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