PAPANICOLAOU SMEAR ABNORMALITIES IN AMBULATORY CARE SITES FOR WOMEN INFECTED WITH THE HUMAN-IMMUNODEFICIENCY-VIRUS

被引:55
作者
MARTE, C
KELLY, P
COHEN, M
FRUCHTER, RG
SEDLIS, A
GALLO, L
RAY, V
WEBBER, CA
机构
[1] SUNY HLTH SCI CTR,DEPT NURSING,COMMUNITY HLTH PROJECT,BROOKLYN,NY
[2] SUNY HLTH SCI CTR,DEPT OBSTET & GYNECOL,COMMUNITY HLTH PROJECT,BROOKLYN,NY
[3] SUNY HLTH SCI CTR,DEPT PATHOL,COMMUNITY HLTH PROJECT,BROOKLYN,NY
[4] KINGS CTY HOSP CTR,DEPT PATHOL,BROOKLYN,NY 11203
[5] COOK CTY HOSP,DEPT MED,CHICAGO,IL 60612
[6] COOK CTY HOSP,DEPT PATHOL,CHICAGO,IL 60612
[7] BELLEVUE HOSP CTR,DEPT PATHOL,NEW YORK,NY 10016
关键词
HUMAN IMMUNODEFICIENCY VIRUS; ACQUIRED IMMUNODEFICIENCY SYNDROME; CERVICAL CYTOLOGY; PAPANICOLAOU SMEARS; LYMPHOCYTES-CD4;
D O I
10.1016/S0002-9378(11)90612-7
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: We attempted to determine the prevalence of cervical dysplasia in human immunodeficiency virus-infected women in ambulatory care settings and to correlate Papanicolaou smears with demographic and clinical variables. STUDY DESIGN: Papanicolaou smears of 135 women attending three ambulatory care clinics were reviewed. Chart review identified demographic and clinical variables, including CD4 count. Prevalence of abnormal smears was compared with baseline community rates. Demographic and clinical variables were correlated with Papanicolaou results with the chi(2) test. RESULTS: Fivefold to eightfold increased rates of abnormal smears in human immunodeficiency virus-infected women were observed. Prevalence of abnormal smears increased from 21% in women with CD4 counts > 600/mm3 to 45% in women with CD4 counts < 400/mm3. Age, ethnicity, or mode of human immunodeficiency virus transmission was not significantly correlated with Papanicolaou smear findings. CONCLUSION: Increased rates of abnormal Papanicolaou smears and significant correlation with CD4 counts were observed in human immunodeficiency virus-infected women at ambulatory care sites. We recommend comprehensive gynecologic care, including semiannual Papanicolaou smears, for all human immunodeficiency virus-infected women.
引用
收藏
页码:1232 / 1237
页数:6
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