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[智利青少年沙眼衣原体和淋病奈瑟菌感染率]

[Rates of Chlamydia trachomatis and Neisseria gonorrhoeae in Chilean adolescents].

作者信息

Huneeus Andrea, Pumarino María Gabriela, Schilling Andrea, Robledo Paz, Bofil Magdalen

机构信息

Unidad de Atención Integral del Adolescente, Departamento de Obstetricia y Ginecología, Clínica Alemana, Santiago, Chile.

出版信息

Rev Med Chil. 2009 Dec;137(12):1569-74. Epub 2010 Mar 17.

Abstract

BACKGROUND

Chlamydia trachomatis and Neisseria gonorrhoeae are common sexually transmitted diseases among young women and little has been doing to study them in Chilean adolescents.

AIM

Determine the rates of C trachomatis and N gonorrhoeae in Chilean young women.

MATERIAL AND METHODS

Urine samples were obtained from 203 sexually active females under 25 year-old, who attended hospitals from either high or low-income areas in Chile's capital, Santiago. C trachomatis and Ngonorrhoeae were detected by nucleic acid amplification testing.

RESULTS

Seven percent of samples were positive for C trachomatis. AU samples were negative for N gonorrhoeae. Among pregnant women, 19% of samples were positive for C trachomatis, while non-pregnant women were positive on 5.5% (p =0.04). Systematic use of barrier contraception was referring by 12% of women. AU of the latter was free of C trachomatis. No association was observing between age, number of sexual partners, age of first sexual intercourse, and presence of uro-gynecological symptoms, socioeconomic status and the rate of C trachomatis.

CONCLUSIONS

Seven percent of this group of Chilean young women was infected with C trachomatis. The figure rises to 19% if pregnant. Surveillance and screening programs should been implemented to prevent sequels on this vulnerable population.

摘要

背景

沙眼衣原体和淋病奈瑟菌是年轻女性中常见的性传播疾病,而在智利青少年中对它们的研究较少。

目的

确定智利年轻女性中沙眼衣原体和淋病奈瑟菌的感染率。

材料与方法

从203名25岁以下有性行为的女性中获取尿液样本,这些女性来自智利首都圣地亚哥高收入或低收入地区的医院。通过核酸扩增检测来检测沙眼衣原体和淋病奈瑟菌。

结果

7%的样本沙眼衣原体呈阳性。所有样本淋病奈瑟菌均为阴性。在孕妇中,19%的样本沙眼衣原体呈阳性,而非孕妇的阳性率为5.5%(p = 0.04)。12%的女性提及系统使用屏障避孕法。后者所有样本均未感染沙眼衣原体。未观察到年龄、性伴侣数量、首次性行为年龄、泌尿妇科症状的存在、社会经济状况与沙眼衣原体感染率之间存在关联。

结论

这组智利年轻女性中有7%感染了沙眼衣原体。如果是孕妇,这一数字上升至19%。应实施监测和筛查项目以预防这一脆弱人群出现后遗症。

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