Article Text
Abstract
Background The viral types of HPV are classified as low or high risk oncogenic. The low risk is associated with benign genital tract infections such as genital warts or flat intraepithelial lesions of low-grade (LSIL). Already the high risk have a high correlation with intraepithelial lesion high-grade (HSIL) and carcinoma of the cervix, vulva, anus and, more rarely, the penis. Cancer of the cervix is the second most common type of cancer among women, with approximately 500,000 new cases per year worldwide. Therefore, the aim of this study was to evaluate the clinical follow-up of women with HSIL caused by HPV, considering the attendance and the number of appointments after undergoing surgery for high frequency (CAF).
Methods Transversal retrospective study with a quantitative approach, conducted in the Department of Infectious Diseases in Obstetrics and Gynecology (SEMIGO) of the Hospital of the Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil. The study population was composed of 169 women diagnosed with HSIL caused by HPV, which were submitted to CAF for at least 24 months. We analysed attendance in six of those women returns by pre-established protocol of care service study for the period of 24 months after completion of CAF.
Results Regarding the clinical follow-up, 108 (63.9%) women attended the first return after LEEP, 116 (68.6%) returned the second, 72 (42.6%) to the third return, 74 (43.8%) to the fourth return, 67 (39.6%) the fifth feedback and 67 (39.6%) to the sixth return.
Conclusion Considering the decline in attendance at scheduled appointments over the 24 months, it is necessary to implement health programmes aimed at greater control of clinical follow-up actions promoting character education, developed with the participation of a multidisciplinary team.
- Clinical follow-up
- health programs
- Human papillomavirus infection