1980年至2003年间澳大利亚墨尔本单纯疱疹病毒生殖器感染的流行病学变化
Changing epidemiology of genital herpes simplex virus infection in Melbourne, Australia, between 1980 and 2003.
作者信息
Tran T, Druce J D, Catton M C, Kelly H, Birch C J
机构信息
Victorian Infectious Diseases Reference Laboratory, 10 Wreckyn Street, North Melbourne, 3051Victoria, Australia.
出版信息
Sex Transm Infect. 2004 Aug;80(4):277-9. doi: 10.1136/sti.2004.009753.
OBJECTIVE
To investigate changes in the proportions of patients infected with genital herpes simplex virus (HSV) types 1 and 2 from 1980 to 2003 in Melbourne, Australia.
METHODS
A total of 25 372 patients were studied retrospectively. The proportions of HSV-1 and HSV-2 detected in these individuals were analysed by age, sex, and genital site.
RESULTS
In 1980 only 15.8% of HSV positive genital specimens were HSV-1 compared to 34.9% in 2003. In 2003 HSV-1 was detected in 77% of patients aged less than 20 years. Females were more likely to be infected with HSV-1, although the rate of increased detection was more pronounced in males. Except for females over the age of 40, the trend for the increase in HSV-1 was detected in all age groups. No specific genital site in either sex was associated with the increase.
CONCLUSIONS
The proportion of genital HSV-1 has increased in Australian patients, although HSV-2 is still the most common cause of genital infection. Confirmation of HSV type is necessary for optimal patient management.
目的
调查1980年至2003年澳大利亚墨尔本感染1型和2型单纯疱疹病毒（HSV）的生殖器疱疹患者比例的变化。
方法
对25372例患者进行回顾性研究。按年龄、性别和生殖器部位分析这些个体中检测到的HSV - 1和HSV - 2的比例。
结果
1980年，HSV阳性生殖器标本中只有15.8%为HSV - 1，而2003年这一比例为34.9%。2003年，在20岁以下的患者中，77%检测到HSV - 1。女性感染HSV - 1的可能性更大，不过男性检测率的上升更为明显。除40岁以上女性外，所有年龄组均出现HSV - 1上升趋势。男女任何特定的生殖器部位与这种上升均无关联。
结论
澳大利亚患者生殖器HSV - 1的比例有所上升，尽管HSV - 2仍是生殖器感染的最常见病因。为实现最佳的患者管理，确认HSV类型很有必要。
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