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Published byLindsey Phillips Modified over 6 years ago
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S S S - Figure 2: Guidelines for primary HPV screening in South Africa
Cervico-vaginal hrHPV§ Negative for hrHPV types Non-discriminatory test: Positive hrHPV types Discriminatory test: Positive for other hrHPV types Discriminatory test: Positive for highest risk HPV types <35 years & HIV neg >35 years or HIV pos Low risk Medium risk High risk S Screen Triage* + Treat† - S Follow S Follow § Tests for high risk HPV types; DNA or RNA * High resource setting: cytology, partial genotyping, cyto-staining or colposcopy * Low resource setting: VILI / VIA or cytology † Treatment in high resource settings is usually done after colposcopy ± biopsy confirmation † In low resource settings treat all patients at first recall visit
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