Department of Microbiology, Sultan Qaboos University Hospital, Muscat, Oman.
HIV/AIDS/STI Section.
Sultan Qaboos Univ Med J. 2022 Aug;22(3):382-386. doi: 10.18295/squmj.8.2021.115. Epub 2022 Aug 25.
This study aimed to determine the pattern of clinical presentations associated with and infections.
A retrospective cohort study was conducted between 2015 and 2020 and included patients attending Sultan Qaboos University Hospital, Muscat, Oman, who were tested for these infections using nucleic acid amplification.
A total of 408 women and 89 men were included. A total of 11 infections were identified in women (n = 11, 2.7%) and 14 in men (n = 14, 15.7%). Chlamydia accounted for almost all infections in women (n = 10, 90.9%), commonly presenting with lower abdominal pain or abnormal vaginal bleeding. In men, urethral discharge/dysuria syndrome was the most common presentation and chlamydia was identified in eight men and gonorrhoea in six; a majority of all infections were seen in patients ≤35 years old.
The relative prevalence of two common sexually transmitted infections (STIs) among patients with genitourinary symptoms at a tertiary referral hospital have been described. The pattern of their presentations will inform the design of prospective studies to improve surveillance and guide public health policy in Oman. This study highlights the need for a multi-sectoral approach involving all providers to enable comprehensive STI surveillance.
本研究旨在确定与淋病和衣原体感染相关的临床特征模式。
这是一项回顾性队列研究，于 2015 年至 2020 年在阿曼首都马斯喀特的苏丹卡布斯大学医院进行，纳入了使用核酸扩增技术检测这些感染的患者。
共纳入 408 名女性和 89 名男性。在女性中发现了 11 例感染（n = 11，2.7%），在男性中发现了 14 例感染（n = 14，15.7%）。衣原体几乎占了所有女性感染（n = 10，90.9%），常见的表现为下腹痛或异常阴道出血。在男性中，最常见的表现为尿道分泌物/排尿困难综合征，8 名男性感染了衣原体，6 名男性感染了淋病；大多数感染发生在≤35 岁的患者中。
本研究描述了在一家三级转诊医院就诊的有下泌尿道症状的患者中两种常见性传播感染（STI）的相对流行率。其临床表现模式将为前瞻性研究的设计提供信息，以改善监测并指导阿曼的公共卫生政策。本研究强调需要采取多部门方法，包括所有提供者，以实现全面的 STI 监测。
