女性性服务者生殖道4种病原体感染状况分析

卫平民; 浦跃朴; 赵季文

女性性服务者生殖道4种病原体感染状况分析

Analysis on detection of four kinds of pathogens in female sex wor kers

摘要

摘要:
目的探讨解脲支原体(Uu)、人型支原体(Mh)、生殖支原体(Mg)、加德纳菌(GV)在女性性服务人群中感染状况。
方法收集女性性服务者和妇科门诊病人生殖道拭子标本, 采用套式聚合酶链式反应(nPCR)方法检测, 电泳后紫外光下观察结果; 采用统一问卷以个体访谈方式收集女性性服务者年龄、婚姻和安全套使用等资料。
结果 75名女性性服务者中, Uu、Mh、Mg、GV检出率分别为78.67%, 36.00%, 17.33%, 36.00%;42例门诊病人中Uu、Mh、Mg、GV检出率分别为40.48%, 11.90%, 21.43%, 19.05%。2组的Uu、Mh检出率差异有统计学意义(P < 0.01)。女性性服务者中GV与Uu、Mh、Mg合并感染的构成分别为36.51%, 38.46%, 11.11%, 门诊病人中分别为32%, 833%, 0.00%。女性性服务人群年龄、婚姻状况、安全套使用等因素与Uu、Mh、Mg、GV检出率的相关性分析无统计学意义。
结论女性性服务者的Uu、Mh、Mg、GV检出率较高, GV分别与Uu、Mh、Mg等合并感染也相对较高, 应加强女性性服务者Uu、Mh、Mg、GV的监测和防治。

Abstract:
Objective To probe infection of Ureaplasma urealyticum(Uu), Mycoplasma hominis(Mh), Mycoplasma genitalium(Mg), Gardneralla vaginalis(Gv)in female sex workers.
Methods Uu, Mh, Mg and Gv were detected by nested PCR from samples of genital tracts which contained 75 female sex workers and 42 patients with genital infections, as well as data of age, marriage, condom use, etc were interviewed.
Results The passive rate of Uu, Mh, Mg, GV was 78.67%, 36.00%, 17.33%, 36.00% in 75 female sex workers, compared with 40.48%, 11.90%, 21.43%, 19.05%in 42 patients respectively.The difference of positive rate of Uu, Mh had statistic significance between the two groups.The relations of Uu, Mh, Mg, GV with age, marriage and condom use had no statistic significance.
Conclusion The positive rate of Uu, Mh, Mg, GV in the sex female wor kers was higher, which showed that sex transmission of Uu, Mh, Mg, GV might be existed.So, surveillance of Uu, Mh, Mg, GV, and use condom in the high risk of STD should be taken further.

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