Publications by authors named "Karina I Rivas"

Objective: The aim of the study is to determine the prevalence of high-risk human papillomavirus (hrHPV) genotypes in men who have sex with other men and are living with HIV and the factors associated with anal high-grade squamous intraepithelial lesions (HSIL).

Methods: Anal swabs were collected for hrHPV genotyping from a cross-sectional group ( N = 163) of eligible men who have sex with other men and are living with HIV attending a high-resolution anoscopy clinic. Persistent hrHPV infections were studied in a longitudinal subset ( n = 37).

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Article Synopsis
  • The study aimed to assess if a positive OncoE6 Anal Test result could predict high-grade squamous intraepithelial lesion (HSIL) in adult men who have sex with men and are living with HIV.
  • 277 men enrolled, with 79.1% undergoing biopsies; 37% of these biopsies showed HSIL.
  • The OncoE6 Anal Test showed high specificity (97.83%) but low sensitivity (8.64%), suggesting it could complement the anal Pap test for efficient triage of patients at higher risk for anal cancer.
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Antifolate resistance is significant in Kenya and presumed to result from extensive use and cross-resistance between antifolate antimalarials and antibiotics, including cotrimoxazole/Bactrim used for HIV-1 chemotherapy. However, little is known about antifolate-resistant malaria in the context of newly diagnosed HIV-1 co-infection prior to administration of HIV-1 chemotherapy. Blood samples from a cross-sectional study of asymptomatic adult Kenyans enrolled during voluntary HIV testing were analyzed by PCR for spp.

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