4224例性病门诊就诊者尿道(宫颈)炎分泌物相关病原体检测分析  

Examinations of related pathogens in urethral and virginal secretions among 4224 cases of urethritis/cervicitis visiting STD clinics

作　　者：魏虹娟[1] 王春 刘意[1] 叶江竹[1] 黄晓婕[1] 

机构地区：[1]佑安医院性病艾滋病临床诊疗中心,北京100069 [2]崇文区第一人民医院,北京100075

出　　处：《中国艾滋病性病》2007年第1期48-49,共2页Chinese Journal of Aids & STD

摘　　要：目的比较分析性病门诊淋病和非淋菌性尿道炎(NGU)的发病情况,探讨淋病合并NGU感染、沙眼衣原体(Ct)合并解脲脲原体(Uu)和人型支原体(Mh)感染的意义。方法对所有患者均同时检测淋球菌(Gc)、Ct、Uu、Mh。结果2004年到性病门诊就诊的患者共4 224例,检出淋球菌感染459例,感染率10.87%。其中129例为Gc、Ct和Uu合并感染,感染率3.05%;检出NGU感染1 370例(32.43%),其中363例为单纯Ct感染,感染率为8.51%;552例为单纯Uu感染,感染率为13.07%;110例为Mh感染,感染率为2.60%。Ct、Uu合并感染216例,感染率为5.11%。结论NGU感染阳性率明显高于淋球菌感染,在对性传播疾病(STD)怀疑NGU感染的高危人群检查或复查时,应同时检测Ct和Uu,尤其不能忽视高度怀疑Gc感染,同时合并Ct、Uu感染或淋球菌感染后非淋菌性尿道炎的发生。Objective To analyze and compare the incidence of NG and NGU among visitors to STD clinics and discuss the significance of NG and NGU coinfection,Ct coinfected with Uu and/or Mh. Methods A total of 4 224 cases visited our STD clinic during 2004. All of them received microbiological examinations which included gonorrhea, chlamydia,and mycoplasma hominis. Results In total, 459 （10.8 % ）cases were detected as gonorrhea positive, of which 129 （3.05 % ） had coinfection with Gc, Ct and/or Uu; 1 370 cases（32.43 % ） were infected with NGU, of which 363 （8.51% ） cases were only infected with Ct, 552 （ 13.07 % ） cases were infected with Uu, and 110 （2.60 % ） cases were infected with Mh. In addition,216（5.11% ）cases had Ct coinfection with Uu. Conclusion The incidence of NGU was higher than that of NG in STDs clinic. Ct and Uu coinfection was common among NGU patients, and a few of them were coinfected with Gc and Ct/Uu/Mh. Therefore, in case of suspecting NGU infection we should test all organisms including Gc, Ct, Uu and Mh for outpatients of STDs clinic and try to prevent and treat their coinfections.

关 键 词：淋球菌感染 非淋菌性泌尿生殖道感染 沙眼衣原体 解脲脲原体 人型支原体 淋病双球菌 

分 类 号：R759.2[医药卫生—皮肤病学与性病学]