Prevalence and Factors Associated with Human Papillomavirus Infection Among
Women Living with HIV in Ouagadougou
KY Absatou1, Ouattara A1, Tondé Issa2, Ky AY3, Idogo G1,
Sanou Mahamoudou2* and Sanou I4
1Bogodogo University Teaching Hospital, Burkina Faso
2Charles De Gaulle Pediatric University Teaching Hospital, Burkina Faso
3Word Vision International, Burkina Faso
4Tengandogo University Teaching Hospital, Burkina Faso
*Corresponding Author: Sanou Mahamoudou, Charles De Gaulle Pediatric
University Teaching Hospital, Burkina Faso.
Received:
February 12, 2024; Published: March 03, 2024
Abstract
Background: Cervical cancer represents a major health problem. It is associated with the carriage of some types of high-risk papillomas. In Burkina, data on the prevalence and spectrum of genital papilloma infection in women living with HIV are poorly available.
Objective: To study human oncogenic genital papillomavirus infection in women living with HIV.
Methodology: This was a descriptive and analytical cross-sectional study which took place at CHU B between August 2021-February 2023. It concerned patients living with HIV in whom the search for Human Papillomavirus (HPV) on cervical cells and HIV viral load and CD4 lymphocyte counts were carried out. The Ceiphed GeneXpert® and Cobas® 4800 platforms were used. CD4 quantification was done using the BD FACSCount™ system.
Results: Out of a total of 403 HIV-positive patients, papillomavirus infection was found in 130 (32.3%). Genotypes 16 and 18 represented 33.1% and 15.4%, respectively. Risk factors for HPV infection were a CD4 count < 200 (p = 0.001), between 200 and 500 (p < 0.001) and a vaginal pH ≥ 5 (p < 0.001).
Conclusion: HPV infection is common among HIV (+) women. Several genotypes have been identified. Decreased immunity and increased vaginal pH are factors associated with this infection. Faced with this observation, the prevention of sexually transmitted infections among HIV-positive women appears to be a necessity.
Keywords: Papillomavirus; Precancerous Lesions; Women; HIV; CHU-B
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