Persistence of Type-Specific Human Papillomavirus Infection among Cytologically Normal Women

Determinants of genital human papillomavirus (HPV) persistence in 393 women initially cytologically normal were investigated by testing them for HPV DNA twice over a median interval of 14.9 months. At each visit, interview information was obtained and a cervicovaginal lavage sample was collected for...

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Veröffentlicht in:The Journal of infectious diseases 1994-02, Vol.169 (2), p.235-240
Hauptverfasser: Hildesheim, Allan, Schiffman, Mark H., Gravitt, Patti E., Glass, Andrew G., Greer, Catherine E., Zhang, Tracy, Scott, David R., Rush, Brenda B., Lawler, Patricia, Sherman, Mark E., Kurman, Robert J., Manos, M. Michele
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container_end_page 240
container_issue 2
container_start_page 235
container_title The Journal of infectious diseases
container_volume 169
creator Hildesheim, Allan
Schiffman, Mark H.
Gravitt, Patti E.
Glass, Andrew G.
Greer, Catherine E.
Zhang, Tracy
Scott, David R.
Rush, Brenda B.
Lawler, Patricia
Sherman, Mark E.
Kurman, Robert J.
Manos, M. Michele
description Determinants of genital human papillomavirus (HPV) persistence in 393 women initially cytologically normal were investigated by testing them for HPV DNA twice over a median interval of 14.9 months. At each visit, interview information was obtained and a cervicovaginal lavage sample was collected for polymerase chain reaction-based HPV testing. Twenty-six percent of the women were HPV-positive at the first sampling. Data on HPV type was available for 86 HPV-positive women (84%); 35 of these women (41%) had persistent type-specific HPV detection. Persistence decreased with time between samplings. Women aged 2A7E;30 years had a higher percentage of persistence (65%) than those 2A7D;24 years (32%, P = .02). The percentage of persistence was higher among women infected with HPV types known to be cancer-associated (45%) than among those infected with other types (24%, P = .11). These findings were independent of each other and of timing between samplings. Although based on a prevalent cohort, these results are concordant with previous suggestions that HPV infection is usually transient and that cervical cancer may arise from within the subset of women with persistent HPV infection.
doi_str_mv 10.1093/infdis/169.2.235
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Michele</creatorcontrib><title>Persistence of Type-Specific Human Papillomavirus Infection among Cytologically Normal Women</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>Determinants of genital human papillomavirus (HPV) persistence in 393 women initially cytologically normal were investigated by testing them for HPV DNA twice over a median interval of 14.9 months. At each visit, interview information was obtained and a cervicovaginal lavage sample was collected for polymerase chain reaction-based HPV testing. Twenty-six percent of the women were HPV-positive at the first sampling. Data on HPV type was available for 86 HPV-positive women (84%); 35 of these women (41%) had persistent type-specific HPV detection. Persistence decreased with time between samplings. Women aged 2A7E;30 years had a higher percentage of persistence (65%) than those 2A7D;24 years (32%, P = .02). 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Michele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistence of Type-Specific Human Papillomavirus Infection among Cytologically Normal Women</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1994-02-01</date><risdate>1994</risdate><volume>169</volume><issue>2</issue><spage>235</spage><epage>240</epage><pages>235-240</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Determinants of genital human papillomavirus (HPV) persistence in 393 women initially cytologically normal were investigated by testing them for HPV DNA twice over a median interval of 14.9 months. At each visit, interview information was obtained and a cervicovaginal lavage sample was collected for polymerase chain reaction-based HPV testing. Twenty-six percent of the women were HPV-positive at the first sampling. 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subjects Adolescent
Adult
Age Factors
Aged
Base Sequence
Biological and medical sciences
Cervical cancer
Cervix Uteri - virology
DNA Primers - chemistry
DNA Probes, HPV
Epidemiology
Female
Genitalia
Human viral diseases
Humans
Infections
Infectious diseases
Major Articles
Medical sciences
Middle Aged
Molecular Sequence Data
Neoplasia
Oligonucleotide Probes - chemistry
Papillomaviridae
Papillomavirus infections
Papillomavirus Infections - pathology
Papillomavirus Infections - virology
Polymerase chain reaction
Therapeutic irrigation
Time Factors
Tobacco smoking
Tumor Virus Infections - pathology
Tumor Virus Infections - virology
Viral diseases
Viral diseases of the genital and urinary system
Viruses
title Persistence of Type-Specific Human Papillomavirus Infection among Cytologically Normal Women
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