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Genital warts and infection with human immunodeficiency virus in high-risk women in Burkina Faso: a longitudinal study
by
Clayton, Tim
, Van de Perre, Philippe
, Mayaud, Philippe
, Huet, Charlotte
, Segondy, Michel
, Low, Andrea J
, Ouedraogo, Abdoulaye
, Konate, Issouf
, Didelot-Rousseau, Marie-Noelle
, Nagot, Nicolas
in
Acquired immune deficiency syndrome
/ Adolescent
/ Adult
/ AIDS
/ Antiretroviral agents
/ Burkina Faso - epidemiology
/ Condyloma acuminatum
/ Condylomata Acuminata - complications
/ Condylomata Acuminata - epidemiology
/ Condylomata Acuminata - immunology
/ Condylomata Acuminata - virology
/ Cytology
/ Demographic aspects
/ Deoxyribonucleic acid
/ Distribution
/ DNA
/ Epidemiology
/ Female
/ Health aspects
/ HIV
/ HIV - isolation & purification
/ HIV - physiology
/ HIV infection
/ HIV Infections - complications
/ HIV Infections - epidemiology
/ HIV Infections - immunology
/ HIV Infections - virology
/ Human immunodeficiency virus
/ Human immunodeficiency virus 1
/ Human papillomavirus
/ Human papillomavirus 6 - isolation & purification
/ Human papillomavirus 6 - physiology
/ Humans
/ Infectious Diseases
/ Internal Medicine
/ Life Sciences
/ Longitudinal Studies
/ Medical Microbiology
/ Medicine
/ Medicine & Public Health
/ Parasitology
/ Prevalence
/ Prospective Studies
/ Research Article
/ Risk factors
/ Sexually transmitted diseases
/ STD
/ Tropical Medicine
/ Women
/ Young Adult
2011
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Genital warts and infection with human immunodeficiency virus in high-risk women in Burkina Faso: a longitudinal study
by
Clayton, Tim
, Van de Perre, Philippe
, Mayaud, Philippe
, Huet, Charlotte
, Segondy, Michel
, Low, Andrea J
, Ouedraogo, Abdoulaye
, Konate, Issouf
, Didelot-Rousseau, Marie-Noelle
, Nagot, Nicolas
in
Acquired immune deficiency syndrome
/ Adolescent
/ Adult
/ AIDS
/ Antiretroviral agents
/ Burkina Faso - epidemiology
/ Condyloma acuminatum
/ Condylomata Acuminata - complications
/ Condylomata Acuminata - epidemiology
/ Condylomata Acuminata - immunology
/ Condylomata Acuminata - virology
/ Cytology
/ Demographic aspects
/ Deoxyribonucleic acid
/ Distribution
/ DNA
/ Epidemiology
/ Female
/ Health aspects
/ HIV
/ HIV - isolation & purification
/ HIV - physiology
/ HIV infection
/ HIV Infections - complications
/ HIV Infections - epidemiology
/ HIV Infections - immunology
/ HIV Infections - virology
/ Human immunodeficiency virus
/ Human immunodeficiency virus 1
/ Human papillomavirus
/ Human papillomavirus 6 - isolation & purification
/ Human papillomavirus 6 - physiology
/ Humans
/ Infectious Diseases
/ Internal Medicine
/ Life Sciences
/ Longitudinal Studies
/ Medical Microbiology
/ Medicine
/ Medicine & Public Health
/ Parasitology
/ Prevalence
/ Prospective Studies
/ Research Article
/ Risk factors
/ Sexually transmitted diseases
/ STD
/ Tropical Medicine
/ Women
/ Young Adult
2011
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Genital warts and infection with human immunodeficiency virus in high-risk women in Burkina Faso: a longitudinal study
by
Clayton, Tim
, Van de Perre, Philippe
, Mayaud, Philippe
, Huet, Charlotte
, Segondy, Michel
, Low, Andrea J
, Ouedraogo, Abdoulaye
, Konate, Issouf
, Didelot-Rousseau, Marie-Noelle
, Nagot, Nicolas
in
Acquired immune deficiency syndrome
/ Adolescent
/ Adult
/ AIDS
/ Antiretroviral agents
/ Burkina Faso - epidemiology
/ Condyloma acuminatum
/ Condylomata Acuminata - complications
/ Condylomata Acuminata - epidemiology
/ Condylomata Acuminata - immunology
/ Condylomata Acuminata - virology
/ Cytology
/ Demographic aspects
/ Deoxyribonucleic acid
/ Distribution
/ DNA
/ Epidemiology
/ Female
/ Health aspects
/ HIV
/ HIV - isolation & purification
/ HIV - physiology
/ HIV infection
/ HIV Infections - complications
/ HIV Infections - epidemiology
/ HIV Infections - immunology
/ HIV Infections - virology
/ Human immunodeficiency virus
/ Human immunodeficiency virus 1
/ Human papillomavirus
/ Human papillomavirus 6 - isolation & purification
/ Human papillomavirus 6 - physiology
/ Humans
/ Infectious Diseases
/ Internal Medicine
/ Life Sciences
/ Longitudinal Studies
/ Medical Microbiology
/ Medicine
/ Medicine & Public Health
/ Parasitology
/ Prevalence
/ Prospective Studies
/ Research Article
/ Risk factors
/ Sexually transmitted diseases
/ STD
/ Tropical Medicine
/ Women
/ Young Adult
2011
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Genital warts and infection with human immunodeficiency virus in high-risk women in Burkina Faso: a longitudinal study
Journal Article
Genital warts and infection with human immunodeficiency virus in high-risk women in Burkina Faso: a longitudinal study
2011
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Overview
Background
Human papillomaviruses are the most common sexually transmitted infections, and genital warts, caused by HPV-6 and 11, entail considerable morbidity and cost. The natural history of genital warts in relation to HIV-1 infection has not been described in African women. We examined risk factors for genital warts in a cohort of high-risk women in Burkina Faso, in order to further describe their epidemiology.
Methods
A prospective study of 765 high-risk women who were followed at 4-monthly intervals for 27 months in Burkina Faso. Logistic and Cox regression were used to identify factors associated with prevalent, incident and persistent genital warts, including HIV-1 serostatus, CD4+ count, and concurrent sexually transmitted infections. In a subset of 306 women, cervical HPV DNA was tested at enrolment.
Results
Genital wart prevalence at baseline was 1.6% (8/492) among HIV-uninfected and 7.0% (19/273) among HIV-1 seropositive women. Forty women (5.2%) experienced at least one incident GW episode. Incidence was 1.1 per 100 person-years among HIV-uninfected women, 7.4 per 100 person-years among HIV-1 seropositive women with a nadir CD4+ count >200 cells/μL and 14.6 per 100 person-years among HIV-1 seropositive women with a nadir CD4+ count ≤200 cells/μL. Incident genital warts were also associated with concurrent bacterial vaginosis, and genital ulceration. Antiretroviral therapy was not protective against incident or persistent genital warts. Detection of HPV-6 DNA and abnormal cervical cytology were strongly associated with incident genital warts.
Conclusions
Genital warts occur much more frequently among HIV-1 infected women in Africa, particularly among those with low CD4+ counts. Antiretroviral therapy did not reduce the incidence or persistence of genital warts in this population.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
Acquired immune deficiency syndrome
/ Adult
/ AIDS
/ Condylomata Acuminata - complications
/ Condylomata Acuminata - epidemiology
/ Condylomata Acuminata - immunology
/ Condylomata Acuminata - virology
/ Cytology
/ DNA
/ Female
/ HIV
/ HIV - isolation & purification
/ HIV Infections - complications
/ HIV Infections - epidemiology
/ Human immunodeficiency virus
/ Human immunodeficiency virus 1
/ Human papillomavirus 6 - isolation & purification
/ Human papillomavirus 6 - physiology
/ Humans
/ Medicine
/ Sexually transmitted diseases
/ STD
/ Women
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