National Institute of Public Health, Ljubljana, Slovenia.
J Med Virol. 2014 Oct;86(10):1772-9. doi: 10.1002/jmv.23997. Epub 2014 Jun 30.
Cervical infections with non-high-risk human papillomavirus (non-HR-HPV) types have been associated with genital warts and a fraction of atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesions. The pre-vaccination prevalence of cervical infections with 25 non-HR-HPV types has been estimated, regardless of and without the coexistence of infection with HR-HPV types among Slovenian women 20-64 years old in cervical cancer screening, overall and according to age and cytology result. One thousand cervical specimens selected randomly from 4,455 specimens collected in 2010 in the Slovenian HPV prevalence survey were tested with Linear Array HPV Genotyping Test. Prevalence of cervical infections with any of the 25 non-HR-HPV types was 10.0% (95% CI: 8.1-11.9%) and with exclusively non-HR-HPV types 4.5% (95% CI: 3.2-5.8%). Prevalence of infections with any non-HR-HPV types among women with normal cytology was 8.8%, with atypical squamous cells of undetermined significance 30.4%, with low-grade squamous intraepithelial lesions 60.0%, and with high-grade squamous intraepithelial lesions 7.7%. Non-HR-HPV types without coexisting HR-HPV types were found in 4.0% of women with normal cytology, 26.1% with atypical squamous cells of undetermined significance, 6.7% with low-grade squamous intraepithelial lesions, and none with high-grade squamous intraepithelial lesion. Non-HR-HPV type cervical infections without coexisting HR-HPV infections were common among Slovenian women in cervical cancer screening with atypical squamous cells of undetermined significance, while rare in those with low-grade squamous intraepithelial lesions or worse. J. Med. Virol. 86: 1772-1779, 2014. © 2014 Wiley Periodicals, Inc.
非高危型人乳头瘤病毒(非 HR-HPV)型别的宫颈感染与生殖器疣以及一部分意义未明的非典型鳞状细胞和低度鳞状上皮内病变有关。在宫颈癌筛查中,对斯洛文尼亚 20-64 岁女性中 25 种非 HR-HPV 型别的宫颈感染进行了预疫苗接种前的流行率估计,无论是否存在 HR-HPV 型别的合并感染,均进行了总体和按年龄及细胞学结果的估计。从 2010 年在斯洛文尼亚 HPV 流行率调查中采集的 4455 份标本中随机选择了 1000 份宫颈标本,用线性阵列 HPV 基因分型检测进行检测。任何 25 种非 HR-HPV 型别的宫颈感染流行率为 10.0%(95%CI:8.1-11.9%),仅为非 HR-HPV 型别的流行率为 4.5%(95%CI:3.2-5.8%)。在细胞学正常的女性中,任何非 HR-HPV 型别的感染流行率为 8.8%,非典型鳞状细胞意义未明者为 30.4%,低度鳞状上皮内病变者为 60.0%,高度鳞状上皮内病变者为 7.7%。在细胞学正常的女性中,发现 4.0%存在无 HR-HPV 型别共存的非 HR-HPV 型别感染,非典型鳞状细胞意义未明者为 26.1%,低度鳞状上皮内病变者为 6.7%,而高度鳞状上皮内病变者均无。在宫颈癌筛查中,存在非 HR-HPV 型别感染而无 HR-HPV 型别合并感染的情况在具有非典型鳞状细胞意义未明的斯洛文尼亚女性中很常见,而在低度鳞状上皮内病变或更严重的患者中则很少见。J. Med. Virol. 86: 1772-1779, 2014. © 2014 Wiley Periodicals, Inc.