Resumo

ASTURIZAGA RODRIGUEZ, David. Ivaa Sensitivityand Specificity Of The Test In Rural Area In Bolivia Gestiones 2012 2014. Cuad. - Hosp. Clín. [online]. 2017, vol.58, n.1, pp.9-18. ISSN 1562-6776.

SUMMARY OBJETIVE. It seeks to establish Sensitivity Specificity positive predictive value VPP and negative predictive value PPV of VIA test visual inspection with acetic acid in patients from rural areas of Bolivia, in the highlands Copacabana, semi plains Coripata, Chulumani and plains, San Borja and Riberalta in the Plurinational State of Bolivia, compared with PAP smearduring the steps 2012 to 2014. MATERIAL AND METHODS. After training to operators. Students fifth year of medicine escole, both the PAP sampling , technique and visual inspection with acetic acid and collecting epidemiological information. EMCN design community trial, we proceeded to the sampling in rural areas, in a single session using the following protocol: 1: Sampling ofPAP, byAyre spatula 2: Application ofthe test VIA (acid application acetic 5% vinegaron a cotton swab for 1 minute and then observing with lighting 100 watt bulb 3: Case - VIA positive Colposcopy immediately, Specialist 4: If COLPOSCOPYpositive - BIOPSY (Gold standart) 4: If not Wait - PAP result 5: Collecting data6: Information analysis in Excel database. 7: Presentation ofresults. RESULTS. 551 patients between 15 and 65 who live in rural area of Bolivia were student The prevalence of cases truly positives was 4.11%. The sensitivity of VIA or their capacity to diagnose was 100% and specificity of 84% Their PPVand NPV for VIA values were 25% and 87% respectively. In contrast, the PAP has a sensitivity just 16% and a specificity of 96% Their PPVand NPV values are 13% and 93%. DISCUSION. A truly high prevalence of positive cases found in this study in the rural area. High sensitivity for the diagnosis of truly sick is ratified by the VIA test in one session, feasible in rural areas, because the PAP did not match the VIA in most cases, it remains to follow up the second level, colposcopy positive chaos diagnosed by PAP 3.26%, which could increase the prevalence of truly positive cases in the rural area. This study suggests pursue new strategies for the detection, diagnosis and treatment particularly in women living in rural area and do not have easy access to care centers II or III level.

Palavras-chave : Visual Inspection; screening; cytodiagnosis; neoplasms of the cervix; Bolivia.

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