Frecuencia de trichomoniasis vaginal en mujeres suspuestamente sanas

Se realizó un estudio de la frecuencia de trichomoniasis en 5 hospitales de diferentes municipios de Ciudad de La Habana, en un total de 427 mujeres sin antecedentes de enfermedades ginecológicas que acudieron a los laboratorios de microbiología de esos centros en el período comprendido entre mayo y septiembre de 1997. Treinta y cinco mujeres del total estudiado resultaron ser portadoras de Trichomonas vaginalis, lo cual se corresponde con una frecuencia de positividad de 8,2 %. De acuerdo con la edad, el mayor porcentaje de positividad (16,1) correspondió al grupo comprendido entre 15 y 20 años. El diagnóstico por el método de cultivo in vitro resultó tener una mayor sensibilidad con respecto al examen directo del exudado vaginal. El tiempo de lectura a las 48 h aportó la mayor positividad diagnóstica.The frequency of trichomoniasis in 5 hospitals from different municipalities of Havana City was studied among 427 women with no history of gynecological diseases that attended the microbiology laboratories of these centers from May to September, 1997. 35 women of the total of women studied proved to be carriers of Trichomonas vaginalis, which accounts for a positivity frequency of 8.2 %. According to age, the highest percentaje of positivity (16.1) corresponded to the group aged 15-20. The diagnosis by culture in vitro had a greater sensitivity compared with the direct examination of the vaginal exudate. The reading obtained at 48 hours showed the highest diagnostic positivity

How is the ultrasound in rheumatology used, implemented, and applied in Latin American centers? Results from a multicenter study

This study aimed to perform an overview of how ultrasound (US) is being used, implemented, and applied in rheumatologic centers in Latin America (LA). A retrospective, multicenter 1-year experience study was undertaken. Eighteen centers from eight countries were involved. The following information were collected: demographic data, indication to perform an US examination, physician that required the examination, and the anatomical region required for the examination. A total of 7167 patients underwent an US examination. The request for US examinations came most frequently from their own institution (5981 (83.45 %)) than from external referral (1186 (16.55 %)). The services that more frequently requested an US examination were rheumatology 5154 (71.91 %), followed by orthopedic 1016 (14.18 %), and rehabilitation 375 (5.23 %). The most frequently scanned area was the shoulder in 1908 cases (26.62 %), followed by hand 1754 (24.47 %), knee 1518 (21.18 %), ankle 574 (8.01 %), and wrist 394 (5.50 %). Osteoarthritis was the most common disease assessed (2279 patients (31.8 %)), followed by rheumatoid arthritis (2125 patients (29.65 %)), psoriatic arthritis (869 patients (12.1 %)), painful shoulder syndrome (545 (7.6 %)), connective tissue disorders (systemic sclerosis 339 (4.7 %), polymyositis/dermatomyositis 107 (1.4 %), Sjögren’s syndrome 60 (0.8 %), and systemic lupus erythematosus 57 (0.8 %)). US evaluation was more frequently requested for diagnostic purposes (3981 (55.5 %)) compared to follow-up studies (2649 (36.9 %)), research protocols (339 (4.73 %)), and invasive guided procedures (198 (2.76 %)). US registered increasing applications in rheumatology and highlighted its positive impact in daily clinical practice. US increases the accuracy of the musculoskeletal clinical examination, influence the diagnosis, and the disease management. © 2016, International League of Associations for Rheumatology (ILAR)

How is the ultrasound in rheumatology used, implemented, and applied in Latin American centers? Results from a multicenter study

This study aimed to perform an overview of how ultrasound (US) is being used, implemented, and applied in rheumatologic centers in Latin America (LA). A retrospective, multicenter 1-year experience study was undertaken. Eighteen centers from eight countries were involved. The following information were collected: demographic data, indication to perform an US examination, physician that required the examination, and the anatomical region required for the examination. A total of 7167 patients underwent an US examination. The request for US examinations came most frequently from their own institution (5981 (83.45 %)) than from external referral (1186 (16.55 %)). The services that more frequently requested an US examination were rheumatology 5154 (71.91 %), followed by orthopedic 1016 (14.18 %), and rehabilitation 375 (5.23 %). The most frequently scanned area was the shoulder in 1908 cases (26.62 %), followed by hand 1754 (24.47 %), knee 1518 (21.18 %), ankle 574 (8.01 %), and wrist 394 (5.50 %). Osteoarthritis was the most common disease assessed (2279 patients (31.8 %)), followed by rheumatoid arthritis (2125 patients (29.65 %)), psoriatic arthritis (869 patients (12.1 %)), painful shoulder syndrome (545 (7.6 %)), connective tissue disorders (systemic sclerosis 339 (4.7 %), polymyositis/dermatomyositis 107 (1.4 %), Sjögren’s syndrome 60 (0.8 %), and systemic lupus erythematosus 57 (0.8 %)). US evaluation was more frequently requested for diagnostic purposes (3981 (55.5 %)) compared to follow-up studies (2649 (36.9 %)), research protocols (339 (4.73 %)), and invasive guided procedures (198 (2.76 %)). US registered increasing applications in rheumatology and highlighted its positive impact in daily clinical practice. US increases the accuracy of the musculoskeletal clinical examination, influence the diagnosis, and the disease management. © 2016, International League of Associations for Rheumatology (ILAR)