{"title":"Urine as a non-invasive alternative for HPV DNA detection: A comparative study with cervical swabs in Northeast India","authors":"Biswajyoti Borkakoty , Nargis K. Bali , Munmun Gohain , Mousumi Dutta , Sobnom Gogoi , Pesona Grace Lucksom , Jaharlal Baidya , Tapan Mazumdar , Catherine Manguri , Basumoti Apum , Paresh Shyam , Harpreet Kaur","doi":"10.1016/j.ijmmb.2026.101081","DOIUrl":null,"url":null,"abstract":"<div><div>This study assessed urine as a non-invasive alternative to cervical swabs for human papillomavirus (HPV) DNA detection using nested PCR in 350 paired samples from women across five Northeastern Indian states. HPV DNA was found in 27.4% of urine and 38.3% of cervical swabs, with 21.1% concordant positives. Urine identified 22 additional positives missed by swabs, while 60 were swab-only. Using cervical swabs as the reference, urine showed 55.2% sensitivity, 89.8% specificity, and moderate concordance (κ = 0.48). Despite modest sensitivity, urine sampling may serve as a feasible, culturally acceptable adjunct for HPV screening in under-screened populations.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"60 ","pages":"Article 101081"},"PeriodicalIF":1.3000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Medical Microbiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0255085726000393","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/21 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
This study assessed urine as a non-invasive alternative to cervical swabs for human papillomavirus (HPV) DNA detection using nested PCR in 350 paired samples from women across five Northeastern Indian states. HPV DNA was found in 27.4% of urine and 38.3% of cervical swabs, with 21.1% concordant positives. Urine identified 22 additional positives missed by swabs, while 60 were swab-only. Using cervical swabs as the reference, urine showed 55.2% sensitivity, 89.8% specificity, and moderate concordance (κ = 0.48). Despite modest sensitivity, urine sampling may serve as a feasible, culturally acceptable adjunct for HPV screening in under-screened populations.
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