Influence of sexually transmitted infections on the cervical cytological abnormalities among Iranian women: A cross-sectional study

Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJRM-21-6_005

تاریخ نمایه سازی: 7 مرداد 1402

Abstract:

Background: Sexually transmitted infections (STIs) are one of the world's most severe health challenges. The existence of STIs such as human papillomavirus (HPV) might cause cervical cell changes leading to cervical cancer. Objective: This study aims to assess the association of STIs with cervical cytological abnormalities and genital warts among women in northeastern Iran. Materials and Methods: This cross-sectional study was carried out on ۱۹۰ women referred to the central laboratory of Academic Center for Education, Culture, and Research, Mashhad, Iran from March to July ۲۰۲۲. The presence of genital infections caused by Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, and Herpes simplex viruses (۱ and ۲) were assessed using the real-time polymerase chain reaction method. HPV genital infection was detected based on the principles of reverse hybridization, and cellular changes in the cervix were examined by the liquid-based cytology technique. Results: The mean age of participants was ۳۵.۳۳ ± ۸.۹ yr. ۳۴ different HPV genotypes were detected in all HPV-positive cases, and the most common genotype was low-risk HPV۶. No significant association was found between STIs and cervical cytology abnormalities. The prevalence rates of sexually transmitted pathogens among HPV-positive and HPV-negative individuals were ۱۰.۹ and ۱.۶%, respectively. The frequency of genital warts was significantly higher in cases with multiple infections of high- and low-risk HPV genotypes. Conclusion: High percentages of the participants with non-HPV STIs and HPV infection had normal cervical cytology. It is advised to use STIs and HPV diagnostic tests along with cytology examinations for cervical cancer screening.

Authors

Azam Shafaei

Blood Borne Infections Research Center, Academic Center for Education, Culture and Research (ACECR), Razavi Khorasan Branch, Mashhad, Iran.

Seyyed Ali Akbar Shamsian

Department of Parasitology and Mycology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Clinical Laboratory Diagnostic Center, Academic Center for Education, Culture and Research (ACECR), Khorasan Razavi, Mashhad, Iran.

Mohammad Ghodsi

Blood Borne Infections Research Center, Academic Center for Education, Culture and Research (ACECR), Razavi Khorasan Branch, Mashhad, Iran.

Fatemeh Sadabadi

Cutaneous Leishmaniasis Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Maryam Shahi

Blood Borne Infections Research Center, Academic Center for Education, Culture and Research (ACECR), Razavi Khorasan Branch, Mashhad, Iran.

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