Tswana S A, Nyström L, Moyo S R, Blomberg J, Tianani J, Nzara M, Chieza L
Department of Medical Microbiology, University of Zimbabwe, Harare.
Sex Transm Dis. 1995 Jan-Feb;22(1):1-6. doi: 10.1097/00007435-199501000-00001.
In Zimbabwe, sexually transmitted diseases are highly prevalent and represent a significant amount of the workload for physicians.
To estimate the prevalence of sexually transmitted diseases and human immunodeficiency virus as well as symptoms related to sexually transmitted diseases.
This was a cross-sectional study of 500 volunteers (285 women and 215 men) attending an sexually transmitted disease clinic in the Murewa District, 100 km northeast of the capital, Harare. Information on background characteristics and symptoms were obtained with a standardized questionnaire, and samples were collected and immediately transported to the laboratory for examination.
The majority of the patients were 20-29 years old. Half of the men and 12% of the women had never been married, and 7.9% of the men and 12% of the women were divorced. Genital ulcers and dysuria were the most prevalent symptoms in men (64% and 62%, respectively). In women, the most prevalent symptoms were lower vaginal discharge and lower abdominal pain (91% and 79%, respectively). Almost 50% of the men and women were positive for human immunodeficiency virus-1 antibodies. The prevalence of Treponema pallidum and Neisseria gonorrhoeae was 15% and 18%, respectively, in men and 19% and 10%, respectively, in women. Chlamydia trachomatis showed the lowest prevalence (8%) in both sexes. No relationship was found between human immunodeficiency virus and other sexually transmitted diseases.
Women who enter a sexually transmitted disease clinic with vaginal discharge or lower abdominal pain should be tested for several sexually transmitted diseases and human immunodeficiency virus. Men with dysuria or urethral discharge who enter such clinics should at least be tested for Neisseria gonorrhoeae.
在津巴布韦，性传播疾病极为普遍，给医生带来了大量的工作量。
评估性传播疾病和人类免疫缺陷病毒的患病率以及与性传播疾病相关的症状。
这是一项横断面研究，研究对象为500名志愿者（285名女性和215名男性），他们前往位于首都哈拉雷东北100公里处的穆雷瓦区的一家性传播疾病诊所就诊。通过标准化问卷获取有关背景特征和症状的信息，并采集样本，随后立即送往实验室进行检测。
大多数患者年龄在20至29岁之间。一半的男性和12%的女性从未结婚，7.9%的男性和12%的女性离婚。生殖器溃疡和排尿困难是男性中最常见的症状（分别为64%和62%）。在女性中，最常见的症状是阴道分泌物增多和下腹部疼痛（分别为91%和79%）。近50%的男性和女性人类免疫缺陷病毒1型抗体呈阳性。男性梅毒螺旋体和淋病奈瑟菌的患病率分别为15%和18%，女性分别为19%和10%。沙眼衣原体在两性中的患病率最低（8%）。未发现人类免疫缺陷病毒与其他性传播疾病之间存在关联。
因阴道分泌物增多或下腹部疼痛而前往性传播疾病诊所就诊的女性，应接受多种性传播疾病和人类免疫缺陷病毒的检测。因排尿困难或尿道分泌物增多而前往此类诊所就诊的男性，至少应接受淋病奈瑟菌检测。
