深圳市宝安区2008-2016年生殖道沙眼衣原体感染流行特征分析
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摘要
目的了解深圳市宝安区生殖道沙眼衣原体(CT)感染流行特征,为制定防控策略提供依据。方法通过"中国疾病预防控制信息系统",收集辖区2008-2016年报告的CT感染病例资料,进行流行病学分析。结果 2008-2016年,CT报告发病率由107. 68/10万增长至191. 97/10万,年均增长7. 49%。各年报告发病率女性均高于男性,男女性别比为0. 53~0. 84。CT感染高发年龄段为20~49岁,其中男性及女性报告发病率最高年龄段分别为30~34岁(130. 87/10万~231. 63/10万)、25~29岁(256. 50/10万~475. 03/10万);≥60岁年龄组年均增长率最高(36. 34%)。结论深圳市宝安区CT感染疫情严峻,应充分重视疫情防控,加大对育龄人群的筛查,早发现早治疗感染者,以控制疫情流行。
Objective To investigate epidemiologic features of urogenital infections with Chlamydia trachomatis(CT) in Shenzhen Bao' an District,and to provide scientific evidence for developing control strategies. Methods A epidemiological study was conducted to analyze distribution of reported CT infection cases from 2008 to 2016 from "China information system for disease control and prevention". Results The reported incidence of CT infection increased from 107. 68/100 000 in 2008 to191. 97/100 000 in 2016,with an average growth rate per annum of 7. 49%. The reported incidence was higher in females than in males from 2008 to 2016,and the sex ratio of male to female ranged from 0. 53: 1 to 0. 84: 1. Among all age groups,the group aged 20 ~ 49 years showed higher reported incidence of CT infection,with the highest reported incidence observed in 30 ~ 34 years old in males(130. 87/100000 ~ 231. 63/100 000),and 25 ~ 29 years old in females(256. 50/100 000 ~475. 03/100 000); the group more than 60 years old showed the highest average growth rate per annum(36. 34%). Conclusion The epidemic status of CT infec-tion is serious,so prevention should be made. To control the increasing epidemic,more effort should be made to screen the population of reproductive age and treat the infected people early.
Objective To investigate epidemiologic features of urogenital infections with Chlamydia trachomatis(CT) in Shenzhen Bao' an District,and to provide scientific evidence for developing control strategies. Methods A epidemiological study was conducted to analyze distribution of reported CT infection cases from 2008 to 2016 from "China information system for disease control and prevention". Results The reported incidence of CT infection increased from 107. 68/100 000 in 2008 to191. 97/100 000 in 2016,with an average growth rate per annum of 7. 49%. The reported incidence was higher in females than in males from 2008 to 2016,and the sex ratio of male to female ranged from 0. 53: 1 to 0. 84: 1. Among all age groups,the group aged 20 ~ 49 years showed higher reported incidence of CT infection,with the highest reported incidence observed in 30 ~ 34 years old in males(130. 87/100000 ~ 231. 63/100 000),and 25 ~ 29 years old in females(256. 50/100 000 ~475. 03/100 000); the group more than 60 years old showed the highest average growth rate per annum(36. 34%). Conclusion The epidemic status of CT infec-tion is serious,so prevention should be made. To control the increasing epidemic,more effort should be made to screen the population of reproductive age and treat the infected people early.
引文
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[22]Centers for Disease Control and Prevention.Recommendations for the laboratory-based detection of Chlamydia trachomatis and Neisseria gonorrhoeae-2014[J].MMWRRecomm Rep,2014,63(RR-02):1-19.
[2]Dayan L.Chlamydia detecyion and management[J].Australian Family Physician,2000,29(6):522-526.
[3]Silins I,Ryd W,Strand A,et al.Chlamydia trachomatis infection and persistence of human papillomavirus[J].Int JCancer,2005,116(1):110-115.
[4]Zhu H,Shen Z,Luo H,et al.Chlamydia trachomatis infection-associated risk of cervical cancer:a Meta-analysis[J].Medicine,2016,95(13):e3077.
[5]王晓红,余平,魏秀清.宫颈病变患者生殖道沙眼衣原体感染情况及临床意义[J].中国皮肤性病学杂志,2004,18(5):289-290.
[6]蓝丽娜,吴肖冰,张春来,等.深圳市2008-2016年生殖道沙眼衣原体感染的流行病学分析[J].中国艾滋病性病,2017,23(10):947-949.
[7]陈磊,黄澍杰,洪璇,等.广东省2013年性病流行状况分析[J].皮肤性病诊疗学杂志,2015,22(1):62-67.
[8]陈磊,黎英,沈鸿程,等.广东省2014年性病流行状况分析[J].皮肤性病诊疗学杂志,2016,23(1):3-7.
[9]岳晓丽,龚向东,滕菲,等.2008-2015年中国性病监测点生殖道沙眼衣原体感染流行特征分析[J].中华皮肤科杂志,2016,49(5):308-313.
[10]深圳市统计局.深圳统计年鉴-2016[G].北京:中国统计出版社,2017.
[11]王千秋,张国成.性传播疾病临床诊疗指南[M].上海:上海科学技术出版社,2007:27-39.
[12]中国疾病预防控制中心性病控制中心.梅毒、淋病、生殖器疱疹、生殖道沙眼衣原体感染诊疗指南(2014)[J].中华皮肤科杂志,2014,47(5):365-372.
[13]陈祥生.沙眼衣原体泌尿生殖系统感染国内外流行现状[J].中国文学文摘·皮肤科学,2016,33(3):265-269.
[14]Centers for Disease Control and Prevention.Sexually transmitted disease surveillance 2014[R].Atlanta:U.S.Department of Health and Human Services,2015:1-149.
[15]Public Health Agency of Canada.Executive summary-report on sexually transmitted infections in Canada:2011[EB/OL].(2014-08-28)[2016-02-01].http://www.phacaspc.gc.ca/sti-its-surv-epi/rep-rap-2011/index-eng.php.
[16]By MS,Mcmanus H,Gray R,et al.HIV,viral hepatitis and sexually transmissible infections in Australia annual surveillance report 2015[J].Voprosy Kurortologii Fizioterapii I Lechebno Fizichesko Kultury,2015,19(2):58-59.
[17]Yeung AH,Templesmith M,Fairley CK,et al.Chlamydia prevalence in young attenders of rural and regional primary care services in Australia:a cross-sectional survey[J].Med J Aust,2014,200(3):170-175.
[18]Lau A,Spark S,Tomnay J,et al.Socio-demographic and structural barriers to being tested for chlamydia in general practice[J].Med J Aust,2016,204(3):112.
[19]Davies B,Ward H,Leung S,et al.Heterogeneity in risk of pelvic inflammatory diseases after chlamydia infection:a population-based study in Manitoba,Canada[J].J Infect Disease,2014,210(2):S549-555.
[20]World Health Organization,Dept.of Reproductive Health and Research.Global incidence and prevalence of selected curable sexually transmitted infections-2008[M].Geneva:WHO,2012:1-20.
[21]Sonnenberg P,Clifton S,Beddows S,et al.Prevalence,risk factors,and uptake of interventions for sexually transmitted infections in Britain:findings from the National Surveys of Sexual Attitudes and Lifestyles(Natsal)[J].Lancet,2013,382(9907):1795-1806.
[22]Centers for Disease Control and Prevention.Recommendations for the laboratory-based detection of Chlamydia trachomatis and Neisseria gonorrhoeae-2014[J].MMWRRecomm Rep,2014,63(RR-02):1-19.