Infección por VPH y su correlación clínica en población indígena de la región altoandina del Ecuador

Abstract: Cervical-uterine cancer (CaCu) is a public health problem. Epidemiological studies have identified a close relationship between CaCu and human papillomavirus (HPV) infection. The purpose of this study was to perform the molecular detection of HPV, identification of mixed infections and the...

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Bibliographic Details
Main Authors: Carrero Yenddy, Proaño-Pérez Elizabeth, Vásquez Fernanda, Armijos Alex, Viteri-Robayo Carmen, Zavala-Calahorrano Alicia
Format: Article in Journal/Newspaper
Language:English
Spanish
Published: Universidad del Zulia,Facultad de Medicina,Departamento de Enfermedades Infecciosas y Tropicales 2018
Subjects:
PCR
RCP
Online Access:https://doaj.org/article/aa4029055ee0404a8ee3b00be61980bd
Description
Summary:Abstract: Cervical-uterine cancer (CaCu) is a public health problem. Epidemiological studies have identified a close relationship between CaCu and human papillomavirus (HPV) infection. The purpose of this study was to perform the molecular detection of HPV, identification of mixed infections and the screening of CaCu through conventional cytology in an indigenous population of the high Andean highlands of Ecuador in order to correlate the data obtained with the presence of lesions. Methodology: A cross-sectional study was carried out on 189 women between the ages of 21 and 65; who belonged to the community of Pilahuin in the province of Tungurahua, who assisted to gynecological check-ups. Data were analyzed with the EPI-INFO and SPSS statistical programs. Results: the average age of the participants was 35.2 years, most of the participants identified themselves as indigenous, in a stable relationship, multiparous, with a medium to low level of education and no paid work. The participants showed a favorable attitude towards the cervico-uterine cytology in 100% of the cases without showing a relation with age, level of education or civil status. HPV infection was positive in 10.5% of the participants, 70% of the patients had severe inflammation with a positive association with mixed bacterial infection. Resumen: El cáncer cervico-uterino (CaCu) constituye un problema de salud pública. Estudios epidemiológicos han identificado una estrecha relación entre el CaCu y la infección por el virus del papiloma humano (VPH). El objetivo del estudio fue realizar la detección molecular de VPH, identificación de infecciones mixtas y el tamizaje de CaCu a través de un estudio transversal a 189 mujeres entre 21 a 65 años pertenecientes a la comunidad de Pilahuin- Provincia del Tungurahua a las cuales se les realizó detección molecular de VPH y citología convencional. Los resultados fueron analizados con los programas EPI INFO y SPSS. Resultados: La edad promedio de las participantes fue de 35,2 años, en relación estable, ...