A comparative study of Pap smear findings among HIV positive and negative women at Government Hospital of Thoracic Medicine (GHTM), Tambaram

Seethalakshmi, GV; Shoba, D; Mohan, KR; Sourabh, C; Manoharan, Gunasekar; Chandrasekar, C

doi:10.1186/1471-2334-12-s1-p35

Cited by 5 publications

(3 citation statements)

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“…This result is comparable with recent study of Seethalakshmi et al (58.8% versus 43.75%) and that of O'Sullivan MJ et al 7 Seven studies from Europe, the United States and Africa have provided figures that can be compared, and show highly concordant results: prevalence rates of abnormal PAP smear in these studies ranged from 10% to 24% among HIV positive women, from 4 to 10% amongst HIV negative women. 3 Prevalence of different types of PAP smear abnormalities in my study were; inflammatory smear (20%), ASCUS (1%), LSIL (9%) and SCC (2%) among HIV positive women.…”

Section: Discussionsupporting

confidence: 80%

Comparative study of Pap smear abnormalities in HIV infected and HIV non-infected women

Kusumam

Beevi

Sreenivas

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 80%

Comparative study of Pap smear abnormalities in HIV infected and HIV non-infected women

Kusumam

Beevi

Sreenivas

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…In a study conducted by Sharma et al,[7] especially in case of HIV positive women, 64% women had abnormal PAP smears, while comparatively just 31% HIV negative women in their study had some abnormality in PAP smear. In another study conducted by Seethalakshmi et al,[9] 58.8% HIV positive women and 43.75% HIV negative women had PAP smear abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of sexually transmitted infections in HIV positive and HIV negative females, in a tertiary care hospital - An observational study

Chopra

Sandhu

Bahl

et al. 2015

Indian J Sex Transm Dis

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The presentation and course of Sexually transmitted diseases(STI) may be altered by presence of coexisting HIV status. Aim of the study was to study the prevalence of STI in 50 females with HIV infection and 50 females without HIV infection and to study the pap smear of patients to look for any cellular changes (dysplasia) due to sexually transmitted infections.Material and methods:The present study was an observational study, which was undertaken on 100 females with STIs (50 females with coexistent HIV infection and 50 females without HIV infection), in the age group 15-49 years attending Skin and VD OPD of Rajindra hospital, Patiala.Results:In our study, the commonest presenting complaint in case of both HIV positive (66%) and HIV negative (80%) women was vaginal discharge. PAP smear abnormalities were present in 28 (56%) HIV positive women and 11 (22%) HIV negative women. In case of HIV positive women, the inflammation was trichomonal in 4 (8%), bacterial in 2 (4%), fungal in 2 (4%) and non-specific in 20 (40%) patients. In HIV negative women, the inflammation was trichomonal in 2 (4%) patients, bacterial in 2 (4%) patients and non-specific in 7 (14%) patients. The difference in abnormality seen in PAP smear between HIV positive and HIV negative women is statistically significant only in case of non-specific inflammation which is more common in case of HIV positive women.Conclusion:From the present study, it was concluded vaginal discharge was the commonest presenting complaint in both HIV positive and HIV negative women, though the commonest cause of vaginal discharge was candidiasis in HIV positive females and bacterial vaginosis in HIV negative females. Also, PAP smear abnormalities were significantly higher in HIV positive women than HIV negative women. So it is important that HIV positive women should have complete gynecological evaluation including a PAP smear with aggressive screening of STIs.

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“…HIV positive and HIV negative women respectively. [15] In a study conducted by Sharma et al inflammatory smears were seen in 55% and 28% while cervical dysplasia was reported in 5% and 3% HIV positive and HIV negative STI/RTI patients respectively. [16]…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Reproductive Tract Infections/ Sexually Transmitted Infections among Women in a Tertiary Care Hospital- An Observational Study

Bhatia¹,

Kaur²,

Kumari³

et al. 2017

IOSR JDMS

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Background: Reproductive tract infections (RTIs) /sexually transmitted infections (STIs) are an important public health problem: 6% of adult population in India has one or more RTI/STI. Approximately 30-35 million new episodes of RTI/STI occur every year in country. RTI/STI are an important cause of infertility. Roughly 21% pregnancies result in still birth and 9% in neonatal death due to untreated syphilis. Aims and Objectives: To study the prevalence of RTI/STI in women, to find out commonest RTI/STI and its correlation with HIV/VDRL and Pap Smear abnormality if any. Material & Methods: This is a cross-sectional observational study undertaken for one year in 2294 consecutive women with RTI/STI in the age group of 15-49 years, attending the Gynaecology outpatient Department of a tertiary-care hospital in North India Result: The prevalence of RTI/STI in our study was 13.19%. Majority of patients were married (94.86%), Para 1 and above (93.4%) from low socio economic group (90.6%), illiterate (72.5%) between 26-35 years of age (67.47%). Vaginal discharge (62.51%) and lower abdominal pain / backache (43.42%) were most common presenting complaints. Vaginitis (62.51%), cervicitis (27.81%) and chronic pelvic inflammatory disease (PID) (15.63%) were most frequently encountered RTI/STI. Bacterial vaginosis (49.79%), candidiasis (35.84%) and trichomoniasis (21.33%) were important causes of vaginal discharge either alone or in combination. HIV and VDRL were reactive in only 15 (0.68%) and 11 (0.56%) RTI/STI females respectively. Inflammatory Pap smear was observed in 36.4% cases while nine cases (0.9%) had cervical dysplasia of varying degree. Conclusion: Vaginal discharge and lower abdominal pain are the commonest presenting complaints. Mixed vaginitis, cervicitis and chronic PID are frequently encountered RTI/STI in Gynae OPD practice. Bacterial vaginosis, candidiasis and Trichomoniasis remain important causes of vaginal discharge. Counselling, testing for HIV/VDRL and pap smear analysis alongwith syndromic management helps in prevention of RTI/STI.

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A comparative study of Pap smear findings among HIV positive and negative women at Government Hospital of Thoracic Medicine (GHTM), Tambaram

Cited by 5 publications

References 0 publications

Comparative study of Pap smear abnormalities in HIV infected and HIV non-infected women

Comparative study of Pap smear abnormalities in HIV infected and HIV non-infected women

Prevalence of sexually transmitted infections in HIV positive and HIV negative females, in a tertiary care hospital - An observational study

Prevalence of Reproductive Tract Infections/ Sexually Transmitted Infections among Women in a Tertiary Care Hospital- An Observational Study

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