1803例患者泌尿生殖道病原体检测分析

Detection and analysis of urogenital pathogens in 1803 patients

目的分析本院皮肤性病科、妇科等科室患者沙眼衣原体(CT)、生殖支原体(MG)、淋病奈瑟菌(NG)、解脲脲原体(UU)的感染情况,为临床诊疗提供一定科学依据。方法回顾性分析2022年6月至2023年12月在本院就诊检测泌尿生殖道病原体患者1803例,统计分析患者不同性别、不同年龄、不同标本类型的CT、MG、NG、UU感染情况。结果不同性别患者CT及MG病原感染率差异无统计学意义(P>0.05),而NG及UU病原感染率差异有统计学意义(P<0.05)。不同性别不同检测标本各病原感染率亦差异无统计学意义(P>0.05)。按不同年龄段分层分析,不同年龄段男性患者各病原体阳性率差异无统计学意义(P>0.05);不同年龄段女性患者NG、UU感染阳性率差异有统计学意义(P<0.05)。1803例患者中同时检测4种病原体的患者共有1625例,在这1625例患者中感染单一病原的男女阳性例数差异有统计学意义(P<0.05);同时感染2种病原的患者中,仅(CT+UU)阳性及(MG+UU)阳性的男女患者阳性率差异有统计学意义(P<0.05),其余类型差异无统计学意义。结论1803例患者中泌尿生殖道病原体检出率较高,并存在病原体混合感染的情况,所以在临床诊疗时要注意多种病原体联合检测,避免漏检,做到早诊断早治疗。

Objective To analyze the infection status of chlamydia trachomatis(CT),mycoplasma genitalium(MG),neisseria gonorrhoeae(NG),and ureaplasma urealyticum(UU)in patients in Dermatology,Gynecology,and other Departments of our hospital,and provide some scientific bases for clinical diagnosis and treatment.Methods Data of 1803 patients with urogenital pathogens detected in our hospital from June 2022 to December 2023 were retrospectively analyzed,and the infection rates of CT,MG,NG and UU were also compared in patients with different genders,ages,and specimen types.Results As far as gender was concerned,different pathogens took on a different look.There was no significant difference in pathogen infection rates of CT and MG between males and females(P>0.05),and the infection rates in CT and MG exhibited a significant variation(P<0.05).There was no significant difference in the infection rate among different gender and detection specimens(P>0.05).In addition,in terms of different age groups,it has been demonstrated that there was no significant difference in the positive rate of each pathogen among male patients of different ages(P>0.05),and the infection rates in NG and UU showed statistical differences among female patients of various ages(P<0.05).Among the 1803 patients,a total of 1625 patients were detected with four pathogens,and there were significant statistical differences in the number of positive cases of males and females infected with a single pathogen(P<0.05).Only(CT+UU)positive and(MG+UU)positive male and female patients were significantly different(P<0.05)in patients infected with both pathogens at the same time,and there was no significant difference in other types.Conclusion The detection rate of the urogenital pathogen was higher in the 1803 patients,and the mixed infection of pathogens also existed.Therefore,in clinical diagnosis and treatment,we should pay attention to the joint detection of multiple pathogens,avoid missed detection,and achieve early diagnosis and early treatment.