基于医院感染监测系统的某妇幼保健院性传播疾病的调查分析  

Investigation on sexually transmitted diseases in a maternity and child health hospital based on hospital infection monitoring system

作　　者：仓艳琴[1] 冷姝芳 吕焱[2] CANG Yanqin;LENG Shufang;LYU Yan(Department of Internal Medicine,The International Peace Maternity and Child Health Care Hospital Affiliated to Medicine College of Shanghai Jiaotong University,Shanghai 200030,China;Department of Infection Management,The International Peace Maternity and Child Health Care Hospital Affiliated to Medicine College of Shanghai Jiaotong University,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属国际和平妇幼保健院内科,上海200030 [2]上海交通大学医学院附属国际和平妇幼保健院院感管理科,上海200030

出　　处：《中国性科学》2018年第5期144-148,共5页Chinese Journal of Human Sexuality

摘　　要：目的:通过上海交通大学医学院附属国际和平妇幼保健院的医院感染监测系统,调查近年来院就诊的性传播疾病(STDs)患者的一般临床资料,为医院感染层面防控STDs提供流行病学依据。方法:通过上海交通大学医学院附属国际和平妇幼保健院的医院感染监测系统,监控2013年1月至2016年6月我院门急诊及住院部报告的STDs,对该时段报告的性病病例进行统计,并进行报告时段、年龄、性别、地域方面的描述分析。结果:上述监测期间,上海交通大学医学院附属国际和平妇幼保健院报告的主要STDs有HIV感染、梅毒、生殖道沙眼衣原体(Ct)感染、尖锐湿疣、淋病、生殖器疱疹6类,病例总数3757人,女性3501人(93.19%),男性56人(6.81%);本市2318人(61.70%),外地1439人(38.30%)。P<0.05。年龄最大90周岁,最小12周岁,均为女性。上述报告阳性者的平均年龄为36.36岁,其中以30岁~39岁年龄段最为集中(45.14%),其次为20岁~29岁(27.04%)、40岁~49岁(15.20%),发病年龄亦有统计学差异(P<0.05)。所监测STDs的主要病种由多及少依次为Ct感染共2022人(53.82%)、梅毒共1144人(30.45%)、尖锐湿疣共474人(12.62%)、淋病共100人(2.66%)、HIV感染即艾滋病共12人(0.32%)、生殖器疱疹共5人(0.13%)。结论:上海交通大学医学院附属国际和平妇幼保健院近4年里常见的STDs中,本市与外地患者比例约为2∶1,20岁~49岁的患病者占比近90%。其中列前3位的依次为Ct感染、梅毒、尖锐湿疣,且Ct感染占比达50%以上,P<0.05。应该对临床疑似上述几种疾病的患者进行常规筛查相关病原体,并做好相关的防控工作。Objective： To investigate the general clinical data of patients with sexually transmitted diseases（ STDs） in the International Peace Maternity and Child Health Care Hospital Affiliated to Medicine College of Shanghai Jiaotong University in recent years through the hospital infection monitoring system,in order to provide epidemiological basis for the hospital infection prevention and control. Methods： Through the hospital infection monitoring system,reported cases with STDs in the in-patient and out-patient department from January 2013 to June 2016 were selected and the statistical data about age,sex,residence and the date of visiting was analyzed. Results： The main STDs reported in the hospital were HIV,syphilis,genital tract Chlamydia trachomatis（ CT） infection,genital warts,gonorrhea and genital herpes. There were 3757 patients,including 3501（ 93. 19%） female and 56（ 6. 81%） male patients. Among them,there were 2318（ 61. 70%） locals and 1439（ 38. 30%） nonlocals,with statically significant difference（ P〈0. 05）. The oldest patient was 90 years old,while the youngest was 12 years old,both female. The average age of the positive cases was 36. 36,among which the 30 ~ 39 age group was the most concentrated（ 45. 14%）,followed by groups of 20 ~ 29 years old（ 27. 04%） and 40 ~ 49 years old（ 15. 20%）,with statically significant difference（ P〈0. 05）. The number of each kind of infection was as follows,CT infection2022（ 53. 82%）,syphilis 1144（ 30. 45%）,genital warts 474（ 12. 62%）,gonorrhea 100（ 2. 66） %）,AIDS 12（ 0. 32%） and genital herpes 5（ 0. 13%）. Conclusions： In the past four years,the ratio of local STDs patients to nonlocal STDs patients in the International Peace Maternity and Child Health Care Hospital Affiliated to Medicine College of Shanghai Jiaotong University is about 2： 1. Nearly 90% of them are aged 20 ~ 49. The top three types of STDs are CT infection,syphilis and genital warts,where CT infection patients accounting for mor

关 键 词：性传播疾病 沙眼衣原体 梅毒 尖锐湿疣 

分 类 号：R197.64[医药卫生—卫生事业管理]