Re: HIV infected woman & pap sme
harry206 - 05-15-09 05:01

For HIV infected women:

(a) Surviellence consist of pap smear on TWICE yearly basis (compared to once yearly for Non HIV women)

(b) ASCUS on pap smear of HIV ---> directly to colposcopy

Re: HIV infected woman & pap sme
zkadhem - 05-15-09 10:44

If the patient has a relatively normal CD4 count, after 2 negative smears, you can resume the usual screening intervals recommended for HIV-negative females. However, if the patient has a CD4 count < 200 cells/mm3, screening every 6 months is recommended. Any detection of cervical intraepithelial neoplasia (CIN) is treated the same as in HIV-negative women. Remember that it is not unusual for multiple STDs to be transmitted together, so consider testing for other STDs when obtaining a Pap smear.

Re: HIV infected woman &amp; pap sme
bingousmle - 07-28-10 14:01

ASCUS in a non HIV patient will prompt for checking for the HPV antibodies.... is the same approach assumed otherwise also? ??

Re: HIV infected woman &amp; pap sme
babbu5508 - 07-28-10 15:19

HPV infection is detected more frequently, is more persistent and is more difficult to treat in women living with HIV compared to HIV-negative women.