所罗门群岛霍尼亚拉女性门诊就诊者性传播感染的患病率
Prevalence of sexually transmitted infections in female clinic attendees in Honiara, Solomon Islands.
作者信息
Marks M, Kako H, Butcher R, Lauri B, Puiahi E, Pitakaka R, Sokana O, Kilua G, Roth A, Solomon A W, Mabey D C
机构信息
Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK Hospital for Tropical Diseases, University College London Hospitals NHS Trust, London, UK.
Department of STI and HIV Prevention, Ministry of Health and Medical Services, Honiara, Solomon Islands.
出版信息
BMJ Open. 2015 Apr 28;5(4):e007276. doi: 10.1136/bmjopen-2014-007276.
OBJECTIVES
This study sought to determine the prevalence of common bacterial sexually transmitted infections, including Chlamydia trachomatis and Neisseria gonorrhoeae, in women attending clinics in the Solomon Islands.
METHODS
We conducted a sexual health survey among women attending three nurse-led community outpatient clinics in August 2014, to establish the prevalence of bacterial sexually transmitted infections in female clinic attenders in Honiara, Solomon Islands. Vaginal swab samples were tested for infection with C. trachomatis and N. gonorrhoeae using a commercial strand displacement amplification assay. Serum samples were tested for syphilis.
RESULTS
We enrolled 296 women, aged 16-49, attending three clinics. Knowledge of safe sexual practices was high but reported condom usage was low. The prevalence of infection with C. trachomatis was 20%. The prevalence of infection with N. gonorrhoeae and syphilis were 5.1% and 4.1%, respectively.
CONCLUSIONS
Bacterial sexually transmitted infections are a major health problem in the Solomon Islands. Interventions are urgently needed.
目的
本研究旨在确定在所罗门群岛就诊的女性中常见细菌性传播感染（包括沙眼衣原体和淋病奈瑟菌）的患病率。
方法
2014年8月，我们在所罗门群岛霍尼亚拉的三家由护士主导的社区门诊诊所对就诊女性进行了一次性健康调查，以确定女性门诊就诊者中细菌性传播感染的患病率。使用商业链置换扩增检测法对阴道拭子样本进行沙眼衣原体和淋病奈瑟菌感染检测。对血清样本进行梅毒检测。
结果
我们招募了296名年龄在16至49岁之间、在三家诊所就诊的女性。对安全性行为的知晓率较高，但报告的避孕套使用率较低。沙眼衣原体感染率为20%。淋病奈瑟菌和梅毒的感染率分别为5.1%和4.1%。
结论
细菌性传播感染在所罗门群岛是一个主要的健康问题。迫切需要采取干预措施。
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