性病门诊再感染病例分析

Re-infection in patients attending STD clinics

目的 了解性病门诊病人再感染性传播疾病 (STD)情况及预防存在的问题 ,探讨加强性病门诊预防服务的必要性。方法 收集 2 0 0 2年 3～ 8月江苏省 2个市皮肤病性病防治所性病门诊初诊病例进行分析。结果 2 6 6例初诊STD病人中 ,有 80例 (30 1% )曾患淋病 ,再感染以淋病居多 ,平均 83 8%。此 80例中 ,有 76 3%的人近 3个月有≥ 2个临时性伴侣 ;有 92 5 %的男性最近一次性行为是与临时性伴侣性交。在 2 6 6例中 ,有 96 7%的人与临时性伴侣未使用安全套。结论 STD病人多有无保护的危险性行为 ,门诊医务人员在提供性病诊疗服务时应重视加强预防服务 ,尤其是对再感染者应强化有关使用安全套及自我防护的宣传指导 ,促进STD病人提高自我保护能力 。

Objective To understand the situation of re-infection and its prevention in STD patients and to explore the necessity of strengthening health education in STD clinics Methods Data were collected and analyzed in patients with their first visits to 2 STD clinics in 2 cities of Jiangsu Provinces during March-August 2002 Results Eighty(30 1%)out of 266 patients had a history of STD,mainly gonorrhea,and most of them had re-infection of gonorrhea(on average 83 8%) 92 5% of male patients reported that they had sex with causal partners in their last sex intercourses 76 3% of the patients had more than 2 causal partners in recent 3 months and 96 7% of them did not use condom in their sex with causal partners Conclusions STD patients often have unprotected sex behaviorus Health care workers should put stress on prevention while providing medical service,especially for those patients who have re-infection They should be urged to improve consistent condom use,build capacity of self-protection,and reduce re-infection rates