Chlamydia trachomatis, Ureaplasma urealyticum and Neisseria gonorrhoeae among Chinese women with urinary tract infections in Shanghai: A community-based cross-sectional study
Chlamydia trachomatis, Ureaplasma urealyticum and Neisseria gonorrhoeae among Chinese women with urinary tract infections in Shanghai: A community-based cross-sectional study
复制标题
上海地区中国女性尿路感染沙眼衣原体、解脲支原体和淋病奈瑟菌：基于社区的横断面研究
DOI：
10.1111/jog.13526
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发表时间：
2018-03-01
影响因子：
1.6
通讯作者：
Sheng, Hui-Ming
中科院分区：
文献类型：
--
作者：
Xu, Wei-Hong;Chen, Jia-Jie;Sheng, Hui-Ming
目的探讨上海地区5893例女性尿路感染患者沙眼衣原体（CT）、解脲支原体（UU）和淋病奈瑟菌（NG）的感染情况。方法选择2009年1月~ 2014年12月上海地区5893例女性尿路感染患者行CT、UU和NG检测。基线特征包括年龄、受教育程度、职业、生育史、性行为和避孕方法，用于流行病学分析。结果5893例患者尿液标本CT、UU和/或NG总感染率为50.69%(2987/5893)，阴道分泌物标本感染率为56.22%（3313/5893）。两种检测方法一致。21 ~ 30岁人群、服务人员和无业人员的CT、UU和/或NG感染率最高，高学历人群感染率较低。随着既往妊娠、自然分娩、流产、性伴侣和性交次数的增加，CT、UU和/或NG感染率升高。经期性交、性交前缺乏清洁以及使用宫内节育器均可导致CT、UU和/或NG感染率增加。结论上海地区女性尿路感染患者的CT、UU和（或）NG感染率可能与年龄、文化程度、职业、生育史、性行为和避孕方法类型有关。
AimThis study explored chlamydia trachomatis (CT), ureaplasma urealyticum (UU) and/or neisseria gonorrhoeae (NG) in 5893 women with urinary tract infections (UTIs) in Shanghai.MethodsFrom January 2009 to December 2014, 5893 women with UTIs in Shanghai were selected to undergo CT, UU and NG detection. Baseline characteristics including age, education level, occupation, reproductive history, sexual behavior and contraceptive method were obtained for epidemiological analysis.ResultsThe total CT, UU and/or NG infection rate in the urine samples of 5893 patients was 50.69% (2987/5893), while the infection rate in vaginal secretion samples was 56.22% (3313/5893). The two detection methods were consistent. Patients aged 21-30, service personnel and unemployed persons had the highest rates of CT, UU and/or NG infection, while patients with higher education levels exhibited lower rates. As the number of previous pregnancies, natural births, abortions, sexual partners and the frequency of sexual intercourse increased, the rates of CT, UU and/or NG infection were elevated. Sexual intercourse during the menstruation period, a lack of cleaning before sexual intercourse and the use of intrauterine devices could all lead to an increased rate of CT, UU and/or NG infection.ConclusionsThese data revealed that the rate of CT, UU and/or NG infection may be associated with age, education level, occupation, reproductive history, sexual behavior and type of contraceptive method in female patients with UTI in Shanghai.