HUMAN PAPILLOMAVIRUS INFECTION IN HUMAN IMMUNODEFICIENCY VIRUS-SEROPOSITIVE WOMEN

被引:121
作者
SUN, XW
ELLERBROCK, TV
LUNGU, O
CHIASSON, MA
BUSH, TJ
WRIGHT, TC
机构
[1] COLUMBIA UNIV, COLL PHYS & SURG, DEPT PATHOL, NEW YORK, NY 10032 USA
[2] NEW YORK CITY DEPT HLTH, BUR DIS INTERVENT RES, NEW YORK, NY 10013 USA
[3] CTR DIS CONTROL & PREVENT, NATL CTR INFECT DIS, DIV HIV AIDS, ATLANTA, GA 30341 USA
关键词
D O I
10.1016/0029-7844(95)00025-M
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To compare the prevalence of human papillomavirus (HPV) infections in women who are seropositive and seronegative for human immunodeficiency virus (HIV), and to determine if associations between HPV and cervical disease are altered in HIV-seropositive women. Methods: In this cross-sectional study, 344 HIV-seropositive and 325 HIV-seronegative women underwent colposcopy and HPV DNA testing. Results: Human immunodeficieney virus-seropositive women were more likely than HlV-seronegative women to have HPV DNA of any type detected (60 versus 36%, P < .001). Infections with HPV type 16 (27 versus 17%, P <.05), type 18 (24 versus 9%, P <.05), and more than one type of HPV (51 versus 26%, P <.05) were also more common in HIV-positive women. Although both latent HPV infection and HPV infections associated with cervical intraepithelial neoplasia (CIN) were more prevalent in the HIV-seropositive group, the ratio between these two types of infections was altered markedly in the HIV-seropositive women. Human immunodeficiency virus-seropositive women who were HPV-infected were significantly more likely to have CIN than were HPV-infected HIV-seronegative women, an increase observed at all levels of immunosuppression. Analysis of specific HPV types associated with latent HPV infection and CIN indicated that HIV seropositivity only minimally alters the known associations between specific types of HPV and cervical disease. Conclusion: Human papillomavirus infections are more common among HIV-seropositive women at all levels of immunosuppression. However; relationships between HIV and HPV are complex and cannot be explained completely by an increased susceptibility to new HPV infections in the immunosuppressed patient
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页码:680 / 686
页数:7
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