2011
DOI: 10.1016/j.ijgo.2011.03.011
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Bacterial vaginosis as a risk factor for high‐grade cervical lesions and cancer in HIV‐seropositive women

Abstract: Synopsis: Among HIV-seropositive women, bacterial vaginosis was not associated with an increased risk of HSIL or cervical lesion progression. Results: Among 1,954 HIV-seropositive women, the baseline prevalence of HSIL was 17%. BV prevalence was high (54%) and showed no association with prevalent HSIL (adjusted prevalence ratio: 1.12, 95% CI: 0.92, 1.35) nor with cervical lesion progression at follow-up visit (N=503) (adjusted rate ratio: 1.00, 95% CI: 0.65, 1.53). Conclusion:Among HIV-seropositive women, BV w… Show more

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Cited by 8 publications
(3 citation statements)
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“…A disruption of the vaginal microbial communities can lead to decreased immune protection, thereby increasing susceptibility of the epithelial lining of reproductive tissues to viral infections. The shift of microbial communities from those that are protective ( Lactobacillus genus) to those that are harmful anaerobic bacteria ( Gardenerella vaginalis, Atopobium vaginae, Mobiluncus and Prevotella species ), as occurs with BV, can damage the epithelial layer of reproductive tissues making it penetrable to viral entry, especially those viruses that are sexually transmitted (HIV and HPV) (Denslow et al, 2011 ; Mirmonsef et al, 2011 ). Importantly, infection with HIV or HPV is attributed to the development of several cancers including cervical cancer, Kaposi sarcoma, Non-Hodgkin lymphoma, ano-genital cancer, and cancers of the mouth and oropharynx (Parkin, 2006 ).…”
Section: Reproductive Tract Microbiomesmentioning
confidence: 99%
“…A disruption of the vaginal microbial communities can lead to decreased immune protection, thereby increasing susceptibility of the epithelial lining of reproductive tissues to viral infections. The shift of microbial communities from those that are protective ( Lactobacillus genus) to those that are harmful anaerobic bacteria ( Gardenerella vaginalis, Atopobium vaginae, Mobiluncus and Prevotella species ), as occurs with BV, can damage the epithelial layer of reproductive tissues making it penetrable to viral entry, especially those viruses that are sexually transmitted (HIV and HPV) (Denslow et al, 2011 ; Mirmonsef et al, 2011 ). Importantly, infection with HIV or HPV is attributed to the development of several cancers including cervical cancer, Kaposi sarcoma, Non-Hodgkin lymphoma, ano-genital cancer, and cancers of the mouth and oropharynx (Parkin, 2006 ).…”
Section: Reproductive Tract Microbiomesmentioning
confidence: 99%
“…veya invaziv servikal kanser geliçimi ile yakin iliçkili oldugu dücünülmüctür (1,5,9,11,(16)(17)(18).…”
Section: Sonuçlarunclassified
“…Whether HPV-positive women are more likely to develop BV is unclear (7) . Although an association between BV and HPV has been suggested, there is no evidence that BV increases the risk of squamous intraepithelial lesions (SILs) or cervical cancer (11)(12)(13) . Bacterial vaginosis seems to affect only the viral incidence and prevalence but not the persistence of HPV infection.…”
Section: Introductionmentioning
confidence: 99%