深圳市宝安区妇科门诊就诊人群生殖道沙眼衣原体感染现况调查

Prevalence of Urogenital Chlamydia Trachomatis Infection among Women Attending Gynecology Clinics in Bao'an District,Shenzhen,China

目的了解妇科门诊就诊者生殖道沙眼衣原体感染流行特征。方法2018年4-5月,采用抽签法完全随机抽取辖区4家开设妇科门诊诊疗服务的医院,对符合标准的妇科门诊就诊者进行问卷调查及尿液标本沙眼衣原体(chlamydial trachomatis,CT)及淋球菌(neisseria gonorrhoeae,NG)核酸检测。结果共完成调查1074人,CT检测阳性率9.68%(104/1074)。离异(Adjusted odds ratio AOR=3.98;95%CI:1.61~9.85;P=0.003)、既往从未进行过CT检测(AOR=8.55;95%CI:1.16~62.90;P=0.035)、NG感染(AOR=6.99;95%CI:1.88~26.08;P=0.004)是CT感染的相关因素。结论宝安区妇科门诊就诊人群CT感染患病率高,离异、既往从未进行过CT感染检测、NG感染是CT感染的相关因素。

Objective To understand the epidemiological characteristics of urogenital chlamydial trachomatis(CT)infection among women attending gynecology clinics.Methods Four hospitals were selected by sortition randomization method.Women meeting criteria from gynecology clinics of the four hospitals were investigated with questionnaires from April to May 2018.CT and Neisseria gonorrhoeae(NG)infection was determined by nucleic acid amplification test(NAAT)on self-collected urine specimens.Results Of 1074 participants recruited,9.68%(104/1074)tested positive for CT.Divorced(Adjusted odds ratio AOR=3.98;95%CI:1.61~9.85;P=0.003),never tested for CT before(AOR=8.55;95%CI:1.16~62.90;P=0.035)and infected with NG(AOR=6.99;95%CI:1.88~26.08;P=0.004)were independently associated with CT infection.Conclusion CT infection is prevalent among women attending gynecology clinics in Bao'an District,Shenzhen.Divorce,who never tested for CT before and co-infection with NG were relevant factors of CT infection.