2014-2018年芜湖市某医院住院患者梅毒检测结果分析

Analysis of syphilis infection in inpatients in a hospital in Wuhu City between 2014 and 2018

目的了解芜湖市某医院住院患者梅毒螺旋体抗体检测结果,为梅毒防治工作提供参考依据。方法收集2014年1月-2018年12月在芜湖市中医医院进行梅毒检测的住院患者临床资料,并进行回顾性分析。结果5年间进行梅毒检测的住院患者共计73648人,梅毒TP-ELISA检测阳性2144人,阳性率2.91%,TP-ELISA和TRUST双阳性494人,双阳率0.67%,男性梅毒抗体阳性率和双阳率均高于女性,>60岁年龄段梅毒检测阳性率最高。梅毒检测阳性率最高的科室为肛肠科,其次为重症医学科、呼吸内科、神经内科和眼科。梅毒TRUST效价≥1∶8占比最高的为41~50年龄段(33.98%)。结论应加强梅毒防治知识的宣教,加大梅毒检测力度,尤其要重视男性人群和老年人群,做到早诊断早治疗。检出率较高的科室医务工作者应做好自我保护,减少职业暴露风险。

Objective To analyze the results of syphilis infection detected in a hospital between 2014 and 2018 for evidence to plan prevention and control measures. Methods The clinical data were collected from inpatients in our hospital undergone syphilis test between January 2014 and December 2018,and retrospectively analyzed. Results Totally,73 648 inpatients received syphilis test in 5 years. Positive results were found in 2 144( 2.91%) by TP-ELISA. Double positive serum( 0. 67%) was seen in 494 inpatients tested by both TP-ELISA and TRUST. The infection was higher in males than in females,and the highest positive rate was observed in inpatients aged over 60 years. Additionally,the highest involvement was the Anorectal Department,followed by ICU,Department of Respiratory Medicine,Neurology Department and Ophthalomogy Department.TRUST titer≥1 ∶ 8 accounted for 33.98% in patients aged 41~50 years. Conclusion Enhanced knowledge on and test of syphilis should be given to the inpatients,especially the elderly male patients,so that they can obtain early diagnosis and treatment.In addition,medical providers in the sections with higher rate of syphilis detected should practice better self-protection in order to reduce risks of occupational exposure.