Hospital of Chengdu University of Traditional Chinese Medicine, China.
Shandong Provincial Hospital for Skin Diseases and Shandong Provincial Institute of Dermatology and Venereology, Shandong First Medical University and Shandong Academy of Medical Sciences, China.
Jpn J Infect Dis. 2021 May 24;74(3):209-213. doi: 10.7883/yoken.JJID.2020.504. Epub 2020 Oct 30.
The reported prevalence of genital Chlamydia trachomatis infection (GCTI) is much lower in low-income countries than that in high-income countries. This study surveyed the prevalence of GCTI in 456 hospitals in Shandong province, China in December 2018. Among the hospitals surveyed, antigen testing, PCR testing, and either antigen or PCR testing were available in 200 (43.9%), 88 (19.3%), and 268 (58.8%) hospitals, respectively. PCR testing was more available in tertiary hospitals than in primary and secondary hospitals (χ = 28.560, P = 0.000). Significant differences were observed in the availability of antigen testing (χ = 15.708, P = 0.003), PCR testing (χ = 22.494, P = 0.000), and either antigen or PCR testing (χ = 21.729, P = 0.000) among different types of hospitals. In 2018, 1532 cases of GCTI were reported in 99 hospitals. Tertiary hospitals reported more cases than those in primary and secondary hospitals (χ = 24.082, P = 0.000). The distribution of different types of hospitals that reported GCTI cases was consistent with that of hospitals that provided laboratory testing for GCTI. Antigen and PCR testing were only available in 200 (43.9%) and 88 (19.3%) hospitals, respectively. The results highlighted that the availability of laboratory testing for GCTI in Shandong province was poor, suggesting that the prevalence of GCTI in the province had been sorely underestimated.
据报道，在低收入国家，生殖道沙眼衣原体感染（GCTI）的流行率远低于高收入国家。本研究于 2018 年 12 月调查了中国山东省 456 家医院的 GCTI 流行率。在所调查的医院中，分别有 200 家（43.9%）、88 家（19.3%）和 268 家（58.8%）医院提供抗原检测、PCR 检测和抗原或 PCR 检测。三级医院比一级和二级医院更能提供 PCR 检测（χ=28.560，P=0.000）。不同类型医院的抗原检测（χ=15.708，P=0.003）、PCR 检测（χ=22.494，P=0.000）和抗原或 PCR 检测（χ=21.729，P=0.000）的提供情况存在显著差异。2018 年，99 家医院报告了 1532 例 GCTI 病例。三级医院报告的病例多于一级和二级医院（χ=24.082，P=0.000）。报告 GCTI 病例的不同类型医院的分布与提供 GCTI 实验室检测的医院分布一致。仅 200 家（43.9%）和 88 家（19.3%）医院提供抗原和 PCR 检测。结果表明，山东省 GCTI 实验室检测的提供情况较差，表明该省 GCTI 的流行率被严重低估。
