419例疑似非淋菌性尿道炎(宫颈炎)患者支原体、衣原体检测结果分析

ANALYSIS OF TESTED RESULT ABOUT CHLAMYDIA AND MYCOPLAIN OF 419 SUSPECT-ED CASES OF UROGENITAL INFECTIONS

[目的]了解2002～2004年河北省疾病预防控制中心性病门诊419例泌尿生殖道感染者支原体、沙眼衣原体(CT)感染现状。[方法]采集的尿道或宫颈标本通过培养法检测解脲支原体(UU)和人型支原体(Mh);快速免疫法检测CT。[结果]CT阳性率为25.99%(79/304),男女无差别;UU培养阳性率34.91%(133/381),女性48.03%非常显著地高于男性26.20%;Mh的阳性率7.06%,男女无差别;Uu+Mh阳性率为4.52%。衣原体和支原体的双重感染率,CT+Uu为9.40%;CT+Mh为2.33%;CT+Uu+Mh三重感染率为1.95%。[结论]河北省CDC性病门诊疑似非淋菌性尿道炎(宫颈炎)患者3种病原体均有检出,Uu检出阳性率女性显著高于男性,性病高危人群集中于21～40岁年龄组,患病年龄有提前趋势,应加强性安全知识的健康教育和行为干预。

[Objective] To study the infection status of mycoplasma and chlamydia trachomatis about 419 suspected patients of urogenital infections from 2002-2004 in Hebei Provincial Center for Diseases Control and Prevention STD clinic. [ Methods] The urethral （or cervical） specimens were tested for ureaplasma urealyticum （Uu） and Mh by culture, and chlamydia trachomatis （CT） by clear-view chlamydia rapid assay. [ Results] The positive rates of CT and Mh were 25.99% （79/304） and 7.06% respectively. There were no differences between female and male. The positive rates of Uu was 34.91% （133/381）, the female positive rates （48.03%） were much higher than the male （26.20%）. The positive rates of CT＋ Uu , CT＋Mh, CT＋Uu＋Mh were 9.40%, 2.33% and 1.95% respectively. [Conclusion] All three types of mycoplasma and chlamydia trachomatis are found in the 419 urogenital infections suspected cases in STD clinics at HeBei CDC. The female positive rate of Uu is much higher than male. The high risk group of venereal disease centralize at the 21-40 year groups. The age of infectors is revealing youthy trend. Therefore we should strenghen the education of security knowledge about sexual dongings and strenghen the interference on sexual behaviors in 21-40 year groups.