Anal and oral human papillomavirus (HPV) infection in HIV-infected subjects in northern Italy: a longitudinal cohort study among men who have sex with men
2011

HPV Infection in HIV-Positive Men Who Have Sex with Men

Sample size: 166 publication Evidence: moderate

Author Information

Author(s): Parisi Saverio G, Cruciani Mario, Scaggiante Renzo, Boldrin Caterina, Andreis Samantha, Bello Federico Dal, Pagni Silvana, Barelli Andrea, Sattin Andrea, Mengoli Carlo, Palù Giorgio

Primary Institution: Department of Histology, Microbiology and Medical Biotechnology, Padua University

Hypothesis

What is the frequency and persistence of concurrent oral and anal HPV infections in HIV-infected MSM over a 6-month period?

Conclusion

A high prevalence of HPV infection was found in HIV-infected MSM, with a negative correlation between anal HPV infection and CD4 cell count.

Supporting Evidence

  • The overall prevalence of HPV did not vary significantly between baseline and follow-up.
  • 75% of patients with HPV at baseline had persistent infections after 6 months.
  • HPV prevalence was higher in younger patients, particularly in the 43-50 age group.
  • HHV-8 oral shedding was positively related to HPV anal infection.

Takeaway

The study found that many HIV-positive men who have sex with men have HPV infections in their mouths and anuses, and these infections can stick around for a long time.

Methodology

The study used PCR to detect HPV from oral and anal swabs collected at baseline and 6 months later from HIV-positive MSM.

Potential Biases

Potential bias due to missing data from inadequate samples.

Limitations

The study had a number of subjects with inadequate samples and did not fully characterize co-infections.

Participant Demographics

HIV-positive men who have sex with men, mean age 43.8 years.

Statistical Information

P-Value

0.0046

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2334-11-150

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