Oral and anal high-risk human papilloma virus infection in HIV-positive men who have sex with men over a 24-month longitudinal study: complexity and vaccine implications.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
28 May 2019
Historique:
received: 24 01 2019
accepted: 17 05 2019
entrez: 30 5 2019
pubmed: 30 5 2019
medline: 8 8 2019
Statut: epublish

Résumé

Few studies focused on longitudinal modifications over time of high-risk HPV (HR-HPV) at anal and oral sites in HIV+ men who have sex with men (MSM). We described patterns and longitudinal changes of HR-HPV detection and the prevalence of HR-HPV covered by the nonavalent HPV vaccine (vax-HPV) at oral and anal sites in 165 HIV+ MSM followed in an Italian hospital. The samples were collected at baseline and after 24 months (follow-up). The presence of HPV was investigated with Inno-LiPA HPV Genotyping Extra II. Median age was 44 years (IQR 36-53), median CD4+ cell count at nadir was 312 cells/mm We believe that it is important testing multiple sites over time in HIV-positive MSM. ART seems to protect men from anal HR-HPV confirmed detection. Vaccination programmes could reduce the number of HR-HPV genotypes at anal site and the risk of the first HR-HPV acquisition at the oral site.

Sections du résumé

BACKGROUND BACKGROUND
Few studies focused on longitudinal modifications over time of high-risk HPV (HR-HPV) at anal and oral sites in HIV+ men who have sex with men (MSM).
METHODS METHODS
We described patterns and longitudinal changes of HR-HPV detection and the prevalence of HR-HPV covered by the nonavalent HPV vaccine (vax-HPV) at oral and anal sites in 165 HIV+ MSM followed in an Italian hospital. The samples were collected at baseline and after 24 months (follow-up). The presence of HPV was investigated with Inno-LiPA HPV Genotyping Extra II.
RESULTS RESULTS
Median age was 44 years (IQR 36-53), median CD4+ cell count at nadir was 312 cells/mm
CONCLUSIONS CONCLUSIONS
We believe that it is important testing multiple sites over time in HIV-positive MSM. ART seems to protect men from anal HR-HPV confirmed detection. Vaccination programmes could reduce the number of HR-HPV genotypes at anal site and the risk of the first HR-HPV acquisition at the oral site.

Identifiants

pubmed: 31138232
doi: 10.1186/s12889-019-7004-x
pii: 10.1186/s12889-019-7004-x
pmc: PMC6537447
doi:

Substances chimiques

Papillomavirus Vaccines 0

Types de publication

Journal Article

Langues

eng

Pagination

645

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Auteurs

Saverio Giuseppe Parisi (SG)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy. saverio.parisi@unipd.it.

Monica Basso (M)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy. monica.basso@unipd.it.

Renzo Scaggiante (R)

Infectious Diseases Unit, Padova Hospital, Via Giustiniani, 2 -, 35128, Padova, Italy.

Samantha Andreis (S)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy.

Carlo Mengoli (C)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy.

Mario Cruciani (M)

Center of Diffusive Diseases, ULSS 9, Via Campania 1, 37136, Verona, Italy.

Claudia Del Vecchio (C)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy.

Nicola Menegotto (N)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy.

Daniela Zago (D)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy.

Loredana Sarmati (L)

Clinical Infectious Diseases, Tor Vergata University, Viale Oxford, 81, 00133, Rome, Italy.

Massimo Andreoni (M)

Clinical Infectious Diseases, Tor Vergata University, Viale Oxford, 81, 00133, Rome, Italy.

Giorgio Palù (G)

Department of Molecular Medicine, University of Padova, Via Gabelli 63, 35100, Padova, Italy.

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