Qualidade das amostras de esfregaços cérvico-uterinos colhidas no município de Cajazeiras - Paraíba.

Abstract

The cytopathologic examination has an important role in the detection of precursor lesions is the most widely used method for screening of cervical cancer. Which, i f detected early, there are great chances of cure. The objective of this study was to evaluate the results of preventive examinations performed in the city of Cajazeiras - Paraiba, In relation to th quality of the material collected and the main reasons attributed to limitation or inadequacy of samples for analysis. Cross-sectional study was conducted with secondary data provided by Database Department of the Unified Health System (DATASUSnet). We analyzed 3.664 result of examinations cytopathologic harvested in the municipality of Cajazeiras, during the year of 2010. It was found that no blade in this period was rejected for analysis. However, 34 samples were considered unsatisfactory, due to problems of representation of cells (82%) and erros in the implementation of the procedure (18%). It was also analyzed the quality of celular material found in the samples. The results showed that, in almost all., the presence of squamous cells was observed (3.663), however, to a lesser extent glandular cells (515) and metaplasics (448). These findings support the assumption that the procedure for scraping of the cells ecto and endocervical does not occur in a satisfactory manner in most procedures for professionals that are not using the endocervical brush for collection. It is concluded that although the professionals are identifying adequately the slides sent to the laboratory of cytopathology, and that the frequency of technical errors has been small, there is a need for a local policy of permanent training for professionals in the Family Health Strategy, for that they are aware of the importance of performing the procedure in an appropriete way to channel efforts to guide and dissemination of information related to the magnitude of the uterine cervix cancer and its prevention through the method of Papanicolaou.