上海市梅毒病例诊断治疗现状调查

Survey on diagnostic and therapeutic service for syphilis cases in Shanghai

目的了解上海市梅毒诊断、治疗和随访的情况。方法采用统一设计的调查问卷,对性病门诊保存的梅毒病史进行回顾性调查。结果在5个医院的性病门诊共调查了1 669份梅毒病历,潜伏梅毒病例和非潜伏病例诊断依据中,分别仅有15.0%和13.6%有梅毒接触史的记录。1 413例(84.7%)梅毒患者接受梅毒治疗,其中1 220人(86.3%)接受青霉素类药物治疗,203人(14.4%)使用非青霉素类药物治疗,没有未进行青霉素皮试的病史记录。13.2%(221/1669)人接受梅毒随访。结论应当努力提高和完善上海市梅毒诊断、治疗和随访工作,以遏制梅毒的流行。

Objective To better understand diagnostic, therapeutic and follow up service for syphilis eases in Shanghai. Methods Clinical records of syphilis cases selected from STD clinics in Shanghai were retrospectively studied using standard questionnaire. Results A total of 1669 records of syphilis cases from 5 STD clinics were reviewed. Among the latent syphilis and non - latent syphilis cases only 15.0 % and 13.6 % had history of contacting syphilis, respectively. As recorded, 1413（84.7 % ） cases received syphilis treatment, of whom 1220 （ 86.3 % ） received penicillin regimens, and 203 （14.6%）received non penicillin regimens;no skin test was recorded. Only 13.2 % （221/1669） of patients were followed up. Conclusion Syphilis diagnostic, therapeutic and follow- up service needed to be scaled-up and improved in Shanghai.