衣原体和淋病在高中生群体中的共现情况。

Chlamydia and gonorrhea co-occurrence in a high school population.

作者信息

Nsuami Malanda, Cammarata Catherine L, Brooks Bridget N, Taylor Stephanie N, Martin David H

机构信息

Department of Medicine, Section of Infectious Diseases, School of Medicine in New Orleans, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.

出版信息

Sex Transm Dis. 2004 Jul;31(7):424-7. doi: 10.1097/01.olq.0000130535.96576.d3.

DOI:10.1097/01.olq.0000130535.96576.d3

PMID:15215698

Abstract

BACKGROUND

Chlamydia and gonorrhea coinfection outside of healthcare facilities is less well known.

GOAL

To determine the co-occurrence of both sexually transmitted diseases (STDs) among high school students participating in a school-based screening and to assess the relevance of dual treatment recommendations in this population.

STUDY DESIGN

During the 1998 to 1999 school year, 5,877 students attending an urban U.S. school district were screened for chlamydia and gonorrhea using urine ligase chain reaction assays.

RESULTS

Overall, 451 students had chlamydia, 117 had gonorrhea, including 50 who had both STDs. The gonorrhea and chlamydia co-infections were 50/451 (11.1%) and 50/117 (42.7%), respectively. STD symptoms were reported by 16.0% of students having both infections, 7.7% of those having gonorrhea only, and 5.0% of students having chlamydia only (P = 0.01).

CONCLUSIONS

The rates of coinfection in this population exceeded those that justify dual treatment in patient-care settings. Chlamydia and gonorrhea co-occurrence may be highly prevalent among certain populations not attending patient-care settings.

摘要

背景

医疗机构之外的衣原体和淋病合并感染鲜为人知。

目标

确定参与校内筛查的高中生中性传播疾病（STD）的同时感染情况，并评估该人群双重治疗建议的相关性。

研究设计

在1998至1999学年，对美国一个城市学区的5877名学生使用尿液连接酶链反应检测法进行衣原体和淋病筛查。

结果

总体而言，451名学生患有衣原体感染，117名患有淋病，其中50名同时患有这两种性传播疾病。淋病和衣原体合并感染率分别为50/451（11.1%）和50/117（42.7%）。同时感染两种疾病的学生中有16.0%报告有STD症状，仅患淋病的学生中有7.7%，仅患衣原体感染的学生中有5.0%（P = 0.01）。