摘要
本文报道了应用PCR技术对门诊520例STDs患者泌尿生殖道解脲支原体(UU)检测结果及流行病学分析。共检出UU阳性230例,总阳性率为44.2%,其中男性44.1%(97/220),女性44.3%(133/300),两者之间差异无显著性(P>0.05);UU感染者的年龄明显集中在21岁—40岁之间,共194例,占UU阳性总人数的84.34%(194/230);UU感染阳性数的构成比与性伴人数呈正相关;从230例UU阳性者中检出104例(45.2%)合并沙眼衣原体(CT)和/或淋病奈瑟氏菌(NG)感染,以CT+UU(27.4%)明显高于UU+NG(7.4%)或UU+CT+NG(10.4%)(P<0.01)。作者认为UU隐性感染者是NGU流行的主要传染源;UU感染与性接触及性乱密切相关;对有或无临床症状的门诊NGU患者,须同时检测UU、CT和NG,以免STDs病原体漏检或贻误治疗。
The detection and epidemiological analysis of Ureaplasma Urealyticum (UU) in urogenital specimen from 520 cases outpatients with STDs by Polymerase Chain Reaction technology in June to December, 1996 were reported in this paper. The positive isolations were observed in 97 among 220 males (44.1%) and in 133 among 300 females (44.3%) respectively, and the total positive rate of UU was 44.2%. It is of no great significant differences between the positive rates of males and females (P>0.05). UU infection was significant in persons 21 to 40 years old. UU infection was in relation to sexual promiscuity. Concurrent infection of C. trachomatis (CT) and/or N. gonorrhoeae (NG) was noticed in 104 of 230 (45.2%) patients in whom U. Urealyticum was positive, UU and CT (27.4%) was obviously higher than UU and NG (7.4%) (P<0.01), UU and CT was obviously hygher than UU, CT and NG (10.4%) (P<0.01). The authors consider that there were many NGU infected with UU in China, and the major source of infection of STDs were high risk group, who were latent infection with UU. UU infection was in relation to sexual intercourse and Sexual promiscuity. The risk factors were more sexual partners and visiting prostitutes with exposure sexual intercouse. According to seriousness UU, CT and NG concurrent infection, so, it should be detected UU, CT and NG simultaneously to avoid missed detection and bungled the chence of treatment.
