Prevalence of HPV types in HIV-positive and negative females with normal cervical cytology or dysplasia
نویسنده : Hafsa Aziz | Areej A. Sattar | Humera Mahmood | Shazia Fatima | Mona Khurshid | Mohammad Faheem
تاریخ انتشار : 1402/01/28
Results: The prevalence of HPV in HIV-positive patients was 36.9%, higher than
HIV-negative patients (4.4%). 12.30% had cervical cytology interpreted as “LSIL” and
87.69% had cytology interpreted as “NIL.” The high-risk type was detected in 15.39%
while 21.54% showed low-risk HPV types. Among the high-risk types, HPV18 (6.15%),
HPV16 (4.62%), HPV45 (3.07%), HPV33 (1.53%), HPV58 (3.07%), and HPV68 (1.53%)
were found. In patients with LSIL, high-risk HPV accounts for 62.5%. Risk factors,
such as age, marital status, educational status, residence, parity, other STDs, and contraceptives, were analyzed to find the correlation with HPV infection Age ≤35 years
(OR 1.21, 95% CI, 0.44–3.34), illiterate and incomplete secondary education (OR 1.08,
95% CI, 0.37–3.15), and those reported not to use contraceptives (OR: 1.90; 95% CI:
0.67–5.42) have an association for increased risk of HPV infection.
Conclusion: HPV18, HPV16, HPV58, HPV45, HPV68, and HPV33 were identified
among high-risk HPV types. High-risk HPV was detected in 62.5% of low-grade squamous intraepithelial lesions. The data is useful for health policymakers to develop a
strategy for HPV screening and prophylactic vaccination to prevent cervical cancer