妇科门诊生殖道感染患者病原菌特征及认知水平调查

Pathogens causing genitourinary tract infections in patients of gynecologic outpatient department and their cognition

目的针对妇科门诊生殖道感染患者病原菌特征进行分析,并对认知水平进行调查。方法对医院2009年2月-2011年10月妇科门诊收治的生殖道感染患者采用无菌棉拭子采集宫颈或阴道分泌物后,进行细菌培养及鉴定,观察并分析其病原菌特点;采用自行设计调查表调查感染途径、危害、预防感染方法。结果患者共1126例,病原菌检查阳性者共698例,阳性率61.99%;感染途径以不良卫生习惯为主,占80.99%;知晓发生盆腔炎、夫妇之间交叉感染、宫颈癌、宫外孕、不孕,依次占56.04%、54.97%、50.00%、20.69%、44.94%。结论生殖道感染以真菌感染为主,对医源性及母婴传播知晓率低,提升对自身疾病的了解和重视对降低感染率有重要作用。

OBJECTIVE To analyze the characteristics of the pathogens causing genitourinary tract infections in the patients of gynecologic outpatient department and investigate their cognition level.METHODS The patients with genitourinary tract infections,who enrolled gynecologic outpatient department from Feb 2009 to Oct 2011,were selected as the study objects,the cervical and vaginal secretions were collected with the sterilized cotton swabs,then the bacterial culture and identification were performed,the characteristics of the pathogens were observed and analyzed.By means of the self-designed questionnaire,the routes of infections,risks,and the prevention measures for infections were investigated.RESULTS Totally 698 of 1126 patients were tested positive for pathogens with the positive rate of 61.99%,the bad health habit was the major infection route,accounting for 80.99%,Infection hazard awareness analysis indicated that the incidence of pelvic inflammatory disease,couples cross infection,cervical cancer,ectopic pregnancy,and infertility accounted for 56.04%,54.97%,50.00%,20.69%,and 44.94%,respectively.CONCLUSION The fungi are the main pathogens causing genitourinary tract infections,the awareness rate of the iatrogenic infections and mother to infant infections is low,it is of great significance in reducing the infection rate to improve the understanding of the disease.