6682例男性疑似泌尿道感染性传播疾病病原检测结果分析

发布时间：2019-04-22 19:29

【摘要】：目的了解近年浙江萧山地区男性泌尿道感染主要性传播疾病(sexually transmitted diseases,STD)的病原分布及特点,为防治STD提供依据。方法收集本院2010-2012年门诊男性疑似泌尿道感染STD病例的血清和尿道分泌物标本及相关背景资料,采用淋病奈瑟菌(NG)、梅毒螺旋体(TP)、单纯疱疹病毒(HSV)、解脲脲原体(UU)、沙眼衣原体(CT)、人乳头瘤病毒(HPV)、艾滋病毒(HIV)和乙型肝炎病毒(HBV)相应的标准化病原检测方法进行检测,对结果进行综合统计分析。结果共收疑似泌尿道感染STD患者6 682例,经病原确诊上述主要STD阳性者3 377例,阳性率为50.5%,其中检出阳性数高者为UU(2421)、CT(883)、NG(698)、TP(557)和HPV(356),阳性率高者为HPV(6,11)(51.4%)、HSVⅡ(39.7%)、UU(38.3%)、NG(31.9%)和TP(19.1%)。27.1%存在混合感染,双重混合感染占23.7%,其中最常见的是UU+CT、UU+TP、UU+NG和UU+HPV,而三重感染以UU+CT+HPV常见;STD感染发病年龄主要在18-50岁,占95.4%;HSVⅡ2月份检出率最高,10月份最低;NG1 1-2月的检出率稍高于5-8月;其他检出季节分布不明显。结论浙江萧山地区男性泌尿道感染者中STD检出率高、病原种类多、且存在较高的多重混合感染,需加强全面系统的实验室监测、及早进行干预治疗,对减少STD的流行与扩散具有重要意义。
[Abstract]:Objective to investigate the distribution and characteristics of (sexually transmitted diseases,STD in male urinary tract infection in Xiaoshan area of Zhejiang Province in recent years, so as to provide evidence for the prevention and treatment of STD. Methods Serum and urethral secretions from male patients with suspected urinary tract infection (STD) from 2010 to 2012 in our hospital were collected and related background data were collected. Neisseria gonorrhoeae (NG), Treponema pallidum (TP), herpes simplex virus (HSV), was used. Ureaplasma Urealyticum (UU), Chlamydia trachomatis (CT), human papillomavirus (HPV), HIV (HIV) and hepatitis B virus (HBV) were detected by standardized pathogen detection method, and the results were statistically analyzed. Results A total of 6 682 patients with suspected urinary tract infection with STD were enrolled, of which 3 377 were diagnosed as STD positive by pathogeny, the positive rate was 50.5%, among which, UU (2421), CT (883), NG (698) was detected. The positive rates of TP (557) and HPV (356,51.4%), HSV 鈪，

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