2016—2019年广州口岸出境人员梅毒感染状况调查  

Survey on syphilis among exit travelers at Guangzhou port from 2016 to 2019

作　　者：栗召辉 孙康悦 朱云枫 綦佩妍 明宏艳 陈晨 黄永欣 梁少军 张敏 何洪涛 LI Zhaohui;SUN Kangyue;ZHU Yunfeng;QI Peiyan;MING Hongyan;CHEN Chen;HUANG Yongxin;LIANG Shaojun;ZHANG Min;HE Hongtao(Guangzhou International Travel Healthcare Center(Guangzhou Custom Port Outpatient Department),Guangzhou,Guangdong 510623,China;不详)

机构地区：[1]广州国际旅行卫生保健中心(广州海关口岸门诊部),广东广州510623 [2]南方医科大学南方医院

出　　处：《中国国境卫生检疫杂志》2023年第6期575-577,共3页Chinese Journal of Frontier Health and Quarantine

摘　　要：目的 分析广州口岸出境人员的梅毒流行病学特征,为口岸梅毒的监测及防控工作提供理论依据。方法 对2016—2019年广州口岸15周岁及以上的出境人员用快速血浆反应素试验(RPR)进行梅毒初筛,初筛阳性者用梅毒螺旋体明胶凝集试验(TPPA)确认,两者均阳性者定义为梅毒病例。用Excel 2019建立数据库,用SPSS 23.0进行数据分析。结果 在74 542名出境人员中检出梅毒297例,总阳性率为3.984‰。71岁及以上年龄组的阳性率最高,为13.32‰,15~<21岁年龄组的阳性率最低,为0.88‰,不同年龄组间的阳性率差异有统计学意义(P<0.001)。男性阳性率为4.48‰,女性为3.60‰,差异无统计学意义(P=0.058)。2016年梅毒阳性率为4.74‰,为历年最高,2019年梅毒阳性率2.55‰,为历年最低,不同年份的阳性率差异有统计学意义(P=0.002)。结论 广州口岸的出境人员的梅毒阳性率较高,有必要对风险人群进行宣传教育和定期监测,制定有针对性的预防措施,控制梅毒的跨境传播。Objective To analyze the epidemiological characteristics of syphilis among exit personnel at Guangzhou port,for providing theoretical basis for surveillance,prevention and control of syphilis at ports.Methods The exit personnel aged 15 or above at Guangzhou port from 2016 to 2019 were screened for syphilis with rapid plasma reagin test(RPR),then confirmed those RPR positive samples with treponema pallidum particle assay(TPPA).Those both RPR and TPPA positive persons were defined as syphilis cases.The database was established with Excel 2019,and the data was statistically analyzed with software SPSS 23.0.Results Of 74542 exit personnel,a total of 297 cases of syphilis were detected,the positive rate was 3.984‰.The highest positive rate was in the age group of 71 years old and above(13.32‰),the lowest positive rate was in the age group of 15-<21 years old(0.88‰).There was significant difference in the positive rate between different age groups(P<0.001).The positive rate was 4.48‰in males and 3.60‰in females,the difference did not have statistic significance(P=0.058).The positive rate was 4.74‰in 2016,which was the highest among the four years,while the lowest positive rate was 2.55‰in 2019.The difference of positive rate in different years had statistic significance(P=0.002).Conclusion The positive rate of syphilis was higher among exit personnel at Guangzhou port.It is necessary to carry out public health education programs and regular monitoring among risk population.Targeted preventive measures should be developed for control of cross-border spread of syphilis.

关 键 词：梅毒 口岸 出境人员 流行病学 

分 类 号：R183[医药卫生—流行病学] R759.1[医药卫生—公共卫生与预防医学]