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Instituto Nacional de Salud Pública

2013, Número 2

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salud publica mex 2013; 55 (2)


Autotoma vaginal para detección de virus del papiloma humano en mujeres no adherentes a tamizaje con Papanicolaou en Chile

Léniz J, Barriga MI, Lagos M, Ibáñez C, Puschel K, Ferreccio C

Idioma: Ingles.
Referencias bibliográficas: 33
Paginas: 162-169
Archivo PDF: 325.96 Kb.


RESUMEN

Objetivo. Evaluar la aceptación, preferencia y adherencia a seguimiento de la autotoma vaginal para detección del virus del papiloma humano (VPH) en mujeres inasistentes a Papanicolaou (Pap) en Santiago, Chile. Material y métodos. Mediante un muestreo polietápico se identificaron mujeres entre 30 y 64 años inasistentes a Pap por ‹ 3 años, invitándolas a realizarse un Pap en su centro de salud o una autotoma vaginal a domicilio. Las muestras fueron analizadas con captura de híbridos. Las mujeres VPH+ fueron referidas a colposcopía, biopsia y tratamiento en caso necesario.Resultados. 1 254 mujeres elegibles fueron contactadas; 86.5% aceptó la autotoma vaginal y 8.1% la rechazó; 124 mujeres resultaron VPH+ (11.4%: IC95% 9.6-13.5) de las que 85.5% asistió a colposcopía; 12 tenían CIN2+ (1.1%: IC95% 0.5-1.7). Conclusión. La autotoma vaginal para detección de VPH es implementable en Chile y su utilización podría mejorar la cobertura del programa rescatando a mujeres inasistentes.


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