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无症状性活跃个体中人乳头瘤病毒与单纯疱疹病毒的合并感染。

Co-infection Of And Human Papilloma Virus In Asymptomatic Sexually Active Individuals.

机构信息

Department of Obstetrics and Gynecology, College of Medicine, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Republic of Korea.

Department of Urology, College of Medicine, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Republic of Korea.

出版信息

Int J Med Sci. 2018 Jun 12;15(9):915-920. doi: 10.7150/ijms.26523. eCollection 2018.

Abstract

This study aimed to determine the role of asymptomatic bacterial sexually transmitted infections (STIs), such as (), (), , and () in human papillomavirus (HPV) infection. In total, 264 asymptomatic outpatients aged between 21 and 80 years were prospectively enrolled in this study during routine gynecological screening tests. Specimens collected with a Cervex Brush were routinely analyzed with the Hybrid Capture 2 assay for HPV. Simultaneously, a specimen obtained with an endocervical swab was used to detect and with a monoplex real-time polymerase chain reaction (PCR) and to confirm and with a Mycoplasma IST 2 kit. The detection rates (%) of HPV, , , , and were 82/264 (31.1), 6/264 (2.3), 5/264 (1.9), 16/264 (6.1), and 95/264 (36.0), respectively. Of 95 , 32 (33.7%) showed high density colonization (HDC, ≥10 color-changing units/mL). HDC- was significantly associated with HPV infection (=0.014, chi-square test). infection and infection were not associated with HPV infection (=0.981 and =0.931, chi-square test). Age was not associated with HPV infection or bacterial infection. Our data suggested that asymptomatic HDC- was closely associated with HPV infection. Therefore, simultaneous evaluation for and HPV should be performed during gynecological screening, even in asymptomatic individuals.

摘要

本研究旨在确定无症状性细菌性性传播感染(STIs),如淋病奈瑟菌、沙眼衣原体、解脲脲原体和人型支原体在人乳头瘤病毒(HPV)感染中的作用。在常规妇科筛查试验中,共前瞻性纳入 264 名年龄在 21 至 80 岁之间的无症状门诊患者。使用 Cervix 刷采集标本,常规采用 Hybrid Capture 2 法检测 HPV。同时,使用宫颈拭子采集标本,采用单重实时聚合酶链反应(PCR)法检测解脲脲原体和沙眼衣原体,采用 Mycoplasma IST 2 试剂盒确认淋病奈瑟菌和人型支原体。HPV、淋病奈瑟菌、沙眼衣原体、解脲脲原体和人型支原体的检出率(%)分别为 82/264(31.1)、6/264(2.3)、5/264(1.9)、16/264(6.1)和 95/264(36.0)。在 95 例人型支原体中,32 例(33.7%)存在高密度定植(HDC,≥10 个颜色变化单位/mL)。HDC-与 HPV 感染显著相关(=0.014,卡方检验)。沙眼衣原体感染和解脲脲原体感染与 HPV 感染无关(=0.981 和=0.931,卡方检验)。年龄与 HPV 感染或细菌感染无关。我们的数据表明,无症状性 HDC-与人乳头瘤病毒感染密切相关。因此,即使在无症状个体中,也应在妇科筛查期间同时评估人型支原体和 HPV。

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