Indian Journal of Sexually Transmitted Diseases and AIDS
ORIGINAL ARTICLE
Year
: 2020  |  Volume : 41  |  Issue : 2  |  Page : 143--148

Papanicolaou smear: A diagnostic aid in sexually transmitted infections


Sabeena Jayapalan, RS Bindu 
 Department of Dermatology and Venereology, Government Medical College, Thiruvananthapuram, Kerala, India

Correspondence Address:
Dr. Sabeena Jayapalan
Department of Dermatology and Venereology, Government Medical College, Thiruvananthapuram - 695 011, Kerala
India

Background: Sexually transmitted infections (STIs) are a major public health problem in developing countries, and treatment with the right medicine at the right time is necessary to reduce transmission and improve sexual and reproductive health. Laboratory diagnosis has undergone changes in the recent years. The new generation tests are not cost-effective in resource-poor settings. Papanicolaou smear (Pap smear) of the cervix is a simple, quick, and inexpensive screening procedure for cervical cancer that can also give a clue to the presence of STIs. Methods: A hospital-based cross-sectional design with fifty patients was conducted studied. The initial diagnosis based on clinical findings and routine laboratory results was compared with the final diagnosis incorporating Pap smear results. Results: The Pap smear was abnormal in 96%, and the abnormalities were koilocytosis (30%), endocervicitis (24%), Trichomonas vaginalis (16%), multinucleated giant cells (10%), low-grade squamous intraepithelial lesion (10%), and clue cells (8%). Pap smear could diagnose an infection in 64%, of which 38% were asymptomatic. Clinical and Pap smear correlation was found only in 26% of the patients. Conclusion: Along with the conventional methods, Pap smear can be a valuable tool in diagnosing STIs. This can detect asymptomatic infections, not detected by conventional methods, thus preventing complications and further spread in the community. Asymptomatic human papillomavirus (HPV) infection and trichomoniasis are the two STIs that can be easily detected by Pap smear. By detecting asymptomatic cervical HPV infection, the patients at risk for carcinoma of the cervix can be identified and referred to gynecology department for further management.


How to cite this article:
Jayapalan S, Bindu R S. Papanicolaou smear: A diagnostic aid in sexually transmitted infections.Indian J Sex Transm Dis 2020;41:143-148


How to cite this URL:
Jayapalan S, Bindu R S. Papanicolaou smear: A diagnostic aid in sexually transmitted infections. Indian J Sex Transm Dis [serial online] 2020 [cited 2021 Apr 14 ];41:143-148
Available from: https://www.ijstd.org/article.asp?issn=2589-0557;year=2020;volume=41;issue=2;spage=143;epage=148;aulast=Jayapalan;type=0