出版社：Asociación Latinoamericana de Profesores de Medicina Familiar A.C.
摘要：Objetivo: Determinar las caracteristicas sociodemograficas y la frecuencia de cervicovaginitis en las nuevas usuarias del dispositivo intrauterino (DIU). Diseno: Cohorte descriptiva. Material y metodos: Se integro una cohorte con mujeres que acudieron para la aplicacion del DIU al modulo de salud reproductiva de la Unidad de Medicina Familiar No. 66 del Instituto Mexicano del Seguro Social, en Xalapa, Veracruz de febrero a septiembre de 2005. Las pacientes incluidas tenian entre 18 y 45 anos de edad sin cervicovaginitis. A cada una de las pacientes seleccionadas se le realizo una exploracion ginecologica, la medicion del pH, prueba de aminas, el frotis en fresco y tincion de Gram antes de su ingreso, al mes y a los dos meses de seguimiento, para descartar o confirmar la existencia de la cervicovaginitis. De esta forma se lograron obtener las frecuencias absolutas y relativas de las variables. Se utilizaron los paquetes estadisticos: Excel 2003, Statistica version 6.1 y Harvard Graphics 4.0. Resultados: Las 43 mujeres incluidas persistieron durante esta investigacion. La mayoria eran amas de casa, con edades entre 20 y 24 anos, casadas, monogamicas, que habian iniciado vida sexual activa antes de los 20 anos y pertenecian a familias nucleares con pobreza familiar baja. La frecuencia de cervicovaginitis al primer mes de insercion del DIU fue de 14%, al segundo mes del 2%; predomino la etiologia bacteriana (71 %). Conclusiones: Conocimos las caracteristicas sociodemograficas, la frecuencia de cervicovaginitis, y la importancia de detectar infecciones previas a colocar el DIU.
其他摘要：Objective: Determining the sociodemographic characteristics and the frequency of cervicovaginitis in new users of an intrauterine device (IUD). Design: Descriptive cohort. Methods: A cohort was made up of 43 women who were seen at the clinic for application of an IUD in the Family Medicine Unit (FMU) Reproductive Health Module 66, Mexican Institute of Social Security (IMSS) in Xalapa, Veracruz, Mexico during the period from February to September, 2005. Patients were aged from 18¿45 years, without cervicovaginitis, and excluding pregnant women. Patients who had their IUDs removed prior to 2 months of use were eliminated from the study. Gynecologic examination, pH measurement, amine test, fresh smear on glass slide, and Gram staining were carried out on study participants prior to admittance, and after 1 month and 2 months of follow-up, to discard or confirm cervicovaginitis. Absolute and relative frequencies of variables were obtained by utilizing the Excel 2003 statistical package, Statistica 6.1 version and Harvard Graphics 4.0. software Results Of the 43 women included, none was lost, there was predominance of homemakers aged 20¿24, married, with an active sexual life beginning orior to the age of 20 years, who were monogamous, members of nuclear families, and low family poverty. Frequency of cervicovaginitis at the end of the first month of IUD insertion was 14%, and at the end of the second month, of 2%, with a predominance of bacterial etiology (71%). Conclusions: We identified sociodemographic characteristics, frequency of cervicovaginitis, and the importance of detecting infections prior to IUD placement.
