2093例生殖道感染病原体分析

目的:了解该地各年龄段妇女生殖道感染的病原体情况,为指导临床用药提供依据。方法:对2003年9月～2004年3月,确诊为生殖道感染的2093例患者进行生殖道分泌物涂片检查。结果:工人和农民为主要感染人群,占70%。病原体在<19岁组前3位依次是G+球菌、支原体、加德纳菌;19～49岁组依次是加德纳菌、念珠菌、支原体;≥49岁组依次是加德纳菌、支原体、念珠菌。结论:为做好生殖道感染的防治工作,工人和农民是防治的重点。为提高生殖道感染的治疗效果,必须针对病原体,合理用药。针对病原体对不同人群的感染比例,急需研发外用新的剂型。广泛开展对生殖道感染知识的健康教育,提高妇女自我保健意识。

Analysis on pathogens of 2 093 cases of reproductive tract infections

Objective:To study the prevalence of pathogens which lead to reproductive tract infections ( RTIs ) of women in age groups in local area , so as to provide evidence for guiding drug use in clinics.Methods:3 093 patients diagnosed as RTIs during Sep. 2003 to Mar. 2004 were performed on smear of reproductive tract secretion.Results:Workers and peasants are more susceptible to infection , accounting for 70% . In >19 years old group, the top three pathogens are G+ coccus , mycoplasma and Gardnerella Vaginalis (GV) ; in 19~49 years old group, those are GV , candida and mycoplasma; in ≥49 years old group those are GV , mycoplasma and candida.Conclusion:For the work of prevention and treatment of RTIs ,workers and peasants should be regarded as the emphasis. To increase the cure efficiency of RTIs , drug administration must be reasonable aiming at pathogens. According to the infection ratio of pathogens to different people, new external use type is starving for being developed, the knowledge of RTIs should be disseminated to women broadly so as to increase their self- health care consciousness.