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dc.contributor.authorTimothée Duben_US
dc.contributor.authorSophie Le Cœuren_US
dc.contributor.authorNicole Ngo-Giang-huongen_US
dc.contributor.authorWanmanee Matanasarawuten_US
dc.contributor.authorPornnapa Suriyachaien_US
dc.contributor.authorKannikar Saisawaten_US
dc.contributor.authorChaiwat Putiyanunen_US
dc.contributor.authorSudanee Buranabanjasateanen_US
dc.contributor.authorPrattana Leenasirimakulen_US
dc.contributor.authorSamreung Randaengen_US
dc.contributor.authorTristan Deloryen_US
dc.description.abstractEven when receiving combination antiretroviral therapy, women living with HIV are at high risk of human papillomavirus (HPV) infection and/or cervical lesions, including cancer. Using data from the PapilloV prospective cohort, we evaluated the prevalence of high-risk HPV (HR-HPV) infections after cervical lesion treatment and investigated factors associated with their carriage. Women were followed up for three years with annual Pap smear and HPV genotyping. We offered treatment to women presenting either a Pap smear with high-grade squamous intraepithelial lesion or higher, and/or a biopsy showing cervical intraepithelial neoplasia II or III. We compared the prevalence of HR-HPV infection at the time of first treatment indication and at the end of follow-up among women who received treatment and those who did not. Overall, 46 women had treatment indication. HR-HPV prevalence significantly decreased from 67% to 27% (p value = 0.001) in the 30 women who received treatment, while it did not significantly decrease (from 56% to 38%) in the 16 women who did not (p value = 0.257). Due to lack of statistical power, the 40% relative difference in HR-HPV carriage between treated and untreated women was not significant. In women living with HIV, the treatment of a cervical lesion may be beneficial for clearing HR-HPV infections.en_US
dc.titlePrevalence of high-risk human papillomavirus infections before and after cervical lesion treatment, among women living with hiven_US
article.title.sourcetitleJournal of Clinical Medicineen_US
article.volume10en_US Institut National d' Études Démographiquesen_US Hospitalen_US Chan Hospitalen_US Hospitalen_US Ministry of Public Healthen_US Provincial Hospitalen_US Mai Universityen_US Hospitalier Annecy-Genevoisen_US Institute for Health and Welfareen_US de recherche pour le développement (IRD) UMI 174-PHPTen_US
Appears in Collections:CMUL: Journal Articles

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