女性性工作者男性客户精液中性传播疾病标志物
Markers of sexually transmitted diseases in seminal fluid of male clients of female sex workers.
作者信息
Worm A M, Lauritzen E, Jensen I P, Jensen J S, Christiansen C B
机构信息
Department of Dermato-Venerology, Bispebjerg Hospital, Copenhagen, Denmark.
出版信息
Genitourin Med. 1997 Aug;73(4):284-7. doi: 10.1136/sti.73.4.284.
OBJECTIVES
To screen for certain STD markers in a group of male clients of female sex workers.
METHOD
Condoms with seminal fluid were collected at 10 "massage parlours" in Copenhagen. The seminal fluid samples were examined for HIV antibodies, markers of hepatitis B virus (HBV), Chlamydia trachomatis, and Mycoplasma genitalium.
RESULTS
All samples (n = 332) were negative for HIV antibodies. Out of 327 samples examined for HBV markers 32 (9.8%) were positive for HBV core antibodies, one of which was also positive for HBV antigen. C trachomatis could be demonstrated in six out of 122 (4.9%) samples and M genitalium in one out of 122 samples.
CONCLUSIONS
The finding of a C trachomatis prevalence of 4.9% is considerable higher than expected in men with a presumed age of 35-55 years. The demonstration of a prevalence of HBV markers of 9.8% indicates that these clients have an increased risk of HBV infection, a finding that further consolidates the recommendation of HBV vaccination of sex workers. As shown in this study, STD transmission in commercial sex may also have the client as the source.
目的
在一组女性性工作者的男性客户中筛查某些性传播疾病标志物。
方法
在哥本哈根的10家“按摩院”收集带有精液的避孕套。对精液样本进行艾滋病毒抗体、乙型肝炎病毒（HBV）标志物、沙眼衣原体和生殖支原体检测。
结果
所有样本（n = 332）的艾滋病毒抗体均为阴性。在327份检测HBV标志物的样本中，32份（9.8%）的HBV核心抗体呈阳性，其中1份HBV抗原也呈阳性。在122份样本中的6份（4.9%）检测出沙眼衣原体，在122份样本中的1份检测出生殖支原体。
结论
沙眼衣原体患病率为4.9%，这一结果大大高于预计年龄在35至55岁男性的患病率。HBV标志物患病率为9.8%，这表明这些客户感染HBV的风险增加，这一发现进一步强化了对性工作者进行HBV疫苗接种的建议。如本研究所示，商业性行为中的性传播疾病传播也可能以客户为源头。
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