云南省某强制戒毒所女性性工作者HIV/STD感染状况调查  

Survey of HIV / STD Infection in Female Sex Workers from a Compulsory Rehabilitation Centers in Yunnan

作　　者：赵东岩[1] 侯霞[1] 陈弟[1] 

机构地区：[1]云南省第二人民医院检验科,云南昆明650022

出　　处：《中国皮肤性病学杂志》2015年第7期707-709,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的了解2012年首次进入云南省某强制戒毒所的女性性工作者(FSW)感染人免疫缺陷病毒(HIV)和性传播疾病(STD)病原体的感染情况,为该人群艾滋病和STD的防治提供依据。方法采集静脉血检测HIV,采集阴道分泌物用荧光定量PCR的方法检测STD的主要病原体:沙眼衣原体(CT),解脲支原体(UU),淋球菌(NG),单纯疱疹病毒Ⅱ型(HSV-Ⅱ),乳头瘤病毒6,11(HPV 6,11),乳头瘤病毒高危型(HPV HR)。结果 143例被检者中,检出HIV感染6例,感染率为4.19%;STD病原体检测:CT16例(11.19%),UU 86例(60.14%),NG 4例(2.80%),HSV-Ⅱ型32例(22.38%),HPV 6,11 7例(4.89%),HPV HR 51例(35.66%),共检出STD病原体196例,仅6例未检出上述病原体。单一病原体感染66例(46.15%),混合病原体感染71例(49.65%)。结论在当地吸毒的女性性工作者中,HIV和STD的感染不容忽视,二者相互促进又相互影响,应针对这类人群加强健康教育,采取有效的干预措施,控制STD和HIV的传播流行。Objective To investigate the infection status of AIDS and sexually transmitted diseases in female sex workers who for the first time entered into a compulsory rehabilitation centers in Yunnan Province in 2012, thus to provide scientific evidences for preventing HIV and STD. Methods Blood DNA and DNA of vaginal secretion were detected by fluorescence quantitative PCR for HIV, CT, UU, NG, HSV-Ⅱ , HPV6,11, and HPV HR, respectively. Results From a total of 143 blood samples, 6 samples were positive for HIV and the infection rate was 4. 19%. As for STD pathogens, 16 cases were detected for CT （ 11.19% ）, 86 cases for UU （60.14%）, 4 cases for NG （2.80%）, 32 cases for HSV-11 （22.38%）, 7 cases of HPV 6,11 （4. 89% ）, 51 cases of HPV HR （35.66%）, and a total number of 196 cases were detected for STD patho- gens. Among them, 66 cases were singular infection （46. 15%） and 71 cases multiple infection （49.65%）. Conclusion HIV and STD have become a serious problem in female sex workers of the re- gion. We should strengthen health education for this population and take effective interventions to control the spread of STD and HIV.

关 键 词：女性性工作者 艾滋病 性传播疾病 

分 类 号：R512.91[医药卫生—内科学] R759[医药卫生—临床医学]