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中国中部河南省尖锐湿疣女性患者人乳头瘤病毒的患病率及基因型分布

Prevalence and Genetype Distribution of Human Papillomavirus in Women with Condyloma Acuminatum in Henan Province, Central China.

作者信息

Chen Guanghui, Gao Lan, Zheng Peiming, Liu Yanhong, Li Pan, Liu Huifang

机构信息

Department of Clinical Laboratory, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, People's Hospital of Henan University, Zhengzhou, People's Republic of China.

出版信息

Infect Drug Resist. 2023 Jul 28;16:4919-4928. doi: 10.2147/IDR.S418783. eCollection 2023.

Abstract

PURPOSE

This study aims to analyze the distribution of human papillomavirus (HPV) genotypes and the associations of demographic characteristics with HPV infection among women with condyloma acuminatum (CA) in Henan Province of China.

METHODS

From January 2019 to October 2022, 702 women with CA were sampled for HPV subtypes and surveyed by questionnaire at Henan Provincial People's Hospital. The HPV genotype was tested by flow-through hybridization after polymerase chain reaction (PCR).

RESULTS

The location of warts was mainly vulva. The age of the subjects was mainly distributed in the 20-29-year-old, followed by 30-39-year-old. The most common subtypes were HPV 6 (43.59%), 11 (24.93%), 16 (11.82%), 52 (7.83%), 58 (7.55%), 51 (7.26%), 61 (5.70%), 39 (5.56%), 18 (5.13%), and 54 (4.70%), our results also suggested that HPV 6 and 11 were the dominant genotypes in each age group. The infection of low-risk HPV (LR-HPV) (74.50%) and single HPV (47.01%) were the main categories. In terms of educational level, women with senior high school or above were inclined to infect single and pure-LR HPV. Unmarried status, sometimes or never condom use increased the chances of multiple, pure high-risk (HR) and mixed HPV infections. Women with multiple sex partners were more likely to cause multiple and mixed HPV infections.

CONCLUSION

Our experimental data on the prevalence and subtype distribution of HPV in women with CA could provide valuable reference for preventing CA in Henan Province. The application of the nine-valent vaccine provides a broad prospect for female CA prevention.

摘要

目的

本研究旨在分析中国河南省尖锐湿疣(CA)女性患者中人乳头瘤病毒(HPV)基因型分布及人口学特征与HPV感染的相关性。

方法

2019年1月至2022年10月,在河南省人民医院对702例CA女性患者进行HPV亚型采样及问卷调查。采用聚合酶链反应(PCR)后导流杂交法检测HPV基因型。

结果

疣体部位主要在外阴。患者年龄主要分布在20 - 29岁,其次是30 - 39岁。最常见的亚型为HPV 6(43.59%)、11(24.93%)、16(11.82%)、52(7.83%)、58(7.55%)、51(7.26%)、61(5.70%)、39(5.56%)、18(5.13%)和54(4.70%),我们的结果还表明HPV 6和11是各年龄组的优势基因型。低风险HPV(LR-HPV)感染(74.50%)和单一HPV感染(47.01%)为主要类型。在教育程度方面,高中及以上学历女性倾向于感染单一和单纯LR-HPV。未婚状态、有时或从不使用避孕套增加了多重、单纯高危(HR)和混合HPV感染的几率。有多个性伴侣的女性更易导致多重和混合HPV感染。

结论

我们关于CA女性患者中HPV流行率和亚型分布的实验数据可为河南省CA的预防提供有价值的参考。九价疫苗的应用为女性CA预防提供了广阔前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b2/10393019/f1903305580a/IDR-16-4919-g0001.jpg

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