Oskarsson T, Geirsson R T, Steingrímsson O, Thorarinsson H
Department of Obstetrics and Gynecology, Reykjavík Health Centre, Iceland.
Acta Obstet Gynecol Scand. 1990;69(7-8):635-40. doi: 10.3109/00016349009028709.
The prevalence and patterns of gonococcal and chlamydial infection were investigated in a prospective microbiological study on 3,395 women requesting abortion and the sexual partners of culture positive women (organism identified). Neisseria gonorrhoeae was found in only 1.8% of 3,395 women during the whole study period of 7 years, but Chlamydia trachomatis in 13.5% of 1,635 women in the last 3 years. Women with positive cultures were significantly younger (p less than 0.001), and more frequently single (p less than 0.001) than those with negative cultures. Single women had more partners (mean 1.5) than those in an established relationship (mean 1.1). Almost all women with gonorrhea were single. Of the males, 62.7% were examined, of whom 47.3% had positive cultures. Twenty per cent of culture positive males had gonorrhea. A high prevalence of positive cultures in the males was only found where chlamydial cultures had been positive in the female. All women and men with positive culture results received antibiotic treatment before or after the abortion procedure. The incidence of laparoscopically verified post-abortion salpingitis was low, at 0.57%, while a clinical diagnosis of endometritis was made in 3.3%. Routine pre-operative microbial screening for Chlamydiae trachomatis should be considered for all women requesting abortion. Tracing and screening for chlamydial and gonorrheal infection of sexual partners of culture-positive women is necessary as a preventive measure.
在一项针对3395名要求堕胎的女性及其培养结果呈阳性的女性性伴侣(已鉴定出病原体)的前瞻性微生物学研究中,对淋病奈瑟菌和沙眼衣原体感染的患病率及模式进行了调查。在为期7年的整个研究期间,3395名女性中仅1.8%检出淋病奈瑟菌,但在过去3年中,1635名女性中有13.5%检出沙眼衣原体。培养结果呈阳性的女性比培养结果呈阴性的女性明显更年轻(p<0.001),且单身的比例更高(p<0.001)。单身女性的性伴侣比处于稳定关系中的女性更多(平均1.5个 vs 平均1.1个)。几乎所有淋病患者均为单身。在男性中,62.7%接受了检查,其中47.3%培养结果呈阳性。培养结果呈阳性的男性中有20%患有淋病。仅在女性沙眼衣原体培养结果呈阳性的情况下,才发现男性中培养结果呈阳性的患病率较高。所有培养结果呈阳性的女性和男性在堕胎手术前后均接受了抗生素治疗。经腹腔镜证实的堕胎后输卵管炎的发生率较低,为0.57%,而临床诊断为子宫内膜炎的比例为3.3%。对于所有要求堕胎的女性,应考虑进行沙眼衣原体的术前常规微生物筛查。作为一项预防措施,对培养结果呈阳性的女性的性伴侣进行沙眼衣原体和淋病感染的追踪及筛查是必要的。