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HPV type infection in different anogenital sites among HIV-positive Brazilian women.
Gonçalves, Maria Alice G; Randi, Giorgia; Arslan, Annie; Villa, Luisa L; Burattini, Marcelo N; Franceschi, Silvia; Donadi, Eduardo Antonio; Massad, Eduardo.
Afiliação
  • Gonçalves MA; Division of Clinical Immunology, University of São Paulo, São Paulo, Brazil. epigin@uol.com.br
Infect Agent Cancer ; 3: 5, 2008 Mar 14.
Article em En | MEDLINE | ID: mdl-18341690
OBJECTIVES: To evaluate the prevalence of human papillomavirus (HPV) types, and risk factors for HPV positivity across cervix, vagina and anus, we conducted a study among 138 women with human immunodeficiency virus (HIV). GOAL: Compare the prevalence of different HPV types and the risk factors for HPV positivity in three sites. RESULTS: The most frequently detected HPV types in all sites were, in decreasing order, HPV16, 53, 18, 61 and 81. Agreement between the cervix and vagina was good (kappa 0.60 - 0.80) for HPV16 and 53 and excellent (Kappa > 0.80) for HPV18 and 61. HPV positivity was inversely associated with age for all combinations including the anal site. CONCLUSION: In HIV positive women, HPV18 is the most spread HPV type found in combinations of anal and genital sites. The relationship of anal to genital infection has implications for the development of anal malignancies. Thus, the efficacy of the current HPV vaccine may be considered not only for the cervix, but also for prevention of HPV18 anal infection among immunossuppressed individuals.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies País/Região como assunto: America do sul / Brasil Idioma: En Revista: Infect Agent Cancer Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies País/Região como assunto: America do sul / Brasil Idioma: En Revista: Infect Agent Cancer Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido