Presence of high-grade intraepithelial lesions among women deprived of their liberty: a documental study

Rev Lat Am Enfermagem. 2012 Mar-Apr;20(2):354-61. doi: 10.1590/s0104-11692012000200019.
[Article in English, Portuguese, Spanish]

Abstract

The aim of this study was to analyze the results of the Pap smears of women deprived of their liberty. It is a retrospective, documental study, with a quantitative approach, performed in a female prison of Ceará, Brazil, with a sample of 672 patient records. Regarding the microbiological findings, it was verified that the main cervical-vaginal colonization was by bacilli suggestive of Gardnerella/Mobiluncus (21.8%), followed by Trichomonas vaginalis (12%), and Candida sp (5.8%). The frequencies of samples with atypical cells presented rates of 4.1% for Atypical Cells of Undetermined Significance; 3.2% for Low-grade Intraepithelial Lesions; and 2.5% for High-grade Intraepithelial Lesions. The importance of screening for cervical cancer in female prisons was highlighted, as well as the inclusion of the nurse in this environment, ensuring individualized, quality care for women deprived of their liberty.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cervix Uteri / microbiology
  • Cervix Uteri / pathology
  • Female
  • Humans
  • Middle Aged
  • Prisoners*
  • Retrospective Studies
  • Uterine Cervical Dysplasia / epidemiology*
  • Uterine Cervical Dysplasia / microbiology
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Neoplasms / epidemiology*
  • Uterine Cervical Neoplasms / microbiology
  • Uterine Cervical Neoplasms / pathology
  • Young Adult