Self-collected versus clinician-collected samples for HSV-2 and HSV-2/HPV screening in HIV-infected and -uninfected women in the Tapajós region, Amazon, Brazil

Autor: Lyana Rodrigues Pinto Lima, Mariza G. Morgado, Vanessa Salete de Paula, Charlotte A. Gaydos, Alcina F. Nicol, Katrini Guidolini Martinelli, Luana Lorena Silva Rodrigues, José Henrique Pilotto, Justin Hardick
Rok vydání: 2019
Předmět:
Zdroj: International Journal of STD & AIDS. 30:1055-1062
ISSN: 1758-1052
0956-4624
DOI: 10.1177/0956462419842007
Popis: The aim of this study was to evaluate the prevalence of herpes simplex virus 2 (HSV-2) and HSV-2/human papillomavirus (HPV) co-infection by self-collected samples compared to clinician-collected samples in human immunodeficiency virus 1 (HIV-1)-infected and -uninfected women from the Tapajós region, Amazon, Brazil. A cross-sectional study was conducted with 439 anal and cervical scrapings and cervico-vaginal self-collected samples obtained from 153 eligible HIV-infected and -uninfected women. Real-time PCR for HSV-2 and nested PCR for HPV detection were performed. A multivariate analysis identified risk factors for HSV-2/HPV co-infection. The anogenital prevalence of HSV-2 was 9.2% (14/153), HPV was 67.3% (103/153) and HSV-2/HPV co-infection was 6.5% (10/153). There was a significant overall agreement (95.5%, 11/133, kappa 0.64, 95% CI 0.38–0.90, p
Databáze: OpenAIRE