The prevalence of human papillomavirus in ocular surface squamous neoplasia in HIV positive and negative patients in a South African population.

Purpose: To assess the prevalence and subtypes of Human Papillomavirus (HPV) in Ocular Surface Squamous Neoplasia (OSSN) in Human Immunodeficiency Virus (HIV) positive and negative patients in South Africa. Basic procedures: This study was a single center retrospective cross-sectional study, conduct...

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Published in:Infection Vol. 52; no. 4; pp. 1547 - 1553
Main Authors: Odendaal, Loren N., Andreae, Corinna, Sanderson-November, Micheline, Zaharie, Dan, Smit, Derrick P.
Format: research tables/charts Journal Article
Published: Springer Nature Aug2024
Online Access:View this record in EBSCOhost
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      dt: Aug2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s15010-024-02289-8
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        atl: The prevalence of human papillomavirus in ocular surface squamous neoplasia in HIV positive and negative patients in a South African population.
      aug:
        au:
          Odendaal, Loren N.
          Andreae, Corinna
          Sanderson-November, Micheline
          Zaharie, Dan
          Smit, Derrick P.
        affil: Division of Ophthalmology, Faculty of Medicine and Health Sciences, Stellenbosch University, Room 5053, Clinical Building, Francie Van Zijl Drive, 7505, Parow Valley, South Africa
      sug:
        subj:
          Carcinoma, Squamous Cell Epidemiology
          Carcinoma, Squamous Cell Microbiology
          Human Papillomavirus Viruses
          HIV Infections Microbiology
          HIV Infections Epidemiology
          Papillomavirus Infections Epidemiology
          Papillomavirus Infections Microbiology
          Papillomavirus Infections Prevention and Control
          Eye Neoplasms Epidemiology
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Hospitals
          Retrospective Design
          Cross Sectional Studies
          Funding Source
          South Africa
          Prevalence
          Papillomaviruses
          Eye Neoplasms Microbiology
          Genotype
          HIV-Positive Persons
          CD4 Lymphocyte Count
          Papillomavirus Vaccine Therapeutic Use
          Immunization
          Formaldehyde
          Paraffin Embedding
          Vertebrate Viruses
          Carcinogens
          Descriptive Statistics
          Comparative Studies
          Confidence Intervals
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: To assess the prevalence and subtypes of Human Papillomavirus (HPV) in Ocular Surface Squamous Neoplasia (OSSN) in Human Immunodeficiency Virus (HIV) positive and negative patients in South Africa. Basic procedures: This study was a single center retrospective cross-sectional study, conducted at Tygerberg Hospital, Western Cape, South Africa. We assessed 63 histopathologically confirmed OSSN formalin-fixed paraffin-embedded (FFPE) tissue blocks from 2015–2023. The presence of HPV was determined using the Hybrispot Direct Flow Chip Kit. Corresponding clinical data was retrieved from the National Health Laboratory Service (NHLS) central data warehouse. Main findings: Of the confirmed OSSN samples, 66.7% tested positive for HPV (95% confidence interval [CI] 54–77.3%). Of the 42 HPV positive samples, 38 (90.5%) had one or more known genotypes detected and 4 had unknown genotypes. The most prevalent subtypes were HPV 11, 16 and 18 (found in 61.9%, 52.4% and 33.3% of HPV positive samples respectively). 88.9% of the lesions biopsied were from HIV positive patients, of whom 56.4% had a CD4 + count of < 200 cells/µL. A lower median CD4 + count was detected among HIV positive patients with invasive squamous cell carcinoma compared to those with moderate dysplasia (p < 0.0198). Conclusions: There is a high prevalence of HPV in OSSN in South Africa. Certain subtypes namely, 11, 16, 18, 31, 33 and 35 may be more carcinogenic. HIV with HPV co-infection may be linked as a causative factor in the development of OSSN.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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