Background Self-sampling has been shown to be a non-invasive and cost-effective method for the diagnosis and screening of sexually transmitted infections (STI). This study aims to evaluate the accuracy of detection of HPV and other STI on self-collected vaginal samples as compared to clinician-collected cervical samples in women with a recent diagnosis of cervical dysplasia. Methods Self-collected vaginal (VS) and physician-administered cervical samples (CS) were collected from 130 women attending the Colposcopy Clinic, San Gerardo Hospital, Monza, Italy with a diagnosis of cervical dysplasia. VS and CS were collected using FLOQSwabs and L-Shaped FLOQSwab (Copan) respectively and transported to the Microbiology Laboratory of the University of Milano-Bicocca. Samples' nucleic acid extraction was performed using NucliSENS ® easyMAG (bio-Mérieux). HPV and STIs detection was evaluated using Anyplex II HPV28 and STI-7 (Seegene), respectively. Sample cellularity adequacy through human CCR5 gene assessment was performed using an 'in house' Real-time PCR assay. Results Demonstrated a very good overall concordance for HPV and STI detection on self and clinician-collected samples (gold standard). Very good agreement for the detection of one or more HPV types was demonstrated (Kappa = 0.915) with HPV positivity rates of 75% and 72% for VS and CS respectively. Similarly very good agreement was demonstrated for the detection of one or more of the 7 STIs understudy (Kappa = 0.899). Overall a higher positivity for STIs was found in VS (48%) compared to CS (43%), with Ureaplasma parvum being most frequently detected. Adequate sample cellularity was demonstrated for all samples types; mean values of 2.07E+06 and 3.16E+06 cells/sample for VS and CS respectively. Conclusion Self-collected samples showed a high degree of concordance with CS for both HPV and STIs detection with comparable sample adequacy. These results are promising for the introduction of self-collected samples in sexually transmitted and cervical cancer screening programs. Disclosure No significant relationships.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.