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首页> 外文期刊>Sexually Transmitted Infections >Rapid assessment of sexually transmitted diseases in a sentinel population in Thailand: prevalence of chlamydial infection, gonorrhoea, and syphilis among pregnant women--1996.
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Rapid assessment of sexually transmitted diseases in a sentinel population in Thailand: prevalence of chlamydial infection, gonorrhoea, and syphilis among pregnant women--1996.

机译：对泰国前哨人群中的性传播疾病进行快速评估：孕妇中衣原体感染，淋病和梅毒的患病率--1996年。

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OBJECTIVE: To determine the prevalence of sexually transmitted diseases (STDs) among pregnant women in Thailand, where case reporting suggests a marked decrease in STDs following a campaign promoting condom use during commercial sex. DESIGN: Cross sectional study of women at their first visit to the study hospitals' antenatal clinics in Chiang Rai (n = 500) and Bangkok (n = 521). METHODS: First catch urine specimens were tested for Chlamydia trachomatis and Neisseria gonorrhoeae using the Amplicor CT/NG polymerase chain reaction assay. Syphilis and HIV serological testing were performed in the study hospitals' laboratories. RESULTS: The prevalence of chlamydial infection was 5.7%, gonorrhoea 0.2%, and syphilis 0.5% (all VDRL or RPR titres were < or = 1:4). The prevalence of HIV infection was 7.1% in Chiang Rai and 2.9% in Bangkok. In a multivariate logistic regression analysis, chlamydial infection was associated with younger age and with higher gestational age at first antenatal clinic visit, but was not associated with marital status, gravidity, city of enrollment, or HIV infection status. CONCLUSIONS: There was a low prevalence of gonorrhoea and syphilis among these pregnant women in Thailand. Chlamydial infection was detected at a higher prevalence, especially among younger women and women registering later for antenatal care. Testing of pregnant women using easily collected urine specimens and a sensitive nucleic acid amplification assay is a feasible method of rapidly assessing chlamydial and gonococcal prevalence.
机译：目的：确定泰国孕妇中的性传播疾病（STD）患病率，病例报告表明，在促进商业性行为期间使用避孕套的运动后，性传播疾病明显减少。设计：在清莱（n = 500）和曼谷（n = 521）的研究医院产前诊所对妇女进行首次横断面研究。方法：使用Amplicor CT / NG聚合酶链反应测定法对首次捕获的尿液标本进行沙眼衣原体和淋病奈瑟氏菌的检测。在研究医院的实验室中进行了梅毒和HIV血清学检测。结果：衣原体感染的患病率为5.7％，淋病为0.2％，梅毒为0.5％（所有VDRL或RPR滴度均<或= 1：4）。在清莱和曼谷，艾滋病毒感染率分别为7.1％和2.9％。在多因素logistic回归分析中，衣原体感染与较年轻的年龄和首次产前门诊时较高的胎龄有关，但与婚姻状况，妊娠率，入学城市或HIV感染状况无关。结论：这些孕妇在泰国的淋病和梅毒患病率较低。衣原体感染的患病率较高，尤其是在年轻妇女和以后接受产前检查的妇女中。使用容易收集的尿液标本和灵敏的核酸扩增测定法检测孕妇是快速评估衣原体和淋球菌患病率的可行方法。

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