Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA 94105, USA.
Int J Gynaecol Obstet. 2011 Aug;114(2):106-10. doi: 10.1016/j.ijgo.2011.02.009. Epub 2011 May 28.
To evaluate outcomes of cervical cancer screening within HIV care and treatment clinics in Kenya.
Beginning in October 2007, visual inspection with acetic acid (VIA), colposcopy, and loop electrosurgical excision procedure (LEEP) were added to the clinical services offered at Family AIDS Care and Education Services (FACES) clinics in Kisumu, Kenya, after a systematic campaign to build capacity and community awareness.
From October 2007 to October 2010, 3642 women underwent VIA as part of routine HIV care. Cervical intraepithelial neoplasia 2/3 was identified in 259 (7.1%) women, who were offered excisional treatment by LEEP in the clinic. Among those women offered screening, uptake was 87%. Clinical staff reported a high level of satisfaction with training for and implementation of cervical cancer screening strategies.
Cervical cancer screening and prevention are feasible, acceptable, and effective within HIV care and treatment clinics. Screening test performance characteristics need to be defined for an HIV-positive population to determine the cost/benefit ratio of lower cost strategies that will ultimately be necessary to provide universal access to cervical cancer screening in low-resource settings.
评估肯尼亚艾滋病毒护理和治疗诊所中宫颈癌筛查的结果。
从 2007 年 10 月开始，在基苏木的家庭艾滋病护理和教育服务（FACES）诊所提供了系统的能力建设和社区宣传活动后，开始提供醋酸视觉检查（VIA）、阴道镜检查和环形电切术（LEEP）等临床服务。
从 2007 年 10 月到 2010 年 10 月，3642 名妇女接受了 VIA 作为常规艾滋病毒护理的一部分。259 名妇女（7.1%）被诊断为宫颈上皮内瘤变 2/3，她们在诊所接受了 LEEP 切除治疗。在那些接受筛查的妇女中，接受率为 87%。临床工作人员报告说，对宫颈癌筛查策略的培训和实施非常满意。
在艾滋病毒护理和治疗诊所中，宫颈癌筛查和预防是可行、可接受和有效的。需要为艾滋病毒阳性人群定义筛查测试性能特征，以确定低成本策略的成本效益比，这些策略最终将为在资源有限的环境中提供普遍获得宫颈癌筛查所需。
