Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions
Correspondencia: Laura Patricia Mendoza Torres, lmendoza@iics.una.py
I tiakina i:
| Kaituhi matua: | |
|---|---|
| Ētahi atu kaituhi: | , , , , , , , , , , , , , , , , , , , , |
| Hōputu: | article |
| Reo: | Ingarihi |
| I whakaputaina: |
2024
|
| Ngā marau: | |
| Urunga tuihono: | https://doi.org/10.1371/journal.pone.0312947 http://hdl.handle.net/20.500.14066/4504 |
| Ngā Tūtohu: |
Kāore He Tūtohu, Me noho koe te mea tuatahi ki te tūtohu i tēnei pūkete!
|
| _version_ | 1870612073549922304 |
|---|---|
| author | Arévalos, Alanis |
| author2 | Valenzuela Cáceres, Adriana Beatriz Mongelós Dacunte, Pamela Esther Barrios, Hernán Rodríguez Riveros, María Isabel Báez, Fátima Romina Centurión Viveros, Claudia Carolina Vester, Jaime Mauricio Soilan, Ana María Ortega, Marina Meza, Lorena Páez Acchiardi, Gloria Malvina Castro Matto, Amalia Magdalena Cristaldo, Carmen Soskin, Ana Deluca, Gerardo Baena, Armando Herrero, Rolando Almonte, Maribel Fatima Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia ESTAMPA Paraguayan Study Group |
| author2_role | author author author author author author author author author author author author author author author author author author author author author |
| author_browse | Almonte, Maribel Fatima Arévalos, Alanis Baena, Armando Barrios, Hernán Báez, Fátima Romina Castro Matto, Amalia Magdalena Centurión Viveros, Claudia Carolina Cristaldo, Carmen Deluca, Gerardo ESTAMPA Paraguayan Study Group Herrero, Rolando Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia Meza, Lorena Mongelós Dacunte, Pamela Esther Ortega, Marina Páez Acchiardi, Gloria Malvina Rodríguez Riveros, María Isabel Soilan, Ana María Soskin, Ana Valenzuela Cáceres, Adriana Beatriz Vester, Jaime Mauricio |
| author_facet | Arévalos, Alanis Valenzuela Cáceres, Adriana Beatriz Mongelós Dacunte, Pamela Esther Barrios, Hernán Rodríguez Riveros, María Isabel Báez, Fátima Romina Centurión Viveros, Claudia Carolina Vester, Jaime Mauricio Soilan, Ana María Ortega, Marina Meza, Lorena Páez Acchiardi, Gloria Malvina Castro Matto, Amalia Magdalena Cristaldo, Carmen Soskin, Ana Deluca, Gerardo Baena, Armando Herrero, Rolando Almonte, Maribel Fatima Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia ESTAMPA Paraguayan Study Group |
| author_role | author |
| bitstream.checksum.fl_str_mv | 8f8b90f5fff9eb2c11ba8ee3f1614bc1 0175ea4a2d4caec4bbcc37e300941108 858b22fda432bd774e469302988c1974 9424ace98668a323ae55acbf01bafff2 7fcc77cdbcd5c0faac85fdd5d09c0fe9 |
| bitstream.checksumAlgorithm.fl_str_mv | MD5 MD5 MD5 MD5 MD5 |
| bitstream.url.fl_str_mv | http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/1/Genital%20infections%20in%20high-risk%20human%20papillomavirus%20positive%20Paraguayan%20women.pdf http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/2/license_rdf http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/3/license.txt http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/4/Genital%20infections%20in%20high-risk%20human%20papillomavirus%20positive%20Paraguayan%20women.jpg http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/5/Genital%20infections%20in%20high-risk%20human%20papillomavirus%20positive%20Paraguayan%20women.pdf.txt |
| dc.contributor.other.es.fl_str_mv | Universidad Nacional de Asunción. Instituto de Investigaciones en Ciencias de la Salud |
| dc.creator.none.fl_str_mv | Arévalos, Alanis Valenzuela Cáceres, Adriana Beatriz Mongelós Dacunte, Pamela Esther Barrios, Hernán Rodríguez Riveros, María Isabel Báez, Fátima Romina Centurión Viveros, Claudia Carolina Vester, Jaime Mauricio Soilan, Ana María Ortega, Marina Meza, Lorena Páez Acchiardi, Gloria Malvina Castro Matto, Amalia Magdalena Cristaldo, Carmen Soskin, Ana Deluca, Gerardo Baena, Armando Herrero, Rolando Almonte, Maribel Fatima Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia ESTAMPA Paraguayan Study Group |
| dc.date.accessioned.none.fl_str_mv | 2025-01-14T16:36:44Z |
| dc.date.available.none.fl_str_mv | 2025-01-14T16:36:44Z |
| dc.date.issued.none.fl_str_mv | 2024-10-29 |
| dc.format.extent.es.fl_str_mv | 15 páginas |
| dc.identifier.citation.en.fl_str_mv | Arévalos, A., Valenzuela, A., Mongelós, P., Barrios, H., Rodríguez, M. I., Báez, R., Centurión, C., Vester, J., Soilán, A., Ortega, M., Meza, L., Páez, M., Castro, A., Cristaldo, C., Soskin, A., Deluca, G., Baena, A., Herrero, R., Almonte, M., … ESTAMPA Paraguayan Study Group. (2024). Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30-64 with and without cervical lesions. PloS one, 19(10), Artículo e0312947. https://doi.org/10.1371/journal.pone.0312947 |
| dc.identifier.doi.es.fl_str_mv | 10.1371/journal.pone.0312947 |
| dc.identifier.essn.es.fl_str_mv | 1932-6203 |
| dc.identifier.other.es.fl_str_mv | https://doi.org/10.1371/journal.pone.0312947 |
| dc.identifier.uri.none.fl_str_mv | http://hdl.handle.net/20.500.14066/4504 |
| dc.language.iso.es.fl_str_mv | eng |
| dc.publisher.es.fl_str_mv | Public Library of Science |
| dc.relation.projectCONACYT.es.fl_str_mv | PINV18-256 |
| dc.rights.*.fl_str_mv | Atribución 4.0 Internacional |
| dc.rights.accessRights.es.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.rights.uri.*.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| dc.subject.classification.es.fl_str_mv | 7. Salud 7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisibles |
| dc.subject.ocde.es.fl_str_mv | 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| dc.subject.other.es.fl_str_mv | Displasia del cuello del útero Enfermedades de Transmisión Sexual Estudios transversales Infecciones por papillomavirus Neoplasias del cuello uterino Papillomaviridae Persona de mediana edad Prevalencia Virus del Papiloma Humano Uterine cervical dysplasia Sexually Transmitted Diseases Cross-sectional studies Papillomavirus infections Uterine cervical neoplasms Papillomaviridae Middle aged Prevalence Human Papillomavirus Viruses |
| dc.title.es.fl_str_mv | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| dc.type.es.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| description | Correspondencia: Laura Patricia Mendoza Torres, lmendoza@iics.una.py |
| eu_rights_str_mv | openAccess |
| format | article |
| id | CONACYT_f6d32ae790af36831a6f091ec79d3172 |
| identifier_str_mv | Arévalos, A., Valenzuela, A., Mongelós, P., Barrios, H., Rodríguez, M. I., Báez, R., Centurión, C., Vester, J., Soilán, A., Ortega, M., Meza, L., Páez, M., Castro, A., Cristaldo, C., Soskin, A., Deluca, G., Baena, A., Herrero, R., Almonte, M., … ESTAMPA Paraguayan Study Group. (2024). Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30-64 with and without cervical lesions. PloS one, 19(10), Artículo e0312947. https://doi.org/10.1371/journal.pone.0312947 10.1371/journal.pone.0312947 1932-6203 |
| language | eng |
| network_acronym_str | CONACYT |
| network_name_str | Repositorio Institucional CONACYT |
| oai_identifier_str | oai:repositorio.conacyt.gov.py:20.500.14066/4504 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| repository.mail.fl_str_mv | repositorio.institucional@conacyt.gov.py |
| repository.name.fl_str_mv | Repositorio Institucional CONACYT |
| repository_id_str | |
| rights_invalid_str_mv | Atribución 4.0 Internacional http://creativecommons.org/licenses/by/4.0/ |
| spelling | 0fecbd22-7967-44fa-bff6-fac49535ae3e60011316000000-0002-0785-837176960010ad2bc9-d44a-49f5-8c5f-4da47f7dc4c96009896008844b051-eee7-417e-96b1-ec42d0bc4ef46002786001170600a71cc85e-536f-4b27-ab97-f0e9b299474b600b9a9239e-adfd-4a79-88c1-629332229bc0600b48dce5e-6eab-4d37-8a0f-6fbc2cf54cfa6008566002716000009-0004-2555-312723406912-10d5-4d8c-84ee-b8e42b372908600f3b62d7b-126a-446c-a7f6-f7c8ec9908a36002a2484ff-6a66-4f42-bda2-cc94ee6d175e6003dae0585-6d92-484e-967d-a467832d463c6009c5af811-a155-46f3-bb66-ab6ba5daccaa600406006296007426000000-0001-6124-12449736c189-894a-4a0c-8854-2ae40164c24e600Universidad Nacional de Asunción. Instituto de Investigaciones en Ciencias de la Salud2025-01-14T16:36:44Z2025-01-14T16:36:44Z2024-10-29Arévalos, A., Valenzuela, A., Mongelós, P., Barrios, H., Rodríguez, M. I., Báez, R., Centurión, C., Vester, J., Soilán, A., Ortega, M., Meza, L., Páez, M., Castro, A., Cristaldo, C., Soskin, A., Deluca, G., Baena, A., Herrero, R., Almonte, M., … ESTAMPA Paraguayan Study Group. (2024). Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30-64 with and without cervical lesions. PloS one, 19(10), Artículo e0312947. https://doi.org/10.1371/journal.pone.0312947https://doi.org/10.1371/journal.pone.0312947http://hdl.handle.net/20.500.14066/450410.1371/journal.pone.03129471932-6203Correspondencia: Laura Patricia Mendoza Torres, lmendoza@iics.una.pyObjective. To determine the prevalence of genital infections (GIs), including sexual transmitted STIs: Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium, Trichomonas vaginalis, and opportunistic pathogens that generally do not cause STIs, non-classic STI: Ureaplasma urealyticum, Ureaplasma parvum and Mycoplasma hominis, in women with high-risk oncogenic human papillomavirus (hr-HPV) infection and their association with cervical lesions. Methods. A cross-sectional study was carried out including 231 hr-HPV positive women. Of these, 46 has histologically confirmed cervical intraepithelial neoplasia 3 (CIN3) or more (including CIN3 and cervical cancer lesions-CIN3+). GIs were detected by multiplex real time PCR. Odds ratios (OR) were estimated to explore possible associations between GIs and the presence or absence of CIN3+ lesions. Additionally, we examined associations between sociodemographic, sexual, and clinical characteristics and the presence of GIs. Results. In total, there were 174/231 cases of GIs corresponding to an overall prevalence of 75.3% (95%CI: 69.4–80.4), being non-classic STIs the most common (72.3%) compared to STIs (12.6%). The most prevalent non-classic STI and STI were U. parvum (49.8%) and C. trachomatis (7.4%), respectively. The odds of presenting GIs were 3 times higher in women under 46 years compared to older counterparts (OR: 3.32, 95%CI: 1.74–6.16), and in women with a normal Pap smear with inflammation compared to those without inflammation (OR: 3.31, 95%CI: 1.15–9.77). GIs were equally present in women with and without CIN3+ lesions. Conclusion. We observed an association of GIs with inflammation in the Pap smear, but no association with CIN3+, as some of them are very common and likely part of the normal vaginal flora, suggesting that such infections do not appear to be cofactors in cervical carcinogenesis, although larger prospective studies are needed.Consejo Nacional de Ciencia y TecnologíaPrograma Paraguayo para el Desarrollo de la Ciencia y Tecnología. Proyectos de investigación y desarrollo15 páginasengPublic Library of ScienceAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccess© 2024 Arévalos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.7. Salud7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisiblesDisplasia del cuello del úteroEnfermedades de Transmisión SexualEstudios transversalesInfecciones por papillomavirusNeoplasias del cuello uterinoPapillomaviridaePersona de mediana edadPrevalenciaVirus del Papiloma HumanoUterine cervical dysplasiaSexually Transmitted DiseasesCross-sectional studiesPapillomavirus infectionsUterine cervical neoplasmsPapillomaviridaeMiddle agedPrevalenceHuman Papillomavirus Viruses3. Ciencias Médicas y de la Salud3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesionsinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10PLOS ONEPINV18-25619Arévalos, AlanisValenzuela Cáceres, Adriana BeatrizMongelós Dacunte, Pamela EstherBarrios, HernánRodríguez Riveros, María IsabelBáez, Fátima RominaCenturión Viveros, Claudia CarolinaVester, Jaime MauricioSoilan, Ana MaríaOrtega, MarinaMeza, LorenaPáez Acchiardi, Gloria MalvinaCastro Matto, Amalia MagdalenaCristaldo, CarmenSoskin, AnaDeluca, GerardoBaena, ArmandoHerrero, RolandoAlmonte, Maribel FatimaKasamatsu, Elena SatikoMendoza Torres, Laura PatriciaESTAMPA Paraguayan Study GroupORIGINALGenital infections in high-risk human papillomavirus positive Paraguayan women.pdfGenital infections in high-risk human papillomavirus positive Paraguayan women.pdfArtículo científicoapplication/pdf813563http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/1/Genital%20infections%20in%20high-risk%20human%20papillomavirus%20positive%20Paraguayan%20women.pdf8f8b90f5fff9eb2c11ba8ee3f1614bc1MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8908http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/2/license_rdf0175ea4a2d4caec4bbcc37e300941108MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81698http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/3/license.txt858b22fda432bd774e469302988c1974MD53THUMBNAILGenital infections in high-risk human papillomavirus positive Paraguayan women.jpgGenital infections in high-risk human papillomavirus positive Paraguayan women.jpgVista de primera página de artículo científicoimage/jpeg938789http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/4/Genital%20infections%20in%20high-risk%20human%20papillomavirus%20positive%20Paraguayan%20women.jpg9424ace98668a323ae55acbf01bafff2MD54TEXTGenital infections in high-risk human papillomavirus positive Paraguayan women.pdf.txtGenital infections in high-risk human papillomavirus positive Paraguayan women.pdf.txtExtracted texttext/plain56994http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4504/5/Genital%20infections%20in%20high-risk%20human%20papillomavirus%20positive%20Paraguayan%20women.pdf.txt7fcc77cdbcd5c0faac85fdd5d09c0fe9MD5520.500.14066/4504oai:repositorio.conacyt.gov.py:20.500.14066/45042026-02-12 19:30:39.038Repositorio Institucional CONACYTrepositorio.institucional@conacyt.gov.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 |
| spellingShingle | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions Arévalos, Alanis 7. Salud 7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisibles Displasia del cuello del útero Enfermedades de Transmisión Sexual Estudios transversales Infecciones por papillomavirus Neoplasias del cuello uterino Papillomaviridae Persona de mediana edad Prevalencia Virus del Papiloma Humano Uterine cervical dysplasia Sexually Transmitted Diseases Cross-sectional studies Papillomavirus infections Uterine cervical neoplasms Papillomaviridae Middle aged Prevalence Human Papillomavirus Viruses 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| status_str | publishedVersion |
| title | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| title_full | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| title_fullStr | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| title_full_unstemmed | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| title_short | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| title_sort | Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions |
| topic | 7. Salud 7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisibles Displasia del cuello del útero Enfermedades de Transmisión Sexual Estudios transversales Infecciones por papillomavirus Neoplasias del cuello uterino Papillomaviridae Persona de mediana edad Prevalencia Virus del Papiloma Humano Uterine cervical dysplasia Sexually Transmitted Diseases Cross-sectional studies Papillomavirus infections Uterine cervical neoplasms Papillomaviridae Middle aged Prevalence Human Papillomavirus Viruses 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| url | https://doi.org/10.1371/journal.pone.0312947 http://hdl.handle.net/20.500.14066/4504 |