Nessa Khairun, Waris Shama-A, Sultan Zafar, Monira Shirajum, Hossain Maqsud, Nahar Shamsun, Rahman Habibur, Alam Mahbub, Baatsen Pam, Rahman Motiur
International Centre for Diarrhoeal Disease Research, Bangladesh. Family Health International SRISTI, Khilgaon, Dhaka, Bangladesh.
J Clin Microbiol. 2004 Feb;42(2):618-21. doi: 10.1128/JCM.42.2.618-621.2004.
The prevalence of sexually transmitted infections (STIs) and reproductive tract infections (RTIs) among hotel-based sex workers (HBSWs) in Dhaka, Bangladesh, was studied. A total of 400 HBSWs were enrolled in the study during April to July 2002. Endocervical swabs, high vaginal swabs, and blood samples from 400 HBSWs were examined for Neisseria gonorrhoeae (by culture), Chlamydia trachomatis (by PCR), Trichomonas vaginalis (by microscopy), antibody to Treponema pallidum (by both rapid plasma reagin and Treponema pallidum hemagglutination tests), and antibody to herpes simplex virus type 2 (HSV-2) (by enzyme-linked immunosorbent assay). Sociodemographic information as well as gynecological and obstetric information was collected. Among the HBSWs, 228 women (57%) were symptomatic and 172 (43%) were asymptomatic, 35.8% were positive for N. gonorrhoeae, 43.5% were positive for C. trachomatis, and 4.3% were positive for T. vaginalis. A total of 8.5% had syphilis, 34.5% were positive for HSV-2, and 86.8% were positive for at least one RTI or STI. There was no significant difference between the prevalences of STIs among the symptomatic and asymptomatic HBSWs. These data suggested a high prevalence of STIs, particularly gonorrhea and chlamydia, among HBSWs in Dhaka.
对孟加拉国达卡酒店性工作者中性传播感染（STIs）和生殖道感染（RTIs）的患病率进行了研究。2002年4月至7月期间，共有400名酒店性工作者参与了该研究。对400名酒店性工作者的宫颈拭子、高阴道拭子和血液样本进行了淋病奈瑟菌（通过培养）、沙眼衣原体（通过聚合酶链反应）、阴道毛滴虫（通过显微镜检查）、梅毒螺旋体抗体（通过快速血浆反应素和梅毒螺旋体血凝试验）以及2型单纯疱疹病毒（HSV-2）抗体（通过酶联免疫吸附测定）的检测。收集了社会人口统计学信息以及妇科和产科信息。在这些酒店性工作者中，228名女性（57%）有症状，172名（43%）无症状，35.8%的人淋病奈瑟菌检测呈阳性，43.5%的人沙眼衣原体检测呈阳性，4.3%的人阴道毛滴虫检测呈阳性。共有8.5%的人患有梅毒，34.5%的人HSV-2检测呈阳性，86.8%的人至少有一种RTI或STI检测呈阳性。有症状和无症状的酒店性工作者中STIs的患病率之间没有显著差异。这些数据表明，达卡酒店性工作者中STIs的患病率很高，尤其是淋病和衣原体感染。
