14th Annual Conference of the British HIV Association 23-25 April 2008, Belfast

SEXUALLY TRANSMITTED INFECTIONS (STIS) AND CERVICAL CYTOLOGY SCREENING IN WOMEN LIVING WITH HIV/AIDS (WLHA) ATTENDING A COMBINED HIV/GUM CLINIC IN A UK DISTRICT GENERAL HOSPITAL (DGH)

HIV Med 2008; 9(Suppl. 1):11 (abstract no. P7)

M Ghanem, L Riddell, J Kemp and N Cook
Northamptonshire Healthcare NHS Trust, Northampton, UK

BACKGROUND: BHIVA guidelines promote optimal sexual health for WLHA. The aim of this study is to:

1. assess the percentage of WLHA undergoing syphilis testing in the preceding 6 months and annual cervical cytology and STI screen
2. measure the percentage of correspondence with GPs.

METHOD: Retrospective case note review of the first 175 WLHA seen in HIV unit between 01/10/2006 and 30/09/2007.

RESULTS:Of the 175 attendees; 68.5% had cervical cytology at the combined HIV/GUM clinic. Of the 31.5% who had not had cytology in the clinic; 73% had documented history of cytology performed at colposcopy clinic, 9% with GP and 18% had hysterectomy or were <25 year old. Cytology results were available in 100% of case notes. Forty percent of the studied population had abnormal cytology. CD4 cell count, antiretroviral therapy or CDC stage had no effect on the risk of having an abnormal smear. STI screen was performed in 68% of women with 20% declined, 3% DNA and 9% attending colposcopy clinic had not been offered the screen. Ninety percent of the screens were negative with 4.2% first episode genital HSV, 2.4% HPV, 1.7% chlamydia and1.7% TV diagnosed. 164/175 (94%) had syphilis serology in the preceding 6 months with 11/175 (6%) having had test in last 12 months. The positive results were in 12 individuals all of whom had documented previous syphilis. Majority (98.3%) of WLHA had given permission to communicate with their GPs and 93% had a letter in the preceding 6 months with the other 7% in the last 12 months.

CONCLUSIONS: Combined HIV/GUM clinic in a DGH setting achieved well against the BHIVA standards with low DNA rate and high level of communication with GPs. We now perform STIs screen for women under the care colposcopy clinic.

2008-04-23
P7

Copyright © 2008 - British HIV Association (BHIVA) Reproduction of this abstract (other than one copy for personal reference) must be cleared through the BHIVA Organising Secretariat 1 Mountview Court, 310 Friern Barnet Lane, London N20 0LD