2022-2024年三亚地区某医院首次就诊患者HPV、UU、CT和NG感染流行病学特征

Epidemiological characteristics of human papillomavirus,Ureaplasma urealyticum, Chlamydia trachomatis, and Neisseria gonorrhoeae infections in initial visitingpatients of a hospital of Sanya from 2022 to 2024

  • 摘要: 目的 分析三亚地区人乳头瘤病毒(HPV)、解脲脲原体(UU)、沙眼衣原体(CT)及淋球奈瑟菌(NG)的感染特征,为性传播疾病的诊断、治疗与防控工作提供科学依据。方法 回顾性分析2022年1月-2024年12月医院就诊患者首次检测HPV、UU、CT、NG的感染率、年龄分布特征、病原体混合感染模式及其不同病原体感染之间的关联。结果 HPV、UU、CT和NG的阳性率分别为22.74%、36.34%、9.54%和6.55%,4种病原体阳性率差异有统计学意义(P<0.001)。性别分析显示,UU在女性中的阳性率(46.64%)远高于男性(27.61%)(P<0.001),而CT和NG在男性中的阳性率(12.93%和10.12%)均高于女性(5.57%和1.72%)(均P<0.001)。年龄分布表明,15~50岁患者的UU阳性率(>37.00%)最高; 60岁以上患者HPV阳性率(32.10%)居首; 而CT和NG在15~30岁患者中的感染率分别为13.70%和9.49%,高于其他年龄组(P<0.001)。混合感染情况:HPV单一基因型感染率(17.17%)占主导地位; 在UU、CT和NG混合模式中,UU+CT组合的感染率(4.47%)最高。此外,感染HPV患者中UU的阳性率高于未感染HPV患者(χ2 = 7.620,P=0.006)。结论 本研究为HPV、UU、CT和NG相关感染的流行状况提供了坚实的实验室证据,对公共卫生策略制定及临床干预措施具有重要参考价值。

     

    Abstract: OBJECTIVE To investigate the characteristics of human papillomavirus (HPV), Ureaplasma urealyticum (UU), Chlamydia trachomatis (CT), and Neisseria gonorrhoeae (NG) infections in Sanya so as to provide scientific bases for diagnosis, treatment, prevention and control of infectious diseases. METHODS The patients who were treated and tested for the first time in the hospital from Jan. 2022 to Dec. 2024 were enrolled in the study, the incidence rates of HPV, UU, CT and NG infections, age, modes of mixed infections and associations among the infections with different pathogens were retrospectively analyzed. RESULTS The positive rates of HPV, UU, CT and NG were 22.74%, 36.34%, 9.54% and 6.55%,respectively; there was significant difference in the positive rate among the four types of pathogens(P<0.001). The gender analysis showed that the positive rate of Uu was far higher among the female (46.64%) than among the male (27.61%) (P<0.001); however, the positive rates of GT and NG of the male were respectively 12.93% and 10.12%, higher than 5.57% and 1.72% of the female( all P<0.001). The age distribution indicated that the positive rate of Uu was highest (more than 37.00%) among the patients 15 to 50 years of age; the patients more than 60 years of age ranked the first place (32.10%) for the positive rate of HPV; the incidence rates of CT and NG infection of the patients 15 to 30 years of age were respectively 13.70% and 9.49%, higher than those of other age groups(P<0.001). As for the condition of mixed infections, the incidence of single HPV genotype infection was dominant (17.17%); the incidence of UU+CT infections was highest (4.47%) among the mixed modes of UU, CT and NG. Furthermore, the positive rate of UU was higher among the patients with HPV infection than among the patients without HPV infection(χ2 = 7.620,P=0.006). CONCLUSIONS The study lays a solid laboratory evidence for the prevalence of HPV, UU, CT and NG infections and has significant value in developing public health strategies and taking clinical intervention measures.

     

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