Genotypic characterisation of human papillomavirus infections among persons living with HIV infection; a case-control study in Kumasi, Ghana

Trop Med Int Health. 2016 Feb;21(2):275-82. doi: 10.1111/tmi.12645. Epub 2015 Dec 16.

Abstract

Objectives: The objective of this study is to describe the burden of human papillomavirus (HPV) infection among women living with HIV and non-infected women in Ghana.

Methods: A case-control study was conducted involving 107 women living with HIV aged between 18 and 59 years (cases) and 100 non-HIV-infected apparently healthy women (controls) who were recruited from the Kumasi South Hospital, from July to December, 2014. Cervicovaginal swabs were taken from study participants to characterise 28 high- and low-risk HPV genotypes using a multiplex real-time PCR.

Results: The overall mean age for the participants was 40.10 ± 9.76 years. The prevalence of high-risk (hr)-HPV genotypes was significantly higher among the cases than the controls (77.4% vs. 41.6%, P < 0.0001). Overall, HPV 58 and 54 were the most predominant high-risk (18.8%) and low-risk (15.0%) genotypes detected. The two most common hr-HPV genotype isolates were 58 (18.8%) and 35 (15.9%) with 58 being the most prevalent among age group 35-44 years compared with hr-HPV 16, 18, 35 and 45, found predominantly among 18-34 age group.

Conclusions: Significant variations exist in HPV genotypes among HIV-infected and uninfected women.

Keywords: Genotipos; Genotypes; Ghana; HIV; VIH; génotypes; human papillomavirus (HPV); virus del papiloma humano (VPH); virus du papillome humain (VPH).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • DNA, Viral / analysis
  • Female
  • Genotype*
  • Ghana / epidemiology
  • HIV Infections / complications*
  • Humans
  • Middle Aged
  • Papillomaviridae / genetics*
  • Papillomavirus Infections / complications
  • Papillomavirus Infections / epidemiology*
  • Papillomavirus Infections / virology
  • Prevalence
  • Real-Time Polymerase Chain Reaction
  • Uterine Cervical Neoplasms / virology
  • Young Adult

Substances

  • DNA, Viral