AlMesbah Nahlah, Maatoug Jihene, Selim Nagah, Bougmiza Iheb
Community Medicine Residency Program, Medical Education, Hamad Medical Corporation, Doha, Qatar *Email:
Community Medicine Residency Program, Primary Health Care Corporation, Doha, Qatar.
Qatar Med J. 2024 Jul 31;2024(3):33. doi: 10.5339/qmj.2024.33. eCollection 2024.
Cervical cancer remains a global health challenge, claiming the lives of millions annually and having a significant impact on Gulf Cooperation Council (GCC) countries. Human papillomavirus (HPV), the primary causative agent, plays a central role, with regional variations in prevalence. The process from HPV infection to neoplastic changes takes 5-25 years to occur, hence, knowing its prevalence in our community is vital..
PubMed and SCOPUS were searched to identify articles related to cervical and anogenital HPV prevalence and genotypes in Qatar, Kuwait, Bahrain, Oman, the United Arab Emirates (UAE), and the Kingdom of Saudi Arabia (KSA) published between 2017 and 2024.
A total of 19 articles were included in this review. Eight studies were from KSA, four were from Kuwait, three were from the UAE, one was from Qatar, Oman, and Bahrain, and one presented data collectively from the KSA, UAE, Qatar, and Bahrain. The prevalence of HPV ranged between 4.7% and 77% in studies from the KSA, between 15% and 54.3% in studies from Kuwait, between 14.7% and 88% in studies from the UAE, was 8.1% and 31.3% in the two studies from Qatar, and was 17.8% and 20% in the studies from Oman and Bahrain, respectively. HPV 16 was the most prevalent high-risk genotype found in studies conducted in the KSA, UAE, Kuwait, and Qatar. In Oman, HPV 82 predominated. In Bahrain, the majority had other non-HPV 16/18/45 genotypes. In the UAE and Kuwait, HPV 11 was the predominant low-risk type, followed by HPV 6. In Qatar, HPV 81 was the most common low-risk type, followed by HPV 11. In Oman, HPV 54 was the most common low-risk type, followed by HPV 42.
There are no studies with data on HPV prevalence and genotypes among women who have been vaccinated against HPV in GCC countries.
宫颈癌仍然是一项全球性的健康挑战,每年导致数百万人死亡,对海湾合作委员会(GCC)国家产生重大影响。人乳头瘤病毒(HPV)是主要致病因素,起着核心作用,其流行率存在地区差异。从HPV感染到肿瘤性变化的过程需要5至25年才会发生,因此,了解其在我们社区的流行率至关重要。
检索了PubMed和SCOPUS,以确定2017年至2024年期间发表的有关卡塔尔、科威特、巴林、阿曼、阿拉伯联合酋长国(阿联酋)和沙特阿拉伯王国(沙特)宫颈和肛门生殖器HPV流行率及基因型的文章。
本综述共纳入19篇文章。8项研究来自沙特,4项来自科威特,3项来自阿联酋,1项来自卡塔尔、阿曼和巴林,1项汇总了沙特、阿联酋、卡塔尔和巴林的数据。沙特研究中的HPV流行率在4.7%至77%之间,科威特研究中的流行率在15%至54.3%之间,阿联酋研究中的流行率在14.7%至88%之间,卡塔尔的两项研究中的流行率分别为8.1%和31.3%,阿曼和巴林研究中的流行率分别为17.8%和20%。HPV 16是在沙特、阿联酋、科威特和卡塔尔进行的研究中发现的最普遍的高危基因型。在阿曼,HPV 82占主导地位。在巴林,大多数人有其他非HPV 16/18/45基因型。在阿联酋和科威特,HPV 11是主要的低危型,其次是HPV 6。在卡塔尔,HPV 81是最常见的低危型,其次是HPV 11。在阿曼,HPV 54是最常见的低危型,其次是HPV 42。
在海湾合作委员会国家,没有关于接种HPV疫苗的女性中HPV流行率和基因型数据的研究。