Lesiones genitales por virus del papiloma humano en adolescentes que asisten a la Maternidad Enrique C. Sotomayor programa preventivo
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El objetivo general del estudio del caso se basó en las lesiones genitales por virus del Papiloma Humano en adolescentes que asisten a la maternidad Enrique C Sotomayor y programa preventivo. La Metodología aplicada consistió en un estudio descriptivo, longitudinal retrospectivo en una revisión exhaustiva de un universo de 315 historias clínicas de pacientes que poseían VPH de las cuales 160 eran adolescentes y cuyas edades estaban comprendidas entre 10-19 años de la población estudiada. Se analizó el inicio de las primeras relaciones sexuales donde predomino las mujeres cuyas edades estaban comprendidas de 15 a 19 años, en cuanto al número de parejas sexuales el porcentaje fue mayor en las que tenían más de dos parejas sexuales, en relación a la citología fueron muestras que provenían de lesiones cervicales donde se detectó displasia leve en 94 pacientes displasia moderada en 18 adolescentes, displasia grave en 45 pacientes y carcinoma in situ solo en 3 pacientes adolescentes y el motivo de consulta más frecuente es la cervicitis . Se concluye en esta investigación que la infección del VPH está relacionada con lesiones cervicales de bajo grado en mayor porcentaje en mujeres menores de 19 años . Ante la evidencia obtenida se realiza la propuesta de un ciclo de charlas de educación preventiva destinadas a las pacientes que acuden diariamente al Hospital Maternidad Enrique C. Sotomayor.
The work was based on determining the percentage of cervical lesions caused by human papillomavirus in adolescents, the WHO criteria referring adolescence is the stage of life between 10 to 19 years took, the study it is carried out in Obstetric-Gynecologic "Enrique C. Sotomayor" Hospital from January to December 2014 The methodology used was a retrospective descriptive, longitudinal study in a comprehensive review of a universe of 315 medical records of patients who had HPV of which 160 were teenagers whose ages were between 10-19 years represent 37% of the population studied. the beginning of the first sex where women predominated analyzed whose ages ranged from 15 to 19 years, the number of sexual partners the percentage was higher in those with more than two partners, in relation to cytology were samples who came from cervical lesions of where mild dysplasia (59%), moderate dysplasia (28%), severe dysplasia (11%) and in situ (2%) carcinoma was detected, and the most frequent reason for consultation is cervicitis with 84% in this investigation is concluded that HPV infection is associated with low-grade cervical lesions at a higher rate in women under 19 years. Given the evidence from the proposal of a series of talks aimed at preventive education of the patients who come daily to Enrique C. Sotomayor Maternity Hospital performed.
The work was based on determining the percentage of cervical lesions caused by human papillomavirus in adolescents, the WHO criteria referring adolescence is the stage of life between 10 to 19 years took, the study it is carried out in Obstetric-Gynecologic "Enrique C. Sotomayor" Hospital from January to December 2014 The methodology used was a retrospective descriptive, longitudinal study in a comprehensive review of a universe of 315 medical records of patients who had HPV of which 160 were teenagers whose ages were between 10-19 years represent 37% of the population studied. the beginning of the first sex where women predominated analyzed whose ages ranged from 15 to 19 years, the number of sexual partners the percentage was higher in those with more than two partners, in relation to cytology were samples who came from cervical lesions of where mild dysplasia (59%), moderate dysplasia (28%), severe dysplasia (11%) and in situ (2%) carcinoma was detected, and the most frequent reason for consultation is cervicitis with 84% in this investigation is concluded that HPV infection is associated with low-grade cervical lesions at a higher rate in women under 19 years. Given the evidence from the proposal of a series of talks aimed at preventive education of the patients who come daily to Enrique C. Sotomayor Maternity Hospital performed.
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Adolescente, Displasia del cuello del útero, Virus del papiloma humano, Medicina preventiva, Programas de salud, Epidemiología descriptiva, Estudios retrospectivos, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Lesiones intraepiteliales escamosas de cuello uterino