Ontology highlight
ABSTRACT: Objective
The objective of this analysis was to assess human papillomavirus (HPV) infection persistence and incidence 7-months post-enrollment by HPV vaccine study arm (vaccine or placebo).Methods
HIV-negative, sexually active women aged 16-24 years in the Western Cape, South Africa, were enrolled in the EVRI Trial and were randomized to receive 4-valent HPV vaccine or placebo. Cervical specimens were collected at enrollment and at the 7-month visit and were genotyped for HPV. HPV prevalence, persistence, and incidence were calculated. Prevalence ratios and odds ratios were calculated to assess factors associated with a prevalent and incident HPV infection.Results
HPV incidence rates were marginally higher for the placebo group (n = 163) compared to the vaccine group (n = 169). A large proportion of the prevalent high-risk (HR-HPV) HPV types (49%) persisted over the 7-month period in both arms. Prevalent HR-HPV infection was significantly associated with a prevalent gonorrhea infection and detection of Herpes simplex type 2 antibodies. Incident HR-HPV infection was significantly associated with abnormal cervical cytology at enrollment and younger age.Conclusions
Women living in geographic areas, such as southern Africa, at high-risk for HPV need to receive HPV vaccination at a very young age to maximally prevent infection and subsequent disease.
SUBMITTER: Sudenga SL
PROVIDER: S-EPMC4698060 | biostudies-literature | 2016 Jan
REPOSITORIES: biostudies-literature
Sudenga Staci L SL Torres B Nelson BN Botha Matthys H MH Zeier Michele M Abrahamsen Martha E ME Glashoff Richard H RH Engelbrecht Susan S Schim Van der Loeff Maarten F MF Van der Laan Louvina E LE Kipping Siegfried S Taylor Douglas D Giuliano Anna R AR
The Journal of infection 20151019 1
<h4>Objective</h4>The objective of this analysis was to assess human papillomavirus (HPV) infection persistence and incidence 7-months post-enrollment by HPV vaccine study arm (vaccine or placebo).<h4>Methods</h4>HIV-negative, sexually active women aged 16-24 years in the Western Cape, South Africa, were enrolled in the EVRI Trial and were randomized to receive 4-valent HPV vaccine or placebo. Cervical specimens were collected at enrollment and at the 7-month visit and were genotyped for HPV. HP ...[more]