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印度北部三级护理医院苏拉克沙诊所就诊患者的临床流行病学概况。

Clinico-epidemiological profile of patients attending Suraksha Clinic of tertiary care hospital of North India.

作者信息

Banger H S, Sethi Anisha, Malhotra Sita, Malhotra Suresh Kumar, Kaur Tejinder

机构信息

Department of Skin and STD, Government Medical College, Amritsar, Punjab, India.

Department of Microbiology, Government Medical College, Amritsar, Punjab, India.

出版信息

Indian J Sex Transm Dis AIDS. 2017 Jan-Jun;38(1):54-59. doi: 10.4103/0253-7184.203436.

Abstract

BACKGROUND

Sexually transmitted infections (STIs) are a global health problem. Trends of STIs vary from place to place depending on various epidemiological factors prevailing in that respective geographic area.

AIMS AND OBJECTIVES

The present study was conducted to find the pattern and prevalence of different STIs out of total STI clinic attendees, to identify any change in the trend of STIs, various epidemiological factors, and behavior of individual diseases.

MATERIALS AND METHODS

Case records of the patients, attending the STI clinic (Suraksha Clinic) attached with Department of Dermatology, Venereology, and Leprosy of a tertiary care medical college and hospital of North India from April 2007 to March 2014, were analyzed. All the patients were thoroughly examined and investigated.

RESULTS

This study included a total of 5468 STI clinic attendees out of which 3908 were diagnosed to have STIs. Most of the patients were male, married, and in the third decade of their lives. In our study, the highest number of patients had herpes genitalis, i.e., 850 patients (21.75%) followed by 415 patients (10.61%) having genital warts. Molluscum contagiosum was present in 239 patients (6.11%), 106 patients (2.71%) had urethral discharge whereas 81 patients (2.07%) diagnosed to have syphilis. Viral infections accounted for 38.48% of cases. Human immunodeficiency virus (HIV) positivity was seen in 414 patients (10.59%) of total STI cases.

CONCLUSION

The trend of STIs is changing from bacterial to viral diseases. This is because of the widespread use of antibacterial, self-medication, and treatment through national program. STIs enhance the susceptibility of an individual to acquire or transmit HIV through sexual contact.

摘要

背景

性传播感染(STIs)是一个全球性的健康问题。性传播感染的趋势因各地不同的流行病学因素而有所差异。

目的

本研究旨在找出性传播感染门诊所有就诊者中不同性传播感染的模式和患病率,确定性传播感染趋势的任何变化、各种流行病学因素以及个别疾病的情况。

材料与方法

分析了2007年4月至2014年3月期间,印度北部一所三级医疗医学院和医院皮肤科、性病科和麻风病科附属的性传播感染门诊(Suraksha诊所)患者的病例记录。所有患者均接受了全面检查和调查。

结果

本研究共纳入5468名性传播感染门诊就诊者,其中3908人被诊断患有性传播感染。大多数患者为男性,已婚,年龄在三十多岁。在我们的研究中,患生殖器疱疹的患者人数最多,即850例(21.75%),其次是415例(10.61%)患有尖锐湿疣。239例(6.11%)患有传染性软疣,106例(2.71%)有尿道分泌物,而81例(2.07%)被诊断患有梅毒。病毒感染占病例的38.48%。在所有性传播感染病例中,414例(10.59%)人类免疫缺陷病毒(HIV)呈阳性。

结论

性传播感染的趋势正在从细菌性疾病向病毒性疾病转变。这是由于抗菌药物的广泛使用、自我用药以及通过国家项目进行的治疗。性传播感染会增加个体通过性接触感染或传播HIV的易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e8c/5389216/b846147a0450/IJSTD-38-54-g003.jpg

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