以色列一家美沙酮诊所就诊女性中性传播病原体的患病率。
Prevalence of sexually transmitted pathogens among women attending a methadone clinic in Israel.
作者信息
Samra Z, Dan M, Segev S, Fintsi Y, Bar-Shany S, Weinberg M, Gutman R
机构信息
Beilinson Medical Center, Petah Tikva, Israel.
出版信息
Genitourin Med. 1991 Apr;67(2):133-6. doi: 10.1136/sti.67.2.133.
OBJECTIVE
To assess the prevalence of sexually transmitted pathogens in drug-addicted women in Tel Aviv, Israel.
DESIGN
A prospective study conducted between March and July 1987.
SETTING
A methadone clinic in Tel Aviv, Israel.
SUBJECTS
Sixty four asymptomatic female drug addicts were studied; 38 of them were declared practising prostitutes.
METHODS
Cervical specimens were obtained for cultures, and blood samples were drawn for serological tests. Demographic data and sexual histories were obtained using a standard questionnaire.
RESULTS
Chlamydia trachomatis was detected in the cervix of 25% of women; 98% had antibody titres (greater than 1:64). Mycoplasma hominis and Ureaplasma urealyticum were isolated in 57% and 65% respectively. Gardnerella vaginalis was detected in 17% of women, and herpes simplex virus was cultured from two prostitutes. Five per cent of women were carriers of HBsAg, while 57% had HBSs and/or HBc antibodies. Only one prostitute had specific treponemal antibodies. In no case were gonococci or group B streptococci isolated, and HIV serology was invariably negative.
CONCLUSION
Chlamydia and genital mycoplasmas appear to be the prevailing pathogens in Israeli drug-addicted women, while gonococci and Treponema pallidum occur only rarely.
目的
评估以色列特拉维夫吸毒成瘾女性中性传播病原体的流行情况。
设计
1987年3月至7月进行的一项前瞻性研究。
地点
以色列特拉维夫的一家美沙酮诊所。
研究对象
对64名无症状女性吸毒成瘾者进行了研究；其中38人被宣称从事卖淫活动。
方法
采集宫颈标本进行培养，并采集血样进行血清学检测。使用标准问卷获取人口统计学数据和性病史。
结果
25%的女性宫颈中检测到沙眼衣原体；98%的人抗体滴度（大于1:64）。人型支原体和解脲脲原体的分离率分别为57%和65%。17%的女性检测到阴道加德纳菌，两名妓女的宫颈培养出单纯疱疹病毒。5%的女性是乙肝表面抗原携带者，而57%的人有乙肝表面抗体和/或乙肝核心抗体。只有一名妓女有特异性梅毒螺旋体抗体。未分离到淋病奈瑟菌或B组链球菌，HIV血清学检测始终为阴性。
结论
衣原体和生殖支原体似乎是以色列吸毒成瘾女性中的主要病原体，而淋病奈瑟菌和梅毒螺旋体则很少出现。
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