IMR Press / CEOG / Volume 47 / Issue 2 / DOI: 10.31083/j.ceog.2020.02.5193
Open Access Original Research
Candida albicans infection of cervix and comparison of Pap smear and culture in diagnosis
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1 Department of Obstetrics and Gynecology, Ortadoğu Hospital, Adana, Turkey
2 Department of Medical Microbiology, Konya Hospital, Konya, Turkey
3 Department of Pathology, Medical Faculty, Necmettin Erbakan University, Konya, Turkey
4 Department of Medical Microbiology, Anıt Hospital, Konya, Turkey
5 Department of Obstetrics and Gynecology, Şemdinli State Hospital, Hakkari, Turkey
*Correspondence: (T. TOKA ÖZER)
Clin. Exp. Obstet. Gynecol. 2020, 47(2), 253–256;
Published: 15 April 2020
Copyright: © 2020 Cengiz et al. Published by IMR Press.
This is an open access article under the CC BY-NC 4.0 license (

Purpose: The Pap smear is a routine screening test for the detection of cervical abnormalities viral, bacterial, and fungal infections of the uterine cervix, The aim of this study is to investigate if Pap smear is an alternative to cervicovaginal culture in the diagnosis of asymptomatic Candida. Materials and Methods: A retrospective analysis of 133 non-pregnant asymptomatic cases were included. Candida spp. positive cases in Pap smear and/or culture were compared. Results: Candida spp. was found in 45 cases in culture and 40 cases of Candida in Pap smear examination. The sensitivity of Pap smear was 88%, specificity was 100%, the positive predictive value was 100%, the negative predictive value was 94%, and the overall power of the test (test validity) was 96%. It was detected that 33.83% of the asymptomatic cases had Candida infection. Conclusion: Pap smear can be used as a first-line examination method.

Pap smear
Candida infections
Cervicovaginal culture
Sabourad dextrose agar
Screening test
Figure 1.
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