- Poster presentation
- Open Access
Prevalence of Human Papilloma Virus in Tunisia
© Mrabet et al; licensee BioMed Central Ltd. 2014
Published: 23 May 2014
Cervical cancer is still a major health problem in Tunisia and over the world. HPV infection may induce malignant transformation of lesions, especially in case of colonization by oncogenic HPV genotypes. Early detection of viral genome by molecular biology in women with normal cytology in cervical screening test (CST) can be a part of a screening policy to improve cancer prevention. Our aim was to evaluate HPV prevalence and genotype distribution in routine CST.
It was a prospective study conducted over a six month period (2012, January to June). 665 women were screened by an examination of the cervix, a cervical screening test and a detection of the HPV DNA by PCR. This detection of the high oncogenic risk HPV was made from the cytobrush that was used for the spreading of the cervix cells.
The mean age was 41.5 ±9.1 years (20-71 y). The mean age of the marriage was 24.8±5 years (16-50 y). The age of the first pregnancy was 24.8±5.7 years (14-48 y). Six percent reported history of genital lesion in their partner. 37% used or are still using Intra Uterine Device and 48% used or are still using contraceptive pills. 58% had never had a routine CST and 27% had one CST. 65% of the women reported a history of vaginal discharge, 25% a genital ulceration and 4.5% condylomas. The cervix examination showed 51% of normal cervix, without any clinical macroscopic anomaly. 41% had a cervix inflammation, 18% had leucorrhea, 7% had polypus and 3% had condylomas. HPV prevalence was 3%.
Our results showed lower HPV prevalence, probably due to later onset of sexual practice and fewer sexual partners.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.