人乳头瘤病毒在尼日利亚约拉阿达马瓦州育龄妇女中的流行

Nafisat A.C., Halima I., M. B., S. Y
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摘要

流行病学、分子和临床证据表明,宫颈癌是由人乳头瘤病毒(HPV)引起的,特别是基因型16、18和45。本研究旨在调查高危型HPV 16 18/45在育龄妇女中的流行情况。从社区和在阿达马瓦州约拉专科医院(S.H.Y)和约拉联邦医疗中心(F.M.C)就诊的病人中随机选出300名18岁及以上的妇女。使用问卷从每个受试者获得相关的性和社会人口信息。收集高剂量阴道拭子样本,采用APTIMA检测方法鉴定高危HPV基因型16、18和45。在分析的300份样本中,56份(18.7%)呈阳性,238份(79.3%)呈阴性,6份(2%)无效。在获得的阳性样本中,29例(51%)为HPV 16, 27例(48.2%)为HPV 18/45。研究还显示,24-41岁年龄组患病率最高,为25.6%。18 ~ 23岁年龄组未发现阳性样本。结果显示,HPV患病率与性伴侣数量显著相关(P=0.009)。关键词宫颈癌,人乳头瘤病毒,高阴道拭子,高危,性传播,APTIMA检测
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Prevalence of Human Papilloma Virus among women of child bearing Age in Yola Adamawa State, Nigeria
Epidemiological, molecular and clinical evidences have shown that cervical cancer is caused by the human papilloma-virus HPV), especially genotype 16 18 and 45. This study aims to survey the prevalence of high-risk types of HPV 16 18/45 among women of child-bearing age. Three hundred 300) women aged 18 years and above were randomly selected from the community and patients attending Specialist Hospital Yola (S.H.Y) and Federal Medical Center (F.M.C) Yola, Adamawa State. Relevant sexual and socio-demographic information was obtained from each subject using a questionnaire. High Vaginal swab samples were collected and analyzed using APTIMA Assay to identify the high-risk HPV genotype 16, 18 and 45. Out of the 300 samples analyzed, 56 (18.7%) were positive, 238 (79.3%) were negative for HPV and 6 (2%) are invalid. Out of the positive samples obtained, 29 (51%) were HPV 16 while 27 (48.2%) were HPV 18/45. The study also showed that the age grade of 24-41 years had the highest prevalence of 25.6 %. No positive sample was found among age grades of 18-23. The result shows that HPV prevalence was significantly associated with the number of sexual partners (P=0.009). Keywords Cervical-cancer, Human papilloma virus, High vaginal swab, high risk, sexually transmitted, APTIMA assay
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