664例农村已婚育龄妇女生殖道沙眼衣原体感染的调查及危险因素分析

对云南省澄江县６６４例农村已婚育龄妇女生殖道沙眼衣原体感染情况及危险因素进行了调查分析。用ＣｈｌａｍｙｄｉａＥＩＡ法检测宫颈ＣＴ抗原。结果：ＣＴ感染率为４．９７％，其中６０．６％属无症状者。感染的主要危险因素是配偶有生殖道感染症状、阴道炎史、离婚、共用洗脸洗脚和洗会阴用具、月经初潮年龄在１５岁以后、闭经、文化程度低及贫困等。     

341例STD门诊病人沙眼衣原体的检测及随访分析

应用聚合酶链反应技术（ＰＣＲ），对３４１例ＳＴＤ门诊病人的生殖道沙眼衣原体（ＣＴ）感染进行了检测。结果显示：ＳＴＤ门诊患者的沙眼衣原体感染率为１６４２％（５６／３４１）。另对ＣＴ阳性的ＳＴＤ患者，同时检查了淋球菌（ＮＧＨ）和解尿支原体（ＵＵ），发现单一ＣＴ感染率为２６７９％（１５／５６），混合感染占较大比例，ＣＴ＋ＮＧＨ或ＣＴ＋ＵＵ和ＣＴ＋ＵＵ＋ＮＧＨ的感染率分别为３９２９％（２２／５６）和３３９３％（１９／５６）。并对ＣＴ阳性的２８例患者进行随访阴转调查。结果：于第１、２、４、６、８周内，ＰＣＲ检测阴转率为２８５％，４２８６％，５７１４％，９２８６％和１００％，阴转时间为２０～６０天，平均２５±９３天。     

对淋球菌,沙眼衣原体,解脲脲原体用PCR检测在临床上的意义

应用聚合酶链反应技术（ＰＣＲ）对１９９例拟诊ＳＴＤ患者泌尿生殖道标本进行淋病双球菌（ＮＧ）沙眼衣原体（ＣＴ）解脲脲原体（ＵＵ）的检测。ＮＧ、ＣＴ、ＵＵ总检出率分别为２５．９％、３３．８％和４６．８％。其中ＣＴ—ＵＵ、ＮＧ—ＣＴ、ＮＧ—ＵＵ、ＮＧ—ＣＴ—ＵＵ混合感染率分别为２１．３％、１０．０％、４．７％、６．３％。和省外有关报道不尽相同。单项感染ＮＧ．ＣＴ男女间无显著性差异（ρ＞０．０５），ＵＵ有显著性差异，女性高于男性（ρ＜０．０１）。混合感染男性高于女性，但ｔ检验，ＮＧ—ＣＴ、ＮＧ—ＵＵ、ＮＧ—ＣＴ—ＵＵ男女间无显著性差异、ＣＴ—ＵＵ女性高于男性（ρ＜０．０１）。     

168例盆腔炎患者宫颈沙眼衣原体及解脲支原体感染结果分析

目的 研究盆腔炎患者与宫颈沙眼衣原体及解脲支原体感染的相关性。方法 对１６８例盆腔炎患者进行宫颈沙眼衣原体和解脲支原体检测,ＣＴ采用抗原免疫法,ＵＵ采用培养法。结果 １６８例中,ＣＴ和ＵＵ的检出率分别为２５．０％和３０．０％,两者感染的总阳性率为５５．４％,两者混合感染率为１０．１％。结论 提示沙眼衣原体及解脲支原体感染为盆腔炎的重要致病因素,对于盆腔炎的患者应重视进行宫颈沙眼衣原体及解脲支原体检     

224例STD门诊患者泌尿生殖道EB病毒感染的调查

应用聚合酶链反应技术（ＰＣＲ），对２２４例ＳＴＤ门诊患者的泌尿生殖道ＥＢ病毒感染进行了检测。结果：ＳＴＤ门诊患者的ＥＢ病毒感染率为２３．３％（５２／２２４）。另对ＥＢ病毒阳性的患者，同时检测了淋球菌（ＮＧ），沙眼衣原体（ＣＴ）和解脲支原体（ＵＵ），发现单一ＥＢ病毒感染率为１７．３％（９／５２），混合感染占８２．７％，（４３／５２）。并追踪检测了３２例配偶有ＥＢ病毒仍可能成为引起非淋菌性尿道炎－宫颈     

性病后前列腺炎综合症186例报告

目的：提高性病后前列腺炎综合症的诊治水平。方法：回顾分析１８６例性病后前列腺炎综合症临床资料。结果：前列腺痛３５．４８％，感染病原为ＵＵ，ＮＧ，ＣＴ共５０．５３％，其中ＵＵ２２．５８％，霉菌２．１５％，滴虫３．７６％，非特异菌６．４５％，病原体不同１．６１％，混合感染２０．９６％，结论：前列腺痛为淋病后前列腺炎综合症的病因基础，ＵＵ，ＮＧ，ＣＴ为主要感染病原，霉菌及条件致病菌感染不容忽视，治疗以α     

性病患者巨细胞病毒感染的研究

用ＥＬＩＳＡ法检测了２５２例性病患者和５５名健康者对照血清的ＣＭＶ－ＩｇＭ。结果：性病患者ＣＭＶ感染率为２９．４％，对照组为９．１％，差异有显著性意义（Ｐ〈０．００５）。从年龄分组看２１￣３０岁组ＣＭＶ感染率最高，为３５．７％，结果提示性病患者易发生活动性的ＣＭＶ感染，性接触是ＣＭＶ的重要传播途径。     

490例女性吸毒者梅毒及HIV感染调查

目的：了解女性吸毒人群梅毒及HIV(艾滋病病毒)感染情况。方法：对某劳教所490名女性吸毒学员进行匿名问卷调查和梅毒、艾滋病血清学的检测。结果：(1)490名调查对象平均年龄为26．80岁，最大年龄46岁，最小18岁。(2)共有370名(75．51％)静脉吸毒，其中144名(29．38％)共用注射器吸毒，有75名(15．30％)伴有卖淫。(3)梅毒、HIV感染率分别为13．88％及2．04％。结论：女性吸毒者是HIV、梅毒感染的高危人群，应采取有效措施对吸毒人群的高危行为进行干预。     

性病门诊366例女性下生殖道STD病原体分析

目的：了解性病门诊女性下生殖道STD病原体感染情况。方法：利用淋球菌（NG）培养，支原体（Uu,Mh)培养，沙眼衣原体（CT）培养，白色念珠菌（以下简称白念）培养，阴道毛滴虫（以下简称滴虫）镜检等方法，于1996年4-2000上4月对366例性病门诊女性下生殖道STD病原检查。结果：366例女性下生殖道感染STD病原体303例，感染率为82．79％，其中Uu感染率为65．57％，Mh为27．87％，CT为19．67％，白念为21．31％，滴虫为4．10％，NG为1．64％。结论：性病门诊女性下生殖道感染，STD病原有多种，以Uu最为多见，其次是Mh，再次为CT及白念，NG感染率较低，STD病原体混合感染较严重。     

男性非淋菌性尿道炎患者性病病原体的研究

应用培养、多聚酶链反应（ＰＣＲ）和抗原检测法对１０４６例非淋菌性尿道炎（ＮＧＵ）患者的前列腺液（ＥＰＳ）进行检测。结果显示：ＣＴ阳性为１２６例（１２．０４％），ＵＵ为１４９例（１２．２４％）、ＣＤ为１１２例（１０．７０％）、ＴＶ为３４例（３．２５％）、ＨＳＶ２为３２例（３．０５％）、ＭＨ为２１例（２．０％）。在１２６例ＣＴ阳性患者，混合感染７８例（５７．１４％），其中ＣＴ＋ＵＵ２８例（２２．２２％）、ＣＴ＋ＵＵ＋ＭＨ４例（３．１７％）、ＣＴ＋ＣＤ＋ＴＶ１２例（９．５２％）。本研究结果可为临床男性ＮＧＵ感染病因学诊断与治疗提供实验室依据。     

2008-2011年上海市金山区卖淫人员性传播疾病疫情分析

目的 了解2008-2011年上海市金山区卖淫人员性传播疾病(STD)流行情况。方法 对2008-2011年金山区各派出所强制送检的431例专职卖淫人员进行淋病和生殖道沙眼衣原体感染、梅毒、尖锐湿疣、生殖器疱疹和艾滋病的检测和流行病学调查。结果 卖淫人员均为外省市人,文化程度低,≤初中占92.80%。共检出STD患者127例,患病率为29.47%。其中梅毒居首位,感染率为21.81%,且以TRUST阴性和TPPA阳性率居多。淋病感染率为4.87%,生殖道沙眼衣原体感染率为4.65%,尖锐湿疣感染率为0.70%,HIV感染率为0.23%。未检测到生殖器疱疹患者。结论 卖淫人员STD感染率高,尤其是梅毒。HIV感染在本地区卖淫人员中开始崭露头角,应加强对其主动监测和规范治疗。     

The prevalence of sexually transmitted diseases among prostitutes in Malaysia.

The prevalence of sexually transmitted diseases was determined among 370 prostitutes in Kuala Lumpur, Malaysia. Chlamydial cervicitis (26.5%) was detected more frequently than gonorrhoea (14.25%) and was associated more often with pelvic inflammatory disease. Concurrent infections and asymptomatic infections were common. Seropositivity to hepatitis B and syphilis were 66.3% and 13.6% respectively. Women under 20 years of age had significantly higher rates of infection with Chlamydia trachomatis and hepatitis B virus than older women.     

Relevance of routine diagnosis of Chlamydia and HIV infections in Vienna prostitutes

At the Control Center for Veneral Diseases of the Vienna Health Office, 5000 examinations for Chlamydia infection were performed on registered and non-registered prostitutes between 1980 and 1988. During this period, we observed a continuous decrease of the rate of infections from 20.4% to 4% among registered prostitutes and from 31.4% to 12.4% among non-registered prostitutes. Between 1985 and 1988, the cumulative number of HIV infections only rose from 7 to 8 cases among registered prostitutes and from 2 to 3 cases among non-registered prostitutes. All these HIV carriers were associated with i.v. drug abuse. The correlations between these two infections as well as the implications regarding health politics are discussed.     

上海市金山区卖淫嫖娼人员892人性病状况分析

目的了解上海市金山区2005～2007年公安强制送检的892名卖淫嫖娼人员的性病状况及其特点,为制订防病政策提供依据。方法对892名金山区各派出所强制送检的卖淫嫖娼人员的一般资料进行分析,对采集的标本进行淋病奈瑟菌(NG)的分离培养、解脲脲原体(UU)培养、沙眼衣原体(CT)检测、梅毒甲苯胺红不加热血清试验(TRUST)、梅毒螺旋体抗体凝集试验(TPPA)及人类免疫缺陷病毒(HIV)1+2型抗体(ELISA)的检测。结果892名卖淫嫖娼人员中以外省人员居多(880人),文化程度初中及以下最多(771人);该3年平均阳性检出率:448名卖淫人员中NG感染为10.49%,UU感染为74.33%,CT为感染7.14%,梅毒12.28%,HIV为0;444名嫖娼人员依次分别为2.25%,45.27%,1.35%,2.93%,0人;同时患两种性病的卖淫人员17.41%,多于嫖娼人员的2.93%,同时患3种性病的卖淫人员4.02%,多于嫖娼人员的0.68%,同时患4种性病的0.22%,多于嫖娼人员的0人。结论卖淫嫖娼人员性病感染率较高,尤其UU感染和梅毒,是艾滋病性病的重要传染源。加强对卖淫嫖娼人员的主动监测和规范治疗,提倡安全性行为,是预防与控制艾滋病性病的有效措施。     

Prevalence, incidence, and risk of acquiring urogenital gonococcal or chlamydial infection in prostitutes working in brothels.

At two week intervals specimens were taken from 24 prostitutes working in two brothels and cultured for urogenital infection with Chlamydia trachomatis and Neisseria gonorrhoeae. Demographic and clinical data were also collected. C trachomatis was found initially in four and N gonorrhoeae in two of the 20 women at risk of infection. During the study period three new chlamydial and gonococcal infections were diagnosed, resulting from 949 unprotected contacts. Eight women (33%) had developed salpingitis, in contrast to 15% in the general female population. An attempt was made to estimate the infectivity of C trachomatis for the prostitutes. The epidemiological importance of the chlamydial and gonococcal reservoir in the prostitutes was also considered.     

Chlamydial genital infection in prostitutes in Iran.

The prevalence of chlamydial genital infection was studied in 177 prostitutes in Iran; 100 in Teheran and 77 in the port of Bandar Abbas. Chlamydia trachomatis was isolated in eight (6.9%) of 116 patients with valid cultures. Type-specific antibodies were found against C trachomatis serotypes D to K (genital serotypes) in 94.2% and against serotypes A to C (trachoma serotypes) in 2% of the prostitutes. Type-specific IgM at a titre of greater than or equal to 8, indicating current infection, was found in 29.2%, whereas type-specific IgG at a titre greater than or equal to 64, suggesting a current or recent infection, was present in 71.5%. The lower chlamydial isolation rate in these women may have been due to previous treatment with antichlamydial drugs and because of immune responses resulting from repeated reinfection with chlamydiae. The results indicate that in Iran prostitutes are commonly infected with C trachomatis and are probably a major reservoir of chlamydial genital infection.     

Incidence of genital chlamydia and mycoplasma infections in women

An investigation was carried out in 240 women to determine the prevalence of Chlamydia trachomatis and Mykoplasms in the genital tract. Three groups of women were compared: 80 prostitutes, 80 STD-patients and 80 dermatological patients without genital complaints. In the group of the prostitutes Chlamydia trachomatis was detected in 25% and Mycoplasms in 60%. STD-patients harbored Chlamydia trachomatis in 21% and Mycoplasms in 45%. In the group of dermatological patients Chlamydia trachomatis was isolated only in 3% and Mycoplasms in 33%.     

Medical health care for Viennese prostitutes

In Vienna, legalized prostitution is tightly controlled by the advisory board of the Viennese Public Health Service. Registered prostitutes are routinely screened for all important STDs, such as syphilis, HIV, gonorrhea, chlamydial- and yeast-infections, and Trichomonas vaginalis. Furthermore, cytological smears are obtained from the cervix and chest X-rays are performed at least once a year. In all pathological findings, an appropriate therapy is implemented. Presenting data of 1989, out of the 713 weekly controlled registered prostitutes, Neisseria gonorrhoeae was detected in 0.3% of all examinations (110/35,368). In non-registered prostitutes, the infection rate of N. gonorrhoeae was 6.9% (27/354), and so far, 20 times higher than in registered ones. The infection rate of Chlamydia trachomatis, which has been routinely diagnosed in registered prostitutes for several years, has decreased from 20.4% in 1980 to 2.2% in 1989 compared with 31.4% and 10.9% in non-registered prostitutes. In registered prostitutes, the prevalence of genital infections, such as C. trachomatis, T. vaginalis, and yeasts was shown to be 4.9%. The corresponding data in non-registered prostitutes were much higher (18.8%). Due to examinations for cervical malignancy the incidence of Papanicolaou stain IV and V has decreased from 3.1% in 1988 to 1.6% in 1989. There was no serologic evidence for syphilis and HIV infection in both special risk groups. The data demonstrate, that due to a good health surveillance of STD-risk groups, a good information service, and free treatment, the prevalence of STDs can be reduced in prostitutes.     

暗娼1144人HBV、HIV及梅毒感染检测结果分析

目的了解暗娼人群乙肝病毒(HBV)、人类免疫缺陷病毒(HIV)及梅毒感染的情况,为制订预防措施提供依据。方法对海南省某妇教所收容的1144名暗娼分别抽取静脉血,用酶联免疫吸附实验(ELISA)进行乙肝两对半、HIV1+2抗体检测和梅毒甲苯胺红不加热血清试验(TRUST)初筛,梅毒阳性者用梅毒螺旋体明胶颗粒凝集确证试验(TP-PA)进一步确证。结果暗娼人群HBV及梅毒感染率分别为15.73%和29.26%,未发现HIV感染者。结论海南省暗娼人群HBV感染率和梅毒感染率较高,增加了HIV的感染的可能性。提示暗娼是感染性病和艾滋病的高危人群,也是向一般人群传播这些疾病的"桥梁人群",加强对暗娼人群的行为干预和监测至关重要。     

Prevalence of sexually transmitted diseases in high-risk women in the Republic of Panama

This study enrolled 1,032 sexually active women attending social hygiene clinics in Panama City; clinic attendance is mandatory for women employed in houses of prostitution, bars, and cabarets. Women were interviewed, and endocervical specimens were obtained for culture of Neisseria gonorrhoeae, Chlamydia trachomatis, herpes simplex virus, and cytomegalovirus. Four occupational groups attended the social hygiene clinics: prostitutes, bar girls denying prostitution, cabaret entertainers, and streetwalkers detained by the police. Prevalence of sexually transmitted disease, nationality, race, contraceptive method, and self-medication varied significantly by occupation; 31% of streetwalkers had gonorrhea as did 10% of prostitutes, 5% of bar girls, and 3% of cabaret entertainers. Rates of positive serologic tests for syphilis followed the same trend: 23% in streetwalkers, 7% in prostitutes, and 3% in nonprostitutes. Rates of chlamydial infection were significantly higher in cabaret entertainers (8%) than in any other occupational group (2%). Cytomegalovirus and herpes simplex virus infections were uncommon and were found in 5% and 1% of the women, respectively. Prevalence of N. gonorrhoeae varied with self-medication and years of "professional" experience. Only one of 160 N. gonorrhoeae isolates was resistant to penicillin and also beta-lactamase-positive.