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Miguel Haddad Kury C, Santos KCDS, Carestiato FN, Rapozo G, Leandro CG, Fernandes LA, Silva PRT, Passos MRL, Cruz OG, Cavalcanti SMB. Human papillomavirus prevalence, genomic diversity and related risk factors in HIV-positive women from a countryside city in the state of Rio de Janeiro. Hum Vaccin Immunother 2020; 17:838-844. [PMID: 32961070 PMCID: PMC7993155 DOI: 10.1080/21645515.2020.1799666] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Human papillomavirus (HPV) can cause genital warts and HPV-related cancer.People living with human immunodeficiency virus (HIV)are more symptomatic for HPV infections.Campos dos Goytacazes,a municipality of Rio de Janeiro,introduced the quadrivalent HPV vaccine (4vHPV)for HIV-positive women four years before initiation of a public vaccination program.This study analyzed the prevalence of HPV infection in HIV-positive women and the variables associated with infectionTwo groups were evaluated:group 1,with Pap smear and HPV-negative polymerase chain reaction (PCR);group 2, individuals with at least one positive result for HPV in PCR or pap smear.PCR was performed in endocervical samples using generic primers, and the LCD-Array Kit was used for genotyping.Univariate and multivariate analyzes were performed.Results in 109 women (Group 1 n = 70; group 2 n = 39)showed an overall HPV prevalence of 36%.Results also showed that 88% (n = 23) and 96% (n = 25)of typed viruses (total of typed viruses n = 26)were included in 4vHPV and 9vHPV (nonavalent HPV),respectively.In univariate analysis,age less than 45 years, a high number of sexual partners,and HIV-viral load were risk factors for infection.However, a CD4 indicator was associated with protection.Although HIV infection is generally related to multiple and rare types of HPV,this study showed that a vast majority of the HPV types found are included in 4vHPV.Considering that age less than 45 years is a risk factor, the use of 4vHPV in Brazil should be extended in the public vaccination program to HIV seropositive women up to age 45 years
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Affiliation(s)
- Charbell Miguel Haddad Kury
- Department of Biochemistry, Faculdade De Medicina De Campos Dos Goytacazes, Rio De Janeiro, Brazil.,Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | - Katia Cristina Da Silva Santos
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | - Fernanda Nahoum Carestiato
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | - Gabriela Rapozo
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | | | - Lorena Abreu Fernandes
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | - Paulo Ricardo Telles Silva
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | - Mauro Romero Leal Passos
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
| | - Oswaldo Gonçalves Cruz
- Scientific Computing Program (PROCC), Oswaldo Cruz Foundation (FIOCRUZ), Rio De Janeiro, Brazil
| | - Silvia Maria Baeta Cavalcanti
- Department of Microbiology and Parasitology Biomedical Institute (LAA, TIC, FNC, SMBC), Universidade Federal Fluminense, State of Rio De Janeiro, Brazil
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