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Abstract

Introduction: Although human papillomavirus (HPV) routine vaccination programmes have been implemented around the world and recommendations have been expanded to include other high-risk individuals, current recommendations often differ between countries in Europe, as well as worldwide.

Aim: To find and summarise the best available evidence of HPV vaccination in high-risk patients aiding clinicians and public health workers in the day-to-day vaccine decisions relating to HPV in Spain.

Methods: We conducted a systematic review of the immunogenicity, safety and efficacy/effectiveness of HPV vaccination in high-risk populations between January 2006 and June 2016. HPV vaccination recommendations were established with levels of evidence according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.

Results: A strong recommendation about HPV vaccination was made in the following groups: HIV infected patients aged 9–26 years; men who have sex with men aged 9–26 years; women with precancerous cervical lesions; patients with congenital bone marrow failure syndrome; women who have received a solid organ transplant or hematopoietic stem cell transplantation aged 9–26 years; and patients diagnosed with recurrent respiratory papillomatosis.

Conclusions: Data concerning non-routine HPV vaccination in populations with a high risk of HPV infection and associated lesions were scarce. We have developed a document to evaluate and establish evidence-based guidelines on HPV vaccination in high-risk populations in Spain, based on best available scientific evidence.

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2019-02-14
2024-11-05
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2019.24.7.1700857
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Multidisciplinary, evidence-based consensus guidelines for human papillomavirus (HPV) vaccination in high-risk populations, Spain, 2016
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Xavier+Mart%C3%ADnez-G%C3%B3mez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Martínez-Gómez Xavier</a>, <a href="/search?value1=Adrian+Curran&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Curran Adrian</a>, <a href="/search?value1=Magda+Campins&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Campins Magda</a>, <a href="/search?value1=Laia+Alemany&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Alemany Laia</a>, <a href="/search?value1=Jos%C3%A9+%C3%81ngel+Rodrigo-Pend%C3%A1s&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rodrigo-Pendás José Ángel</a>, <a href="/search?value1=Natalia+Borruel&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Borruel Natalia</a>, <a href="/search?value1=Xavier+Castellsagu%C3%A9&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Castellsagué Xavier</a>, <a href="/search?value1=Cristina+D%C3%ADaz-de-Heredia&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Díaz-de-Heredia Cristina</a>, <a href="/search?value1=Fernando+A+Moraga-Llop&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Moraga-Llop Fernando A</a>, <a href="/search?value1=Marta+del+Pino&option1=author&noRedirect=true" class="nonDisambigAuthorLink">del Pino Marta</a>, <a href="/search?value1=Aureli+Torn%C3%A9&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Torné Aureli</a></span>. Multidisciplinary, evidence-based consensus guidelines for human papillomavirus (HPV) vaccination in high-risk populations, Spain, 2016. <a href="/content/ecdc">Euro Surveill.</a> 2019;24(7):pii=1700857. <a href="https://doi.org/10.2807/1560-7917.ES.2019.24.7.1700857" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2019.24.7.1700857</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 22 Dec 2017;&nbsp;&nbsp; <span class="generated">Accepted</span>: 15 Oct 2018 </span> </p>
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