Reproducibility of the diagnosis of cervicitis in pregnancy.
Reproducibility of the diagnosis of cervicitis in pregnancy.
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妊娠期宫颈炎诊断的可重复性。
DOI：
10.1055/s-2007-999695
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发表时间：
1988
影响因子：
2
通讯作者：
Polk,BF
中科院分区：
文献类型：
--
作者：
Repke,JT;Berlin,L;Spence,M;Horn,J;Niebyl,J;Kanchanaraksa,S;MacKenzie,E;Nugent,R;Polk,BF
宫颈炎与几种女性生殖道感染有关。诊断妇科人群宫颈炎的标准已经建立，但诊断产科人群宫颈炎的标准还没有建立。由于宫颈炎与性传播疾病的关联，以及由于性传播疾病与不良妊娠结局的关联，因此进行本研究以试图建立妊娠期宫颈炎的诊断标准。我们还试图确定关于观察者内和观察者间变异性的诊断重复性。我们的结论是，观察者内的变异性改善后，特定的培训已经完成，观察者间的变异性可能会降低到一个可接受的水平。从公共卫生的角度来看，这可能有助于在没有先进的微生物学技术的情况下，确定不良妊娠结局的高风险人群。
Cervicitis has been associated with several infections of the female genital tract. Criteria have been established for making the diagnosis of cervicitis in gynecologic populations but there are no well-established criteria for diagnosing cervicitis in obstetrical populations. Because of the association of the cervicitis and sexually transmitted diseases, and because of the association of sexually transmitted diseases and adverse pregnancy outcome, the present study was undertaken in an attempt to establish criteria for the diagnosis of cervicitis in pregnancy. We also attempted to determine the reproduc-ibility of that diagnosis with respect to intra-and interobserver variability. We concluded that intraobserver variability is improved after specific training has been completed and that interobserver variability may be reduced to an acceptable level. On a public health scale, this may allow for identification of a population at high risk for adverse pregnancy outcome when sophisticated microbiologic techniques are unavailable.