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本文报道了应用PCR技术对门诊520例STDs患者泌尿生殖道解脲支原体(UU)检测结果及流行病学分析。共检出UU阳性230例,总阳性率为44.2%,其中男性44.1%(97/220),女性44.3%(133/300),两者之间差异无显著性(P>0.05);UU感染者的年龄明显集中在21岁—40岁之间,共194例,占UU阳性总人数的84.34%(194/230);UU感染阳性数的构成比与性伴人数呈正相关;从230例UU阳性者中检出104例(45.2%)合并沙眼衣原体(CT)和/或淋病奈瑟氏菌(NG)感染,以CT+UU(27.4%)明显高于UU+NG(7.4%)或UU+CT+NG(10.4%)(P<0.01)。作者认为UU隐性感染者是NGU流行的主要传染源;UU感染与性接触及性乱密切相关;对有或无临床症状的门诊NGU患者,须同时检测UU、CT和NG,以免STDs病原体漏检或贻误治疗。
This article reports the PCR results and the epidemiological analysis of urogenital Ureaplasma urealyticum (UU) in 520 outpatients with STDs. The positive rate of UU was 44.2% (44.1% (97/220)) in women and 44.3% (133/300) in women. The positive rate of UU was no significant difference (P> 0.05) The age of the patients was obviously concentrated in the age group of 21-40 years old, a total of 194 cases, accounting for 84.34% (194/230) of the total number of positive UU; positive ratio of UU infection was positively correlated with the number of sexual partners; from 230 UU 104 (45.2%) were positive for CT and / or Neisseria gonorrhoeae infection (45.4%) with CT + UU (27.4%) significantly higher than UU + NG + CT + NG (10.4%) (P <0.01). The authors believe that UU latent infection is the main source of infection of NGU; UU infection is closely related to sexual contact and sexual disorders; for out-patient NGU patients with or without clinical symptoms, simultaneous detection of UU, CT and NG, so as to avoid STDs pathogen leakage Seizure or delay the treatment.