TRICOMONÍASE: ABORDAGEM DIAGNÓSTICA CLÍNICA E LABORATORIAL: CRITÉRIOS DE CONFIRMAÇÃO E TESTES RECOMENDADOS
DOI:
https://doi.org/10.71248/443ev396Keywords:
Diagnóstico, Doenças Sexualmente Transmissíveis, Técnicas e Procedimentos Diagnósticos, Trichomonas vaginalis, TricomoníaseAbstract
Este estudo teve como objetivo analisar a abordagem diagnóstica clínica e laboratorial da tricomoníase, destacando os critérios de confirmação e os testes recomendados na prática assistencial. Trata-se de uma revisão integrativa da literatura, realizada a partir de buscas nas bases PubMed e LILACS, com seleção de estudos publicados nos últimos cinco anos, em português, inglês e espanhol, disponíveis na íntegra e relacionados ao diagnóstico da infecção por Trichomonas vaginalis. Os achados demonstraram que a avaliação clínica, embora importante para a suspeição diagnóstica, possui baixa acurácia quando utilizada isoladamente, devido à inespecificidade dos sinais e sintomas e à elevada frequência de casos assintomáticos. Entre os métodos laboratoriais, a microscopia a fresco permanece útil em contextos com poucos recursos, porém apresenta sensibilidade limitada. Em contrapartida, os testes de amplificação de ácidos nucleicos mostraram melhor desempenho diagnóstico, com elevada sensibilidade e especificidade, sendo considerados os métodos mais adequados para confirmação da infecção. Conclui-se que a associação entre avaliação clínica e testes laboratoriais sensíveis é essencial para um diagnóstico mais preciso, manejo oportuno e redução da transmissão da tricomoníase.
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