Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26368294
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(9
): e0137434
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Prevalence of Anal Human Papillomavirus Infection and Risk Factors among
HIV-positive Patients in Tokyo, Japan
#MMPMID26368294
Nagata N
; Watanabe K
; Nishijima T
; Tadokoro K
; Watanabe K
; Shimbo T
; Niikura R
; Sekine K
; Akiyama J
; Teruya K
; Gatanaga H
; Kikuchi Y
; Uemura N
; Oka S
PLoS One
2015[]; 10
(9
): e0137434
PMID26368294
show ga
BACKGROUND: Oncogenic human papillomavirus (HPV) infection, particularly multiple
HPV types, is recognized as a necessary cause of anal cancer. However, a limited
number of studies have reported the prevalence of anal HPV infection in Asia. We
determined the prevalence, genotypes, and risk factors for anal HPV infection in
Japanese HIV-positive men who have sex with men (MSM), heterosexual men, and
women. METHODS: This cross-sectional study included 421 HIV-positive patients. At
enrollment, we collected data on smoking, alcohol, co-morbidities, drugs, CD4
cell counts, HIV RNA levels, highly active anti-retroviral therapy (HAART)
duration, sexually transmitted infections (STIs), and serological screening
(syphilis, hepatitis B virus, Chlamydia trachomatis, Entamoeba histolytica). Anal
swabs were collected for oncogenic HPV genotyping. RESULTS: Oncogenic HPV rate
was 75.9% in MSM, 20.6% in heterosexual men, and 19.2% in women. HPV 16/18 types
were detected in 34.9% of MSM, 17.7% of heterosexual men, and 11.5% of women.
Multiple oncogenic HPV (?2 oncogenic types) rate was 54.6% in MSM, 8.8% in
heterosexual men, and 0% in women. In univariate analysis, younger age, male sex,
MSM, CD4 <100, HIV viral load >50,000, no administration of HAART, and having ?2
sexually transmitted infections (STIs) were significantly associated with
oncogenic HPV infection, whereas higher smoking index and corticosteroid use were
marginally associated with oncogenic HPV infection. In multivariate analysis,
younger age (OR, 0.98 [0.96-0.99]), MSM (OR, 5.85 [2.33-14.71]), CD4 <100 (OR,
2.24 [1.00-5.01]), and having ?2 STIs (OR, 2.81 [1.72-4.61]) were independently
associated with oncogenic HPV infection. These 4 variables were also significant
risk factors for multiple oncogenic HPV infection. CONCLUSIONS: Among Japanese
HIV-infected patients, approximately two-thirds of MSM, one-fifth of heterosexual
men, and one-fifth of women have anal oncogenic HPV infection. Younger age, MSM,
?2 STIs, and immunosuppression confer a higher risk of infection with oncogenic
HPV and multiple oncogenic types.