ABSTRACT
Background A low cost and reliable method for detecting high-risk (HR) HPV is important to permit HPV screening for cervical cancer prevention. We validated a low-cost commercially available HPV method (H13, Hybribio, Hong Kong) and determined the distribution of HPV infections in over 1717 cancer-free women in Guatemala.
Methods H13 results were compared with two more established HPV tests: (Xpert™ (Cepheid) and SPF10-LIPA25™ (DDL)). HR-HPV was detected in cervical samples from 1717 cancer-free women receiving Pap smears using the Hybribio™ real-time PCR assay of 13 HR types. HPV positive samples were sequenced to determine viral type.
Results The Hybribio H13 Assay showed 93% agreement with Xpert, and a similar result with SPF10-LIPA25 (kappa=0.78 and 0.76). A total of 13% (226/1717) of women tested HPV+. The highest prevalence was found in younger women (<30 years, 22 %) and older ones (≥60 years, 15%). The six most common HR-HPV types among the 148 HPV+ typed were HPV16 (22%), HPV18 (11%), HPV39 (11%), HPV58 (10%), HPV52 (8%), and HPV45 (8%).
Conclusions The Hybribio Assay was low cost, and reliable in screening for HR-HPV infection. As in most places, HPV16 was the most prevalent HR type in Guatemala and the age-specific prevalence curve peaked in younger ages with a secondary peak possibly representing immune senescence in older women.
Highlights
A low cost and valid method, Hybribio Assay, could be used for CC screening in low income regions.
A total of 13% of cancer-free women were HPV+ and positivity was associated with younger age (<30 years old) in Guatemala.
HPV16 was the major prevalent type.