Mayeaux Edward J
Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA.
Curr Opin Obstet Gynecol. 2006 Feb;18 Suppl 1:s15-21. doi: 10.1097/01.gco.0000216316.10690.c6.
Human papillomavirus (HPV) infection and HPV-associated diseases pose a considerable health care burden in the United States. The morbidity and mortality associated with HPV infection and HPV-associated diseases, ranging from genital warts to cervical cancer, have prompted both the use of screening measures to monitor HPV infection and the development of numerous treatment modalities to address its clinical sequelae. Although screening programs have dramatically reduced the incidence of cervical cancer through early detection and treatment, this devastating illness, which frequently affects women of reproductive age, remains a major public health concern. Prophylactic vaccines that prevent HPV infection have proved to be safe, well tolerated, highly efficacious, and induce long-lasting immunity to HPV. Multivalent vaccines that protect against the most common disease-causing HPV types should significantly reduce the morbidity and mortality associated with HPV.
人乳头瘤病毒(HPV)感染及HPV相关疾病在美国造成了相当大的医疗负担。从尖锐湿疣到宫颈癌,HPV感染及HPV相关疾病所带来的发病率和死亡率促使人们采取筛查措施来监测HPV感染,并开发了多种治疗方法来应对其临床后遗症。尽管筛查项目通过早期检测和治疗显著降低了宫颈癌的发病率,但这种经常影响育龄女性的毁灭性疾病仍然是一个重大的公共卫生问题。事实证明,预防HPV感染的预防性疫苗安全、耐受性良好、高效,并能诱导对HPV的持久免疫力。预防最常见致病HPV类型的多价疫苗应能显著降低与HPV相关的发病率和死亡率。