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Prevalence of Human Papillomavirus (HPV) and Other Sexually Transmitted Infections (STIs) among Italian Women Referred for a Colposcopy

Marianna Martinelli, Rosario Musumeci, Illari Sechi, Giovanni Sotgiu, Andrea Piana, Federica Perdoni, Federica Sina, Robert Fruscio, Fabio Landoni and Clementina E. Cocuzza
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Marianna Martinelli: Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
Rosario Musumeci: Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
Illari Sechi: Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy
Giovanni Sotgiu: Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy
Andrea Piana: Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy
Federica Perdoni: Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
Federica Sina: ASST Monza, San Gerardo Hospital, 20900 Monza, Italy
Robert Fruscio: Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
Fabio Landoni: Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
Clementina E. Cocuzza: Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy

IJERPH, 2019, vol. 16, issue 24, 1-11

Abstract: Sexually transmitted infections (STIs) represent a major cause of morbidity in women and men worldwide. Human Papillomavirus (HPV) infections are among the most prevalent STIs and persistent infections with high-risk HPV (hrHPV) genotypes can cause cervical dysplasia and invasive cervical cancer. The association of other STIs with HPV cervical infection and/or dysplasia has however not yet been fully elucidated. The aim of this study was to assess the prevalence of HPV and other STIs among women presenting with an abnormal cervical cytology. Cervical infections with 28 HPV genotypes and seven other sexually transmitted pathogens were evaluated in 177 women referred for a colposcopy after an abnormal Pap smear. Positivity for at least one hrHPV genotype was shown in 87% of women; HPV 16 was the most prevalent (25.0%), followed by HPV 31 and HPV 51. The overall positivity for other STIs was 49.2%, with Ureaplasma parvum being the most prevalent microrganism (39.0%). Co-infections between hrHPV and other STIs were demonstrated in 17.5% of women; no significant association was demonstrated between multiple infections and the colposcopy findings. This study provides new epidemiological data on the prevalence of cervical infections associated with HPV and seven other common sexually transmitted pathogens in a population of women presenting with an abnormal cervical cytology.

Keywords: human papillomavirus; sexually transmitted infections; HPV genotypes; HPV and STI co-infections (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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