Study of Prevalence of Abnormal Pap Smear and its Associated Risk Factors in HIV Positive Women: A Cross-sectional Study.

Autor: Prathima S; Department of OBG, Bangalore Medical College & Research Institute, #22/C, 7th Main Road, Sharada Colony, Basaveshwaranagar, Bangalore, 560079 India., Sarojini; Department of OBG, Bangalore Medical College & Research Institute, #55, 11th Main Road, Malleshwaram, Bangalore, 560003 India., Latha B; Department of Pathology, Bangalore Medical College & Research Institute, #961/8, 14th A Cross, 3rd phase, HIG-A Sector, NewTownship, Yelahanka, Bangalore, 560064 India., Ashakiran TR; Department of OBG, Bangalore Medical College & Research Institute, #620, A4 Block, Krishna Block, National Games Village, Koramangala, Bangalore, 560047 India.
Jazyk: angličtina
Zdroj: Journal of obstetrics and gynaecology of India [J Obstet Gynaecol India] 2022 Aug; Vol. 72 (Suppl 1), pp. 255-261. Date of Electronic Publication: 2021 Aug 09.
DOI: 10.1007/s13224-021-01533-7
Abstrakt: Objective: 1. To determine the prevalence of pre malignant cervical lesions in HIV positive women using conventional Pap smear. 2. To determine the association between various risk factors in HIV positive women and abnormal cytology on Pap smear.
Design: A cross-sectional study was conducted in Bangalore Medical College in which eligible HIV-positive women underwent Pap smear, human papillomavirus (HPV) testing and cervical biopsy.
Methods: Retropositive women attending gynaec OPD during the study period were taken into the study after taking informed consent. Women who fulfilled the inclusion criteria were subjected to Pap smear. Bethesda system of classification was used for reporting the Pap smear. Women with abnormal Pap smear were further evaluated by HPV DNA testing and cervical biopsy.
Results: Cervical cytology was abnormal in 30% of the HIV-positive women, out of which 10% had HSIL, 15% had LSIL and 5% had ASCUS. Age at first sexual intercourse < 17 years ( p  = 0.009), past H/O STI ( p  = 0.0001), women with husband's having multiple sexual partners ( p  = 0.0001), women with CD4 count < 350 cells/micro-litre ( p  = 0.0001) were significant risk factors associated with abnormal Pap smear.
Conclusion: Invasive cervical cancer is considered a preventable disease because of its long preinvasive state. Therefore, screening for premalignant cervical lesions represents an opportunity to prevent women developing cervical carcinoma.
Competing Interests: Conflict of interestThe author declares there is no conflict of interest.
(© Federation of Obstetric & Gynecological Societies of India 2021.)
Databáze: MEDLINE
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