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Abstract

Investigations in Gynecology Research & Womens Health

Integrating CERVICO-Vaginal Smear into the Overall Management of Women Living with Human Immunodeficiency Virus (HIV) at the Day Hospital of the Infectious Diseases Department at the University Hospital Mohammed VI in Marrakesh

Submission: February 04, 2021Published: February 26, 2021

DOI: 10.31031/IGRWH.2021.04.000578

ISSN: 2577-2015
Volume4 Issue1

Abstract

Objective: integrated the implementation of the cervico-vaginal smear into the activity of the infectious diseases department.

Materials and Methods: This is a prospective study conducted within the department of infectious diseases since January 2019. The cervico-vaginal smear was proposed and carried out in women living with HIV and followed at the day hospital.

Results: Fifty-five patients were collected. The average age was 37 years [19-65 years]. Smoking was found in 8 patients. The average age of first sexual intercourse was 20 years with extremes ranging from 16 to 32 years. At the time of the smear, the average CD4 was 729 /mm2. A total of 14 (25.4%) patients had a CD4 < 500. Of the 55 smears performed, the result was as follows: in 4 patients the smear was poorly preserved ,7 patients pauci-cellularity. For the rest the cervico-vaginal-smear was normal in 11 patients (25%), inflammatory in 26 patients (59%), seven (16%) patients had cytological abnormalities of Atypical squamous cells of unknown significance (ASCUS). Colposcopy was performed in 2 patients with TAG I, one of whom had a biopsy. At the biopsy there was polyploid ectropion altered by a severe chronic inflammatory lesion, without signs of specificity or malignancy.

Conclusion: This work has allowed us to integrate and facilitate the adhesion of women living with HIVto the cervico-vaginal smear, as well as a close collaboration between infectiologist and gynecologist for better management.

Keywords: Pap smear; Cervical cancer; HIV

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