性病门诊就诊者泌尿生殖道性传播疾病的病原学检测分析

Detection of pathogens causing sexually transmitted diseases of the urogenital system among visitors to STD clinic

目的了解门诊就诊者泌尿生殖道病原体感染状况。方法收集北京佑安医院2005年7月～2006年5月门诊就诊者2 178例泌尿生殖道标本,进行病原体检测。结果2178份标本中有642份检出病原体,患病率为29.48%。单一感染450份(70.09%),其中检出淋球菌34份(29.82%),沙眼衣原体48份(44.44%),支原体363份(71.18%);混合感染192份(29.91%),其中淋球菌合并Ct或Uu者90份(24.75%),Ct+Uu+Mh102份(11.85%)。三种病原体在男女就诊者中的检出率有明显差异(P<0.01)。结论中青年就诊者的泌尿生殖道病原体阳性率较高,应重视病原学检查,进一步加强性病防治工作力度。

Objective To study the infectious status of pathogens causing venereal diseases of the urogenital system among visitors to SDT clinic. Methods Pathogens were tested for 2 178 urogenital samples collected from the outpatient department of Youan Hospital from July 2005 1：o May 2006. Results Pathogens were detected from 642 samples, with a positive rate of 29.48 % ;sole infection was detected from 450 samples, of which gonococcus was detected from 34 samples （29.82%）, chlamydia was detected from 48 samples （44.44%）, and mycoplasma was detected from 363 samples （71.18 % ）. Mixed infectious pathogens（2 or 3 types of pathogens）were isolated from 192 samples（29.91% ）, and CT or UU were simultaneously detected from 90 samples（24.75 % ） with gonococcus positive. The detection rate of 3 types of pathogens was different between men and women. Conclusion The positive rate of pathogens in the urogenital system was high among young and middle aged outpa＇：ients, therefore attention should be paid to the pathogenic detection, and STD prevention and treatment should be further intensified.