFemale genital schistosomiasisen_US
dc.subjectGynecologyen_US
dc.subjectLaboratory diagnosticsen_US
dc.subjectReal-time polymerase chain reactionen_US
dc.titleCervical cytology as a diagnostic tool for female genital schistosomiasis : correlation to cervical atypia and Schistosoma polymerase chain reactionen_US
dc.typeArticleen_US
dc.publisher.urihttp://www.cytojournal.com/article.asp?issn=1742-6413;year=2016;volume=13;issue=1;spage=10;epage=10;aulast=Pillayen_US
dc.dut-rims.pubnumDUT-005636en_US
dc.description.availabilityCopyright: 2016. Wolters Kluwer -- Medknow Publications. Due to copyright restrictions, only the abstract is available. For access to the full text item, please consult the publisher's website. The definitive version of the work is published in CytoJournal, Vol 13. 10 Pages. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854169/en_US
dc.identifier.doi10.4103/1742-6413.180784-
local.sdgSDG03-
local.sdgSDG04-
item.languageiso639-1en-
item.openairetypeArticle-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.grantfulltextnone-
Appears in Collections:Research Publications (Applied Sciences)
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