Blythe M J, Katz B P, Orr D P, Caine V A, Jones R B
Department of Pediatrics, Indiana University School of Medicine, Indianapolis.
J Pediatr. 1988 Jun;112(6):1000-4. doi: 10.1016/s0022-3476(88)80236-1.
Five hundred sixty-eight adolescent female patients receiving routine gynecologic care at urban clinics were screened by culture for Chlamydia trachomatis infection at both the urethra and endocervix. Culture results for 562 were available from either or both sites. Positive cultures were obtained from 139 (25%). Urethral infection was not associated with either urinary tract symptoms or sterile pyuria, but urethral or endocervical infection was associated with cervical friability (P = less than 0.0001), endocervical mucopus (P = 0.0001), cervical erythema (P = 0.0002), and cervical ectopy or erosion (P = 0.01). Increased chlamydial infection rates were associated with older age (P = 0.01), history of more frequent intercourse (P = 0.01), and history of more than one lifetime partner (P = 0.023), with a marginal association for being black (P = 0.05). Method of contraception, reason for attending clinic, age at menarche, age at first intercourse, years sexually active, number of sexual partners in preceding 6 months, parity, and prior history of sexually transmitted disease were not associated with having chlamydial genitourinary infection.
对在城市诊所接受常规妇科护理的568名青春期女性患者的尿道和宫颈管进行沙眼衣原体感染培养筛查。562名患者的一个或两个部位的培养结果可用。139例（25%）培养结果呈阳性。尿道感染与尿路症状或无菌性脓尿均无关，但尿道或宫颈管感染与宫颈易脆性（P<0.0001）、宫颈管脓性黏液（P=0.0001）、宫颈红斑（P=0.0002）以及宫颈外翻或糜烂（P=0.01）相关。衣原体感染率增加与年龄较大（P=0.01）、性交频率较高史（P=0.01）以及性伴侣不止一个史（P=0.023）相关，与黑人有边缘性关联（P=0.05）。避孕方法、就诊原因、初潮年龄、首次性交年龄、性活跃年限、前6个月性伴侣数量、产次以及既往性传播疾病史与衣原体泌尿生殖系统感染无关。
