Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study

<p>Abstract</p> <p>Background</p> <p>This multicenter study describes the type-specific prevalence of HPV infection in the general population from central and southern Italy, comparing the data with previously published Italian studies.</p> <p>Methods</p&...

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Main Authors: Pini Maria, Macis Rosalba, Scalisi Aurora, Angeloni Claudio, Di Iasi Angela, Paganini Irene, Bisanzi Simonetta, Giorgi Rossi Paolo, Chini Francesco, Carozzi Francesca
Format: Article
Language:English
Published: BMC 2010-07-01
Series:BMC Infectious Diseases
Online Access:http://www.biomedcentral.com/1471-2334/10/214
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author Pini Maria
Macis Rosalba
Scalisi Aurora
Angeloni Claudio
Di Iasi Angela
Paganini Irene
Bisanzi Simonetta
Giorgi Rossi Paolo
Chini Francesco
Carozzi Francesca
author_facet Pini Maria
Macis Rosalba
Scalisi Aurora
Angeloni Claudio
Di Iasi Angela
Paganini Irene
Bisanzi Simonetta
Giorgi Rossi Paolo
Chini Francesco
Carozzi Francesca
author_sort Pini Maria
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>This multicenter study describes the type-specific prevalence of HPV infection in the general population from central and southern Italy, comparing the data with previously published Italian studies.</p> <p>Methods</p> <p>Women aged from 25 to 65 who attended cervical cancer screening in five different Italian regions were tested for HPV infection with Hybrid Capture II (HCII) low and high risk probes. Women repeating Pap-test upon unsatisfactory or positive results, or as a post-treatment and post-colposcopy follow-up analysis, were excluded from our study. High risk (HR) HPV positive samples were typed using GP5+/GP6+ primed PCR, followed by Reverse Line Blot for 18 high/intermediate risk HPV types, while low risk (LR) HPV positive samples were tested with type specific primers for HPV6 and HPV11.</p> <p>Results</p> <p>3817 women had a valid HCII test: 350 of them (9.2%) were positive for HR probes, 160 (4.2%) for LR probes, while 57 women were positive for both. Multiple infections were detected in 97 HR HPV positive women. The most common types were HPV 16 (3%), 31 (1.2%), 51 (1%). HPV6 ranked fifth (0.6%), HPV18 ranked tenth (0.5%) and HPV11 sixteenth (0.3%).</p> <p>In Sardinia the prevalence of high-risk infection was 13%, significantly higher than the mean value (p < 0.00005).</p> <p>The distribution of the most frequent types did not significantly differ by centre (p = 0.187) and age (p = 0.085).</p> <p>Conclusions</p> <p>Because cervical cancer incidence and Pap test coverage is lower in southern than in northern Italy, a lower prevalence of high-risk infections in the general population was expected in the south. However, prevalence detected in this study for the south of the country is slightly but significantly higher than the rest of Italy. The consequence may be an epidemic of cervical cancer in the next decades if adequate screening programs are not implemented there.</p>
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spelling doaj.art-523ea4446c604f0f92f289551555ba302022-12-22T00:51:26ZengBMCBMC Infectious Diseases1471-23342010-07-0110121410.1186/1471-2334-10-214Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based studyPini MariaMacis RosalbaScalisi AuroraAngeloni ClaudioDi Iasi AngelaPaganini IreneBisanzi SimonettaGiorgi Rossi PaoloChini FrancescoCarozzi Francesca<p>Abstract</p> <p>Background</p> <p>This multicenter study describes the type-specific prevalence of HPV infection in the general population from central and southern Italy, comparing the data with previously published Italian studies.</p> <p>Methods</p> <p>Women aged from 25 to 65 who attended cervical cancer screening in five different Italian regions were tested for HPV infection with Hybrid Capture II (HCII) low and high risk probes. Women repeating Pap-test upon unsatisfactory or positive results, or as a post-treatment and post-colposcopy follow-up analysis, were excluded from our study. High risk (HR) HPV positive samples were typed using GP5+/GP6+ primed PCR, followed by Reverse Line Blot for 18 high/intermediate risk HPV types, while low risk (LR) HPV positive samples were tested with type specific primers for HPV6 and HPV11.</p> <p>Results</p> <p>3817 women had a valid HCII test: 350 of them (9.2%) were positive for HR probes, 160 (4.2%) for LR probes, while 57 women were positive for both. Multiple infections were detected in 97 HR HPV positive women. The most common types were HPV 16 (3%), 31 (1.2%), 51 (1%). HPV6 ranked fifth (0.6%), HPV18 ranked tenth (0.5%) and HPV11 sixteenth (0.3%).</p> <p>In Sardinia the prevalence of high-risk infection was 13%, significantly higher than the mean value (p < 0.00005).</p> <p>The distribution of the most frequent types did not significantly differ by centre (p = 0.187) and age (p = 0.085).</p> <p>Conclusions</p> <p>Because cervical cancer incidence and Pap test coverage is lower in southern than in northern Italy, a lower prevalence of high-risk infections in the general population was expected in the south. However, prevalence detected in this study for the south of the country is slightly but significantly higher than the rest of Italy. The consequence may be an epidemic of cervical cancer in the next decades if adequate screening programs are not implemented there.</p>http://www.biomedcentral.com/1471-2334/10/214
spellingShingle Pini Maria
Macis Rosalba
Scalisi Aurora
Angeloni Claudio
Di Iasi Angela
Paganini Irene
Bisanzi Simonetta
Giorgi Rossi Paolo
Chini Francesco
Carozzi Francesca
Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study
BMC Infectious Diseases
title Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study
title_full Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study
title_fullStr Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study
title_full_unstemmed Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study
title_short Prevalence of HPV high and low risk types in cervical samples from the Italian general population: a population based study
title_sort prevalence of hpv high and low risk types in cervical samples from the italian general population a population based study
url http://www.biomedcentral.com/1471-2334/10/214
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