Epidemiology of HPV Genotypes among HIV Positive Women in Kenya: A Systematic Review and Meta-Analysis
Identifieur interne : 001082 ( Main/Exploration ); précédent : 001081; suivant : 001083Epidemiology of HPV Genotypes among HIV Positive Women in Kenya: A Systematic Review and Meta-Analysis
Auteurs : Sonia Menon [Belgique, États-Unis] ; Aibibula Wusiman [Canada] ; Marie Claude Boily [Royaume-Uni] ; Mbabazi Kariisa [États-Unis] ; Hillary Mabeya [Kenya] ; Stanley Luchters [Belgique, Australie] ; Frode Forland [Pays-Bas, Norvège] ; Rodolfo Rossi [Suisse] ; Steven Callens [Belgique] ; Davy Vanden Broeck [Belgique]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
Abstract
There is a scarcity of data on the distribution of human papillomavirus (HPV) genotypes in the HIV positive population and in invasive cervical cancer (ICC) in Kenya. This may be different from genotypes found in abnormal cytology. Yet, with the advent of preventive HPV vaccines that target HPV 16 and 18, and the nonavalent vaccine targeting 90% of all ICC cases, such HPV genotype distribution data are indispensable for predicting the impact of vaccination and HPV screening on prevention. Even with a successful vaccination program, vaccinated women will still require screening to detect those who will develop ICC from other High risk (HR) HPV genotypes not prevented by current vaccines. The aim of this review is to report on the prevalence of pHR/HR HPV types and multiple pHR/HR HPV genotypes in Kenya among HIV positive women with normal, abnormal cytology and ICC.
PUBMED, EMBASE, SCOPUS, and PROQUEST were searched for articles on HPV infection up to August 2nd 2016. Search terms were HIV, HPV, Cervical Cancer, Incidence or Prevalence, and Kenya.
The 13 studies included yielded a total of 2116 HIV-infected women, of which 89 had ICC. The overall prevalence of pHR/HR HPV genotypes among HIV-infected women was 64% (95%CI: 50%-77%). There was a borderline significant difference in the prevalence of pHR/HR HPV genotypes between Female Sex workers (FSW) compared to non-FSW in women with both normal and abnormal cytology. Multiple pHR/HR HPV genotypes were highly prominent in both normal cytology/HSIL and ICC. The most prevalent HR HPV genotypes in women with abnormal cytology were HPV 16 with 26%, (95%CI: 23.0%-30.0%) followed by HPV 35 and 52, with 21% (95%CI: 18%-25%) and 18% (95%CI: 15%-21%), respectively. In women with ICC, the most prevalent HPV genotypes were HPV 16 (37%; 95%CI: 28%-47%) and HPV 18 (24%; 95%CI: 16%-33%).
HPV 16/18 gains prominence as the severity of cervical disease increases, with HPV 16/18 accounting for 61% (95%CI: 50.0%-70.0%) of all ICC cases. A secondary prevention program will be necessary as this population harbors multiple pHR/HR HPV co-infections, which may not be covered by current vaccines. A triage based on FSW as an indicator may be warranted.
Url:
DOI: 10.1371/journal.pone.0163965
PubMed: 27764092
PubMed Central: 5072621
Affiliations:
- Australie, Belgique, Canada, Kenya, Norvège, Pays-Bas, Royaume-Uni, Suisse, États-Unis
- Angleterre, Grand Londres, Géorgie (États-Unis), Hollande-Septentrionale, Province d'Anvers, Province de Flandre-Orientale, Québec, Région flamande, Østlandet
- Amsterdam, Anvers, Gand, Londres, Montréal, Oslo
- Université McGill, Université d'Anvers, Université de Gand
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type="main">Epidemiology of HPV Genotypes among HIV Positive Women in Kenya: A Systematic Review and Meta-Analysis</title><author><name sortKey="Menon, Sonia" sort="Menon, Sonia" uniqKey="Menon S" first="Sonia" last="Menon">Sonia Menon</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>International Centre for Reproductive Health (ICRH), Ghent University, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>International Centre for Reproductive Health (ICRH), Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff004"><addr-line>CDC Foundation, Atlanta, GA, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC Foundation, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Wusiman, Aibibula" sort="Wusiman, Aibibula" uniqKey="Wusiman A" first="Aibibula" last="Wusiman">Aibibula Wusiman</name><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>McGill University, Department of Epidemiology and Biostatistics, Montreal, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McGill University, Department of Epidemiology and Biostatistics, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region><settlement type="city">Montréal</settlement></placeName><orgName type="university">Université McGill</orgName></affiliation></author><author><name sortKey="Boily, Marie Claude" sort="Boily, Marie Claude" uniqKey="Boily M" first="Marie Claude" last="Boily">Marie Claude Boily</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Faculty of Medicine, School of Public Health, Imperial College, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Medicine, School of Public Health, Imperial College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Kariisa, Mbabazi" sort="Kariisa, Mbabazi" uniqKey="Kariisa M" first="Mbabazi" last="Kariisa">Mbabazi Kariisa</name><affiliation wicri:level="2"><nlm:aff id="aff004"><addr-line>CDC Foundation, Atlanta, GA, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>CDC Foundation, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Mabeya, Hillary" sort="Mabeya, Hillary" uniqKey="Mabeya H" first="Hillary" last="Mabeya">Hillary Mabeya</name><affiliation wicri:level="1"><nlm:aff id="aff005"><addr-line>Moi University/Gynocare Fistula Centre, El Doret, Kenya</addr-line></nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Moi University/Gynocare Fistula Centre, El Doret</wicri:regionArea><wicri:noRegion>El Doret</wicri:noRegion></affiliation></author><author><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>International Centre for Reproductive Health (ICRH), Ghent University, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>International Centre for Reproductive Health (ICRH), Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff006"><addr-line>School of Public Health and Preventive Medicine, Monash University, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health and Preventive Medicine, Monash University, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff007"><addr-line>Centre for International Health, and Principal for Sexual and Reproductive Health, Burnet Institute, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for International Health, and Principal for Sexual and Reproductive Health, Burnet Institute, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Forland, Frode" sort="Forland, Frode" uniqKey="Forland F" first="Frode" last="Forland">Frode Forland</name><affiliation wicri:level="3"><nlm:aff id="aff008"><addr-line>Royal Tropical Institute of the Netherlands/CEBHA, Amsterdam, the Netherlands</addr-line></nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Royal Tropical Institute of the Netherlands/CEBHA, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff009"><addr-line>Norwegian Institute of Public Health, Department of International Public Health, Oslo, Norway</addr-line></nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Norwegian Institute of Public Health, Department of International Public Health, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Rossi, Rodolfo" sort="Rossi, Rodolfo" uniqKey="Rossi R" first="Rodolfo" last="Rossi">Rodolfo Rossi</name><affiliation wicri:level="1"><nlm:aff id="aff010"><addr-line>LSHTM Alumni, Geneva, Switzerland</addr-line></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>LSHTM Alumni, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Callens, Steven" sort="Callens, Steven" uniqKey="Callens S" first="Steven" last="Callens">Steven Callens</name><affiliation wicri:level="1"><nlm:aff id="aff011"><addr-line>Department of Internal Medicine & Infectious Diseases, University Hospital, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Internal Medicine & Infectious Diseases, University Hospital, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Vanden Broeck, Davy" sort="Vanden Broeck, Davy" uniqKey="Vanden Broeck D" first="Davy" last="Vanden Broeck">Davy Vanden Broeck</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>International Centre for Reproductive Health (ICRH), Ghent University, Ghent, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>International Centre for Reproductive Health (ICRH), Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff012"><addr-line>AMBIOR, Laboratory for Cell Biology & Histology, University of Antwerp, Antwerp, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>AMBIOR, Laboratory for Cell Biology & Histology, University of Antwerp, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff013"><addr-line>National Reference Centre for HPV, Brussels, Belgium; Laboratory of Molecular Pathology, AML, Antwerp, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>National Reference Centre for HPV, Brussels, Belgium; Laboratory of Molecular Pathology, AML, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>There is a scarcity of data on the distribution of human papillomavirus (HPV) genotypes in the HIV positive population and in invasive cervical cancer (ICC) in Kenya. This may be different from genotypes found in abnormal cytology. Yet, with the advent of preventive HPV vaccines that target HPV 16 and 18, and the nonavalent vaccine targeting 90% of all ICC cases, such HPV genotype distribution data are indispensable for predicting the impact of vaccination and HPV screening on prevention. Even with a successful vaccination program, vaccinated women will still require screening to detect those who will develop ICC from other High risk (HR) HPV genotypes not prevented by current vaccines. The aim of this review is to report on the prevalence of pHR/HR HPV types and multiple pHR/HR HPV genotypes in Kenya among HIV positive women with normal, abnormal cytology and ICC.</p></sec><sec id="sec002"><title>Methods</title><p>PUBMED, EMBASE, SCOPUS, and PROQUEST were searched for articles on HPV infection up to August 2<sup>nd</sup> 2016. Search terms were HIV, HPV, Cervical Cancer, Incidence or Prevalence, and Kenya.</p></sec><sec id="sec003"><title>Results</title><p>The 13 studies included yielded a total of 2116 HIV-infected women, of which 89 had ICC. The overall prevalence of pHR/HR HPV genotypes among HIV-infected women was 64% (95%CI: 50%-77%). There was a borderline significant difference in the prevalence of pHR/HR HPV genotypes between Female Sex workers (FSW) compared to non-FSW in women with both normal and abnormal cytology. Multiple pHR/HR HPV genotypes were highly prominent in both normal cytology/HSIL and ICC. The most prevalent HR HPV genotypes in women with abnormal cytology were HPV 16 with 26%, (95%CI: 23.0%-30.0%) followed by HPV 35 and 52, with 21% (95%CI: 18%-25%) and 18% (95%CI: 15%-21%), respectively. In women with ICC, the most prevalent HPV genotypes were HPV 16 (37%; 95%CI: 28%-47%) and HPV 18 (24%; 95%CI: 16%-33%).</p></sec><sec id="sec004"><title>Conclusion</title><p>HPV 16/18 gains prominence as the severity of cervical disease increases, with HPV 16/18 accounting for 61% (95%CI: 50.0%-70.0%) of all ICC cases. A secondary prevention program will be necessary as this population harbors multiple pHR/HR HPV co-infections, which may not be covered by current vaccines. A triage based on FSW as an indicator may be warranted.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Walboomers, Jm" uniqKey="Walboomers J">JM Walboomers</name></author><author><name sortKey="Jacobs, Mv" uniqKey="Jacobs M">MV Jacobs</name></author><author><name sortKey="Manos, Mm" uniqKey="Manos M">MM Manos</name></author><author><name sortKey="Bosch, Fx" uniqKey="Bosch F">FX Bosch</name></author><author><name sortKey="Kummer, Ja" uniqKey="Kummer J">JA Kummer</name></author><author><name sortKey="Shah, Kv" uniqKey="Shah K">KV Shah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Munoz, N" uniqKey="Munoz N">N Munoz</name></author><author><name sortKey="Bosch, Fx" uniqKey="Bosch F">FX Bosch</name></author><author><name sortKey="De Sanjose, S" uniqKey="De Sanjose S">S de Sanjose</name></author><author><name sortKey="Herrero, R" uniqKey="Herrero R">R Herrero</name></author><author><name 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K">KU Petry</name></author><author><name sortKey="Kjaer, Sk" uniqKey="Kjaer S">SK Kjaer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>Belgique</li><li>Canada</li><li>Kenya</li><li>Norvège</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>Suisse</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Géorgie (États-Unis)</li><li>Hollande-Septentrionale</li><li>Province d'Anvers</li><li>Province de Flandre-Orientale</li><li>Québec</li><li>Région flamande</li><li>Østlandet</li></region><settlement><li>Amsterdam</li><li>Anvers</li><li>Gand</li><li>Londres</li><li>Montréal</li><li>Oslo</li></settlement><orgName><li>Université McGill</li><li>Université d'Anvers</li><li>Université de Gand</li></orgName></list><tree><country name="Belgique"><region name="Région flamande"><name sortKey="Menon, Sonia" sort="Menon, Sonia" uniqKey="Menon S" first="Sonia" last="Menon">Sonia Menon</name></region><name sortKey="Callens, Steven" sort="Callens, Steven" uniqKey="Callens S" first="Steven" last="Callens">Steven Callens</name><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name><name sortKey="Vanden Broeck, Davy" sort="Vanden Broeck, Davy" uniqKey="Vanden Broeck D" first="Davy" last="Vanden Broeck">Davy Vanden Broeck</name><name sortKey="Vanden Broeck, Davy" sort="Vanden Broeck, Davy" uniqKey="Vanden Broeck D" first="Davy" last="Vanden Broeck">Davy Vanden Broeck</name><name sortKey="Vanden Broeck, Davy" sort="Vanden Broeck, Davy" uniqKey="Vanden Broeck D" first="Davy" last="Vanden Broeck">Davy Vanden Broeck</name></country><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Menon, Sonia" sort="Menon, Sonia" uniqKey="Menon S" first="Sonia" last="Menon">Sonia Menon</name></region><name sortKey="Kariisa, Mbabazi" sort="Kariisa, Mbabazi" uniqKey="Kariisa M" first="Mbabazi" last="Kariisa">Mbabazi Kariisa</name></country><country name="Canada"><region name="Québec"><name sortKey="Wusiman, Aibibula" sort="Wusiman, Aibibula" uniqKey="Wusiman A" first="Aibibula" last="Wusiman">Aibibula Wusiman</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Boily, Marie Claude" sort="Boily, Marie Claude" uniqKey="Boily M" first="Marie Claude" last="Boily">Marie Claude Boily</name></region></country><country name="Kenya"><noRegion><name sortKey="Mabeya, Hillary" sort="Mabeya, Hillary" uniqKey="Mabeya H" first="Hillary" last="Mabeya">Hillary Mabeya</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name></noRegion><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Forland, Frode" sort="Forland, Frode" uniqKey="Forland F" first="Frode" last="Forland">Frode Forland</name></region></country><country name="Norvège"><region name="Østlandet"><name sortKey="Forland, Frode" sort="Forland, Frode" uniqKey="Forland F" first="Frode" last="Forland">Frode Forland</name></region></country><country name="Suisse"><noRegion><name sortKey="Rossi, Rodolfo" sort="Rossi, Rodolfo" uniqKey="Rossi R" first="Rodolfo" last="Rossi">Rodolfo Rossi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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