Prevalencia de Lesiones Intraepiteliales Cervicales en pacientes con VIH del Hospital General Guasmo Sur entre el periodo 2020 – 2022.

Abstract

Introduction: Cervical intraepithelial lesions correspond to a set of proliferative lesions with abnormal and atypical maturation of variable degrees, becoming precursor lesions of cervical cancer. Most high-grade intraepithelial lesions and invasive cancers of the cervix are caused by the human papillomavirus (HPV). The acquisition of this virus occurs due to different factors such as multiple sexual partners, relationships at an early age, not using condoms, among others. Coinfection with HIV is particularly dangerous, since this virus induces immunosuppression that can worsen cervical intraepithelial lesions. Methodology: 224 patients at the Hospital Guasmo Sur de Guayaquil with cervical lesions and HIV positive were studied, in order to determine the prevalence and characteristics of these abnormal proliferations between 2020 and 2022. Results and Conclusions: Most of them presented mild cases (CIN1) with 34.38 % of all patients. The significant risk factors in this study were the presence of HPV and the absence of immunization against it. The most common age for the presence of lesions regardless of the degree of severity was 25 -35.