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2014 - 2015年转诊至德黑兰一家综合医院的女性中人乳头瘤病毒基因型的相对频率及相关社会人口学特征:一项横断面研究

Relative frequency of human papillomavirus genotypes and related sociodemographic characteristics in women referred to a general hospital in Tehran, 2014-2015: A cross-sectional study.

作者信息

Jamshidi Makiani Mahin, Minaeian Sara, Amini Moghaddam Soheila, Moosavi Seyed Akbar, Moeini Zahra, Zamani Vajihe, Karbalaei Sabbagh Mahnaz, Forghani Hosein

机构信息

Department of Infectious Disease, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

Antimicrobial Resistance Research Center, Institute of Immunology and Infectious Diseases, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Reprod Biomed. 2017 May;15(5):305-310.

Abstract

BACKGROUND

Human papilloma virus (HPV) is one of the major public health problems and the main causes of cervical cancer. The prevalence HPV infection in developing countries with low financial resources is high.

OBJECTIVE

This study aimed to determine the relative frequency of HPV genotypes and its sociodemographic characteristics in women referred to a general hospital in Tehran, Iran from 2014-2015.

MATERIALS AND METHODS

This cross-sectional study was performed in 400 women with Pap smear samples, referring to to a general hospital in Tehran, Iran from 2014-2015. The detection of 28 HPV genotypes was performed by using the Multiplex PCR technique. The sociodemographic survey was conducted for each HPV positive woman.

RESULTS

HPV-positive infection was detected in 155 (38.75%) women aged 17-85 years. HPV 16 (19.1%) was the most prevalent type, followed by HPV 39 (12.5%) and HPV 18 (8.9%). The highest rate of HPV infection was observed at the age of 36 years (7.7%). The level of education and economic situation of each woman were showed most of HPV-positive women had a high school diploma (34.6%) and average economic situation (67,9%). 60.9% of these women were a housewife, and 67.3% lived in the capital .

CONCLUSION

Determination of HPV genotype and risk factor related to HPV infection in each geographical region can lead to the production of effective vaccines against the HPV virus. It can also be useful for disease management and high sensitivity diagnosis of cervical intraepithelial neoplasia.

摘要

背景

人乳头瘤病毒(HPV)是主要的公共卫生问题之一,也是宫颈癌的主要病因。在财政资源匮乏的发展中国家,HPV感染的患病率很高。

目的

本研究旨在确定2014 - 2015年转诊至伊朗德黑兰一家综合医院的女性中HPV基因型的相对频率及其社会人口学特征。

材料与方法

本横断面研究对2014 - 2015年转诊至伊朗德黑兰一家综合医院的400名有巴氏涂片样本的女性进行。采用多重PCR技术检测28种HPV基因型。对每位HPV阳性女性进行社会人口学调查。

结果

在17 - 85岁的155名(38.75%)女性中检测到HPV阳性感染。HPV 16型(19.1%)是最常见的类型,其次是HPV 39型(12.5%)和HPV 18型(8.9%)。HPV感染率最高出现在36岁(7.7%)。每位女性的教育水平和经济状况显示,大多数HPV阳性女性拥有高中文凭(34.6%)且经济状况一般(67.9%)。这些女性中60.9%是家庭主妇,67.3%居住在首都。

结论

确定每个地理区域的HPV基因型及与HPV感染相关的危险因素可促使生产针对HPV病毒的有效疫苗。这对于疾病管理和宫颈上皮内瘤变的高灵敏度诊断也可能有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c2a/5510584/05927e953342/ijrb-15-305-g001.jpg

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