Cytological abnormalities and the accuracy of citology as the screening method in HIV seropositive Aids/women

Authors

  • Susana C.A.V. Fialho
  • Gutemberg L. Almeida Filho
  • Mauro R.L. Passos
  • Paula M. maldonado
  • Isabel C. do Val
  • Ângela C.V. de Andrade

Keywords:

Human Papilloma vírus, Cervical Inlraepithelial Neoplasia, Adquired Immunodeficiency Syndrome, Human Immunodeficiency Virrus, Pap smear

Abstract

Background; the number of HIV infected women has increased and the immunosupression due to HIV infection has been changing HPV's natural history. High- risk (HR4IPV) are considered the main agent in inducing the development of CIN. Therefore, HIV seropositive women have a high incidence of CIN. Pap smear is used as the screening method in the detection of such lesions. Objective: to analyse the accuracy of Pap smear as the screening method in HIV  seroposilivc/Aids women. Method: descriptive transversal study in 130 HIV infected/ Aids women The clinical aspects observed in the lower genital tract  have been analysed through Pap smear, colposcopy and directed biopsy. Results: Pap smear and the histopatology showed mild agreement. Pap smear  sensibility and especificily in the detection of HPV and CIN were 0.78 and 0.57. respectively. Conclusion: the Pap smear should be used as a screening method in HIV seropositive women.

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Author Biographies

Susana C.A.V. Fialho

Mestre cm Ginecologia pelo Instituto dc Ginecologia da UFR.

Gutemberg L. Almeida Filho

Professor Adjunto Doutor do Instituto de Ginecologia da UFRJ.

Mauro R.L. Passos

Professor Adjunto Doutor do Setor DST/MIP/CMB/CCM da UFF.

Paula M. maldonado

Chefe do Setor de Patologia Cervical do Instituto de Ginecologia da UFRJ.

Isabel C. do Val

Doutora em Ginecologia pelo Instituto de Ginecologia da UFRJ.

Ângela C.V. de Andrade

Estagiária do Setor de Patologia Cervical do Instituto dc Ginecologia da UFRJ.

Published

2002-02-15

How to Cite

1.
Fialho SC, Almeida Filho GL, Passos MR, maldonado PM, Val IC do, Andrade Ângela C de. Cytological abnormalities and the accuracy of citology as the screening method in HIV seropositive Aids/women. DST [Internet]. 2002 Feb. 15 [cited 2024 Mar. 29];14(1):16-9. Available from: https://www.bjstd.org/revista/article/view/381

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Section

Original Article