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生殖器非病毒感染的患病率、临床特征及定量分析

Prevalence, clinical features and quantification of genital non-viral infections.

作者信息

Carne C A, Gibbs J, Delaney A, Sonnex C, Verlander N Q, Smielewska A, Skeggs E, Bentley N, Jalal H

机构信息

Department of Genitourinary Medicine, Clinic 1A, Box 38, Addenbrookes Hospital, Cambridge University Hospitals NHS Trust, UK.

出版信息

Int J STD AIDS. 2013 Apr;24(4):273-7. doi: 10.1177/0956462412472306.

DOI:10.1177/0956462412472306
PMID:23970658
Abstract

We conducted a study of the prevalence, clinical features and microscopy findings, by retrospective case-notes survey, of six non-viral organisms, among 1718 attendees at a genitourinary (GU) medicine clinic in England. An in-house assay for six non-viral infections was used and quantitation of ureaplasmas performed. The prevalences of the six organisms were: Chlamydia trachomatis (CT), 7.1%; Neisseria gonorrhoeae (NG), 0.6%; Mycoplasma genitalium (MG), 1.0%; Trichomonas vaginalis, 0.2%; Ureaplasma urealyticum, 16.1%; Ureaplasma parvum, 35.6%. Among men (but not women) there were significantly raised odds ratios compared with that for U. parvum, for the symptom of discharge with CT, 7.30; MG, 6.43; NG 19.29; dysuria with CT, 5.89 and MG, 5.95; and the microscopy finding of >4 pus cells per high power field with: CT, 7.22; MG, 4.58 and NG 22.31. Evaluation of a possible link between quantitation of U. urealyticum and urethritis did not confirm research findings elsewhere.

摘要

我们通过回顾性病例记录调查,对英格兰一家泌尿生殖医学诊所的1718名就诊者中的六种非病毒病原体的患病率、临床特征和显微镜检查结果进行了研究。采用了一种针对六种非病毒感染的内部检测方法,并对脲原体进行了定量分析。这六种病原体的患病率分别为:沙眼衣原体(CT),7.1%;淋病奈瑟菌(NG),0.6%;生殖支原体(MG),1.0%;阴道毛滴虫,0.2%;解脲脲原体,16.1%;微小脲原体,35.6%。在男性中(女性则不然),与微小脲原体相比,CT导致的分泌物症状的比值比显著升高,为7.30;MG导致的为6.43;NG导致的为19.29;CT导致的排尿困难的比值比为5.89,MG导致的为5.95;显微镜检查发现每高倍视野有>4个脓细胞的情况中,CT导致的比值比为7.22;MG导致的为4.58,NG导致的为22.31。对解脲脲原体定量与尿道炎之间可能存在的联系进行评估,并未证实其他地方的研究结果。

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