在成年人概率样本中未经治疗的炎球菌和甲状腺炎感染
Charles F Turner1, Susan M Rogers, Heather G Miller
1Program in Health and Behavior Measurement, Research Triangle Institute, 1615 M St NW, Washington, DC 20036, USA. cft@rti.org
JAMA
|February 20, 2002
概括
未经治疗的淋病和克拉米迪亚感染在年轻人中很常见,黑人女性的发病率更高. 许多感染没有被诊断出来,超过报告的病例.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 在一般人群中,球菌和甲状腺菌感染的流行程度尚不清楚.
- 核酸放大试验为估计未经治疗的感染提供了新的方法.
研究的目的:
- 估计年轻成年人未经治疗的淋病和克拉米迪亚的总体患病率.
- 描述特定的人口分组中的感染模式.
主要方法:
- 对巴尔的摩家庭进行的横截面行为调查 (1997-1998).
- 概率样本是728名年龄在18-35岁的成年人;其中579人提供了尿样.
- 用于检测感染的酶链反应试验;结果按人口代表性加权.
主要成果:
- 在18-35岁的人群中,估计有5.3%未经治疗的淋病,3.0%未经治疗的克拉米迪亚.
- 总体而言,7.9%的人患有任何一种感染,黑人女性患病率更高 (15.0%).
- 未被诊断的感染超过了淋病和克拉米迪亚的报告病例.
结论:
- 在巴尔的摩的年轻成年人中,未被诊断的淋病和克拉米迪亚感染在1997-1998年非常普遍.
- 患病率接近或超过每年诊断和治疗的感染.
- 突出了社区未被诊断的性传播疾病的负担.
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