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对印度一家三级医院男性性传播感染情况的回顾性分析。

A retrospective analysis of sexually transmitted infections among males presenting to a tertiary care hospital of India.

作者信息

Sethi Sunil, Sharma Nandita, Singh Charu, Chaudhry Hemant, Dadwal Rajneesh, Malhotra Sakshi, Gupta Vanita

机构信息

Department of Medical Microbiology, PGIMER, Chandigarh, India.

Department of Microbiology, IMS BHU, Varanasi, Uttar Pradesh, India.

出版信息

Indian J Sex Transm Dis AIDS. 2022 Jul-Dec;43(2):170-173. doi: 10.4103/ijstd.ijstd_86_21. Epub 2022 Nov 17.

Abstract

CONTEXT

Sexually transmitted infections (STIs) are one of the most neglected diseases, leading to a high percentage of morbidity and mortality in India. The World Health Organization estimated that 20% of persons living with human immunodeficiency virus/acquired immunodeficiency syndrome are in their 20s and one out of twenty adolescents contract an STI each year.

AIMS

The present study was conducted to study the characteristics of the pattern of STI in adult males and study the prevalence of various STIs among them.

SETTINGS AND DESIGN

This retrospective study was conducted by retrieving records of males presenting to STI laboratory of our tertiary care hospital between (April 2018 and December 2019).

SUBJECTS AND METHODS

The patients comprised high-risk group males, approached through nongovernmental organizations (NGOs) and slum population visiting the dispensary attached to our institute. The age group of the patient included was between 0 and 85 years.

RESULTS

A total of 1023 males presented to our STI laboratory out of which 124 (12.12%) were symptomatic. The most common complaint was urethral irritation seen in 22.5%, followed by discharge in 9.6%. The most common sexually transmitted disease among symptomatic (34/124) as well as asymptomatic (172/899) men was syphilis showing a combined prevalence of 20% (206/1023). Out of 124 symptomatic patients, 29 (23.38%) complained of urethritis due to gonococcal infection. The association between the two was found to be significant (i.e., < 0.05).

CONCLUSION

STIs are a serious health problem in our country. Approximately 6% of the adult population have one or the other STI amounting to 30-35 million cases per year. An intensive study is the need of the hour which could help clinicians as well as microbiologists to control the spread of these infections.

摘要

背景

性传播感染(STIs)是最被忽视的疾病之一,在印度导致了很高的发病率和死亡率。世界卫生组织估计,20%的人类免疫缺陷病毒/获得性免疫缺陷综合征感染者年龄在20多岁,每20名青少年中就有1人每年感染一种性传播感染。

目的

本研究旨在研究成年男性性传播感染模式的特征,并研究其中各种性传播感染的患病率。

设置与设计

本回顾性研究通过检索2018年4月至2019年12月期间到我们三级护理医院性传播感染实验室就诊的男性记录进行。

研究对象与方法

患者包括通过非政府组织接触的高危组男性以及到我们研究所附属药房就诊的贫民窟人群。纳入的患者年龄组在0至85岁之间。

结果

共有1023名男性到我们的性传播感染实验室就诊,其中124人(12.12%)有症状。最常见的主诉是尿道刺激,占22.5%,其次是分泌物,占9.6%。有症状(34/124)和无症状(172/899)男性中最常见的性传播疾病是梅毒,综合患病率为20%(206/1023)。在124名有症状的患者中,29人(23.38%)抱怨因淋球菌感染导致尿道炎。两者之间的关联被发现具有显著性(即,<0.05)。

结论

性传播感染在我国是一个严重的健康问题。约6%的成年人口患有某种性传播感染,每年达3000万至3500万例。当下需要进行深入研究,这有助于临床医生和微生物学家控制这些感染的传播。

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