[人类乳头瘤病毒和系统性红斑狼:一个系统性审查]
Tiphaine Goulenok1, Karim Sacré2
1Département de médecine interne, université Paris Cité, Hospital Bichat-Claude Bernard, AP-HP, Paris, France.
概括
人类乳头瘤病毒 (HPV) 疫苗接种和宫癌查对于预防HPV诱导的癌症至关重要,特别是在全身性狼 (SLE) 患者中. 然而,这些预防措施在SLE人群中未得到充分利用,这突显了严重的公共卫生差距.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 人类乳头瘤病毒 (HPV) 感染是各种癌症的主要原因,包括宫癌,门癌和口腔癌.
- 患有全身性红斑狼 (SLE) 的患者面临由于免疫抑制疗法而导致持续性HPV感染和随后的癌症的风险增加.
- 目前的HPV疫苗接种率和宫癌查率在患有SLE的成年人中低于最佳水平.
研究的目的:
- 突出改善系统性狼患者HPV预防策略的迫切需要.
- 为了强调HPV疫苗接种和查在这个脆弱人群中的低吸收率.
- 引入针对风险人群的针对HPV预防的创新方法.
主要方法:
- 关于HPV感染,癌症预防和系统性红斑狼的当前文献的综述.
- 对SLE患者接种疫苗和查指南的遵守情况的分析.
- 识别和评估新的预防策略,如追赶疫苗接种,治疗性疫苗接种和自我采样.
主要成果:
- 尽管疫苗有效,但在患有SLE的成年人中,HPV疫苗的覆盖率仍然很低.
- 宫癌查不一致地进行,只有一半的狼患者遵守建议.
- 创新的策略,如阴道自取样和追赶HPV疫苗接种,有望改善高风险群体的预防.
结论:
- 在系统性狼患者中,针对HPV诱导的癌症的预防措施实施不充分.
- 提高医疗保健提供者和患者对HPV疫苗接种的认识至关重要.
- 有针对性的干预措施是必要的,以改善HPV预防和减少SLE患者的癌症风险.
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