郑万方, 沈思兰, 徐仲卿, 陈怡, 钱方兴. 某哨点医院早期梅毒患者男女固定性伴感染情况及相关因素分析[J]. 上海预防医学, 2020, 32(3): 244-247. DOI: 10.19428/j.cnki.sjpm.2020.18909
引用本文: 郑万方, 沈思兰, 徐仲卿, 陈怡, 钱方兴. 某哨点医院早期梅毒患者男女固定性伴感染情况及相关因素分析[J]. 上海预防医学, 2020, 32(3): 244-247. DOI: 10.19428/j.cnki.sjpm.2020.18909
ZHENG Wan-fang, SHEN Si-lan, XU Zhong-qing, CHEN Yi, QIAN Fang-xing. Syphilis infection and its related factors among fixed sexual partners with early syphilis in a sentinel hospital[J]. Shanghai Journal of Preventive Medicine, 2020, 32(3): 244-247. DOI: 10.19428/j.cnki.sjpm.2020.18909
Citation: ZHENG Wan-fang, SHEN Si-lan, XU Zhong-qing, CHEN Yi, QIAN Fang-xing. Syphilis infection and its related factors among fixed sexual partners with early syphilis in a sentinel hospital[J]. Shanghai Journal of Preventive Medicine, 2020, 32(3): 244-247. DOI: 10.19428/j.cnki.sjpm.2020.18909

某哨点医院早期梅毒患者男女固定性伴感染情况及相关因素分析

Syphilis infection and its related factors among fixed sexual partners with early syphilis in a sentinel hospital

  • 摘要:
    目的了解上海市某哨点医院早期梅毒患者异性固定性伴的梅毒感染情况及相关因素,为优化梅毒防治策略提供依据。
    方法对首次确诊早期梅毒的患者及其异性固定性伴的人口学和性行为等情况调查资料进行统计分析,同时对愿意性伴通知并按要求进行实验室检查及规范随访1年的双方随访发病情况。
    结果127例首次确诊早期梅毒病例的异性固定性伴中,检出梅毒阳性73例,占57.5%,其中女性检出率为74.7%,男性检出率为25.0%。首次确诊早期梅毒病例中早期潜伏、一期和二期梅毒分别占45.7%、35.4%和18.9%,异性固定性伴中早期潜伏、一期和二期梅毒分别占43.8%、31.5%和24.7%;性伴梅毒阳性的相关因素主要为低收入、首诊后无主动告知性伴、低教育水平、每周性行为2次以上。
    结论梅毒阳性的男女性行为者其异性固定性伴梅毒检出率较高,性行为双方共同干预可降低性伴梅毒感染的危险度。

     

    Abstract:
    ObjectiveTo investigate the infection status of male-to-female fixed partners with early syphilis, providing evidence for the prevention and treatment of syphilis.
    MethodsStatistical analysis was conducted on data concerning patients diagnosed with early syphilis and their sexual partners in relation to their demographic and sexual behavior. Analysis was done concerning those receiving standard 1 year follow-up and willing to undergo investigations on both sides of the sexual partner notification intervention.
    ResultsIt was found in the follow-up analysis that among the 127 fixed partners of early syphilis patients, 73 were detected positive for syphilis, accounting for 57.5%, of which the detection rate was 74.7% for women and 25.0% for men.Stratification analysis showed that for early syphilis patients, the incubation period, first and second stage accounted for 45.7%, 35.4% and 18.9%, respectively, and for their fixed sexual partners, accounted for 43.8%, 31.5% and 24.7%.The relevant factors of syphilis positive for fixed partners of syphilis patients were mainly low income, no active notification from sexual partners after their first medical visit, low education level, weekly sexual behavior more than 2 times.
    ConclusionThe syphilis detection rate among the partners of the syphilis patients proves to be higher.Sexual partners should actively inform the other party so as to reduce the syphilis infection rate.

     

/

返回文章
返回