Trevisan A, Mengoli C, Rossi L, Cattai M, Cavallaro A
Servizio di Microbiologia e Virologia, Azienda Ospedaliera di Padova, Padova, Italia.
Minerva Ginecol. 2008 Apr;60(2):135-42.
Reproductive tract infections (RTIs) are one of the main causes of morbidity in the world and sexually transmitted infections (STIs) can give rise to severe sequels (inflammatory pelvic disease, etc.). The epidemiology of these infections is changeable and depends on geographical and economical factors, migratory flows and social and sexual habits. This variability, along with the lack of sufficient data in literature, is a serious problem in the development of screening, prevention and therapy strategies centered on local needs. The aim of our study was to evaluate the epidemiology of reproductive tract infections in a symptomatic population of the Nord-East of Italy.
In the period January-June 2006, we investigated 207 subjects at the Microbiology and Virology Service of Padua's Hospital, 18-65 years old, males and women, Italian and foreigners. All had symptoms or personal history pointing to a possible reproductive tract infection. For female we collected vaginal and cervical swabs, and for male urethral swabs, for microscopy, the culture for Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma spp., other bacteria and yeasts, and for molecular assay for Chlamydia trachomatis.
Among our population, the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis were respectively 6.28%, 1.93% and 3.86%. STIs were more frequent in males, among foreigners, and in patients aged 18-30 years.
From the results obtained, ideas have emerged in order to arrange a qualitative and quantitative optimization of the diagnosis of RTIs, implementing diagnostic paths based on the different typologies of patients and on the local epidemiology.
生殖道感染（RTIs）是全球发病的主要原因之一，性传播感染（STIs）可导致严重后果（如盆腔炎等）。这些感染的流行病学情况多变，取决于地理和经济因素、移民流动以及社会和性行为习惯。这种变异性，再加上文献中缺乏足够的数据，对于制定以当地需求为中心的筛查、预防和治疗策略而言是一个严重问题。我们研究的目的是评估意大利东北部有症状人群中的生殖道感染流行病学情况。
在2006年1月至6月期间，我们对帕多瓦医院微生物学和病毒学服务部的207名受试者进行了调查，年龄在18至65岁之间，有男性和女性，包括意大利人和外国人。所有受试者都有症状或个人病史表明可能存在生殖道感染。对于女性，我们采集了阴道和宫颈拭子，对于男性，采集了尿道拭子，用于显微镜检查、淋病奈瑟菌、阴道毛滴虫、支原体属、其他细菌和酵母菌的培养，以及沙眼衣原体的分子检测。
在我们的研究人群中，沙眼衣原体、淋病奈瑟菌和阴道毛滴虫的患病率分别为6.28%、1.93%和3.86%。性传播感染在男性、外国人以及18至30岁的患者中更为常见。
根据所得结果，已形成了一些想法，以便对生殖道感染的诊断进行定性和定量优化，根据患者的不同类型和当地流行病学情况实施诊断路径。
