Wang Dong, Yan Xinsheng, Yang Luo, Zhang Litao
Department of Clinical Laboratory, Wuhan Asia General Hospital, Wuhan Asia General Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, 430056, People's Republic of China.
Infect Drug Resist. 2024 Aug 24;17:3677-3688. doi: 10.2147/IDR.S471176. eCollection 2024.
Human papillomavirus (HPV) infection is a prevalent sexually transmitted infection worldwide, with its persistence being a significant factor in the development of cervical cancer and precancerous lesions. Understanding the prevalence and genotypes distribution of HPV can aid in the implementation of more focused strategies for cervical cancer prevention and treatment. This study aimed to investigate the prevalence and genotype distribution of HPV infection among outpatient-based populations in Wuhan, China.
Our study retrospectively analyzed the results of cervical HPV screening in 14,492 outpatient women. The cervicovaginal infection of 18 high-risk genotypes and 10 low-risk genotypes were analyzed by PCR and reverse dot hybridization techniques.
The overall prevalence of HPV infection in the outpatient female population was 15.33%, with a predominance of single infection and a predominance of dual infection among multiple infections. The top five genotypes in terms of prevalence of HR-HPV and LR-HPV were HPV-52 (3.77%), 53 (1.46%), 16 (1.31%), 58 (1.19%), 39 (1.18%) for HR-HPV, and HPV-54 (1.23%), 61 (1.08%), 81 (1.04%), 42 (0.87%), 44 (0.70%) for LR-HPV. Two peaks of HPV infection prevalence were observed among women under 25 years (22.88%) and over 56 years (24.26%). The prevalence and genotype distribution of HPV infection varied among different outpatient populations, with higher rates of HPV single infection, multiple infections, and infection across all ages observed in the gynecology outpatient population compared to the health check-up population.
This study revealed the HPV prevalence and genotype distribution among different outpatient populations in Wuhan city, which may provide guidance for HPV vaccination and cervical cancer prevention strategies in the region.
人乳头瘤病毒(HPV)感染是全球一种普遍的性传播感染,其持续性是宫颈癌和癌前病变发展的一个重要因素。了解HPV的流行情况和基因型分布有助于实施更有针对性的宫颈癌预防和治疗策略。本研究旨在调查中国武汉门诊人群中HPV感染的流行情况和基因型分布。
我们的研究回顾性分析了14492名门诊女性的宫颈HPV筛查结果。采用PCR和反向点杂交技术分析了18种高危基因型和10种低危基因型的宫颈阴道感染情况。
门诊女性人群中HPV感染的总体患病率为15.33%,单一感染占优势,多重感染中双重感染占优势。高危型HPV和低危型HPV患病率排名前五的基因型分别为:高危型HPV的HPV-52(3.77%)、53(1.46%)、16(1.31%)、58(1.19%)、39(1.18%),低危型HPV的HPV-54(1.23%)、61(1.08%)、81(1.04%)、42(0.87%)、44(0.70%)。在25岁以下(22.88%)和56岁以上(24.26%)的女性中观察到两个HPV感染患病率高峰。HPV感染的患病率和基因型分布在不同门诊人群中有所不同,与健康体检人群相比,妇科门诊人群中HPV单一感染、多重感染和各年龄段感染的发生率更高。
本研究揭示了武汉市不同门诊人群中HPV的流行情况和基因型分布,可为该地区的HPV疫苗接种和宫颈癌预防策略提供指导。