Kaptue L, Zekeng L, Djoumessi S, Monny-Lobe M, Nichols D, Debuysscher R
Service National de Lutte Contre le SIDA, Yaoundé, Cameroon.
Genitourin Med. 1991 Apr;67(2):143-5. doi: 10.1136/sti.67.2.143.
Eleven selected prostitute leaders were recruited who subsequently recruited 157 of their peers, bringing the total to 168. Sera was collected and tested for antibodies to HIV-1 and HIV-2 using a commercial enzyme-linked immunoabsorbent assay (ELISA); positive cases were confirmed by Western Blot (Dupont). A direct immunofluorescent method was performed on smears from the endocervical junction. Twelve of 168 (7.1%) of the women tested were found to be HIV-1 positive; none were found positive for HIV-2. Sixty six of 168 (38.3%) were found to be Chlamydia trachomatis (CT) positive; three cases (1.8%) were found to be positive for both HIV-1 and CT. Prostitutes are a high risk group in Yaoundé for HIV and chlamydia infections. The results in this study may not reflect the seriousness of the situation given the selected population used. Similar studies still need to be carried out. Prostitutes need to be educated about AIDS, other STDs and the use of condoms to protect their clients and themselves.
招募了11名选定的妓女头目，随后她们又招募了157名同行，使总人数达到168人。采集血清，使用商业酶联免疫吸附测定（ELISA）检测HIV-1和HIV-2抗体；阳性病例通过免疫印迹法（杜邦）确认。对子宫颈交界处的涂片进行直接免疫荧光法检测。在检测的168名女性中，有12名（7.1%）被发现HIV-1呈阳性；未发现HIV-2呈阳性者。168名中有66名（38.3%）被发现沙眼衣原体（CT）呈阳性；3例（1.8%）被发现HIV-1和CT均呈阳性。在雅温得，妓女是感染HIV和衣原体的高危人群。鉴于所选用的特定人群，本研究结果可能无法反映实际情况的严重性。仍需开展类似研究。需要对妓女进行艾滋病、其他性传播疾病以及使用避孕套以保护其客户和自身方面的教育。
