摘要
目的对2005-2007年江苏省6个国家级性病监测点和张家港市的梅毒病例及其医疗机构的梅毒网报系统进行分析,探讨导致近年来梅毒报告病例大幅度增加的因素,为今后制定性病艾滋病综合防治策略提供依据。方法收集被调查地区2005-2007年通过网络直报的梅毒个案资料并进行诊断符合率分析,并分析其流行病学特征;同时对医疗机构医生和检验人员进行问卷调查。结果2007年和2006年调查地区临床梅毒筛查人数分别较上升21.6%和84.2%,各期梅毒的诊断符合率分别为：58例胎传梅毒为0,498例Ⅰ期梅毒为56%;574例Ⅱ期梅毒为63%,496例隐性梅毒为48%;在54份有效调查问,临床医生对梅毒诊断标准的认知正确率为65%;在30份对检验人员的有效调查问卷中,检验人员对胎传梅毒检测方法的认知正确率为17%。29.8%的隐性梅毒患者为50岁-的人群。结论江苏省梅毒网络报告发病率的快速增长受多种因素影响,必须采取有效的培训和预防等措施,以消除人为影响因素。
Objective To explore epidemiologic characteristics and influence factors of syphilis in Jiangsu province based on the data of six STD surveillance areas from 2005 to 2007 and to provide the evidence for further control of the disease. Methods Registered cases of syphilis were collected from surveillance areas and the data was analysed and the case investigation was also performed. Results The number of syphilis screening in clinics showed an increasing of 21.6% and 84. 2% in 2007 and 2006. The correct diagnose ratios for congenital syphilis,primary syphilis,secondary syphilis and latent syphilis were 0% ,56% ,63% ,and 48% ,respectively. 29. 8% of the latent syphilis patients were older than 50 years. 65% of 54 doctors with qualified response acquired correct diagnostic criterion of syphilis and only 17% of 30 doctors knew the criterion for conginital syphilis. Conclusion The measures of enhancing the STD knowledge through education should be taken in order to control the epidemic of syphilis in Jiangsu province.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2009年第9期1133-1134,共2页
Chinese Journal of Public Health
基金
江苏省社会发展基金资助项目(BS2006078)
关键词
梅毒
性病
流行病学
syphilis
sexual transmitted disease
epidmiology
