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Correlation of cervical cytology and visual inspection with acetic HIV-positive women

The prevalence of squamous intraepithelial lesion is higher among human immunodeficiency virus (HIV)-positive women. These lesions when they occur in these patients are also more difficult to treat. A total of 205 consenting HIV-seropositive women were recruited. A cervical cytology (Pap smear) was...

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Published: 2008
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/2579
042 |a dc 
720 |a Akinwuntan, A. I.  |e author 
720 |a Adesina, O. A.  |e author 
720 |a Okolo, C. A.  |e author 
720 |a Oluwasola, O. A.  |e author 
720 |a Oludokun, A.,  |e author 
720 |a Ifemeje, A. A.  |e author 
720 |a Adewole, I. F.  |e author 
260 |c 2008 
520 |a The prevalence of squamous intraepithelial lesion is higher among human immunodeficiency virus (HIV)-positive women. These lesions when they occur in these patients are also more difficult to treat. A total of 205 consenting HIV-seropositive women were recruited. A cervical cytology (Pap smear) was taken, followed by visual inspection with freshly prepared 5% acetic acid and cervical biopsy taken from the squamocolumnar junction as the reference for diagnosis to avoid verification bias. The sensitivity of VIA was 76.0% (95% CI 52.0-91.0); specificity 83.0% (95% CI 77.0-88.0); positive predictive value 34.0% (95% CI 21.0-49.0). The sensitivity of cervical cytology (Pap smear) was 57.0% (95% CI 34.0-77.0), specificity of 95.0% (95% CI 90.0-97.0), and positive predictive value of 55.0% (95% CI 33.0-75.0). In HIV-seropositive women, the sensitivity of VIA is 76.0%, making it a useful screening test for preinvasive lesion of the cervix in low resource settings. 
024 8 |a 0144-3615 
024 8 |a Journal of Obstetrics and Gynaecology 28(6), pp. 638-641 
024 8 |a http://ir.library.ui.edu.ng/handle/123456789/2579 
653 |a HIV positve, pap smear, VIA 
245 0 0 |a Correlation of cervical cytology and visual inspection with acetic HIV-positive women