The Utility of Blind Pap Tests in Young Adults with Developm
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In women with developmental delay there are no guidelines specific for who may not be able to tolerate a Pap test (PT) in the office setting. Thus a Study was conducted to assess the utility of a less invasive method, blind Pap (BP) for women with developmental delay, compared to traditional Pap (TP) performed in pediatric and adolescent gynecology (PAG) patients.

PAG patients who underwent TP and developmentally delayed PAG patients who underwent BP were included. Patients were less than 26 years of age. Charts were reviewed to identify those who underwent TP (speculum and direct visualization) versus BP (vaginal swab without speculum).

Results:
Of 328 PAG patients identified, 314 patients had TP (control), and 14 patients had BP (4.3%). The majority of PT were satisfactory in both groups.
--EC/TZ component was present in (90%) specimens within the TP group and (57%) in the BP group.
--TP group results varied, with most being negative for intraepithelial lesion or malignancy (NILM) (81.9%). All BP group pathology findings were NILM.

Conclusively, this study demonstrated an ability to collect PT in a less invasive manner. While all BP specimens were adequate, only 57% reported EC/TZ component present, compared to 90% of TP specimens.

Source: https://www.jpagonline.org/article/S1083-3188(20)30406-X/fulltext
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