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生殖器疱疹患者合并TP、HIV、HCV感染状况分析
作者:何君 蔡卫华 吕新民 
单位:南京市CDC皮肤病性病专科医院
关键词:单纯疱疹病毒 2型 感染 合并 梅毒螺旋体 人类免疫缺陷病毒 
分类号:
出版年·卷·期(页码):2012·31·第五期(607-609)
摘要:

通过对本院性病门诊诊断为生殖器疱疹(Genital Herpes,GH)的213例患者和临床排除GH的427例患者均进行梅毒螺旋体明胶凝集(Treponema pallidum particle agglutination test,TPPA),HIV、HCV抗体的检测,以了解GH人群与梅毒螺旋体(Treponema Pallidum,TP)、HIV、HCV的相关性,为性病门诊制订性病防控措施提供科学依据。方法:对所研究对象抽血并分离血清,用梅毒螺旋体明胶凝集试验(TPPA)检测梅毒特异性抗体(简称TPPA抗体试验),用ELISA法检测HCV抗体、HIV抗体,并用免疫印迹(Weston Blot,WB)对HIV抗体进行确认。结果:GH患者组,TPPA阳性率为31.03%,HIV抗体阳性率为4.14%,HCV抗体阳性率为5.52%;非GH患者组,TPPA、HIV、HCV抗体阳性率分别为3.39%,0.34%和0.68%。结论:GH患者组TPPA、HIV、HCV抗体阳性率明显高于非GH患者组,对GH患者应加强干预,以进一步控制梅毒螺旋体、HIV、HCV的传播。

Objective:To investigate the relationship of Genital Herpes (GH)and Treponema pallidum(Treponema Pallidum,TP),HIV,HCV , and to provide a scientific basis of prevention and control measures for STD clinic.We analyzed the diagnosis rate of GH and GH co-infection with Treponema pallidum,HIV and HCV in first-visit patients with STD. Methods: 640 blood samples derived from first-visit patients with STD were tested for Treponema pallidum,HIV and HCV serum antibodies.Results:was 32.95%. Diagnosis rate was 37.12% and 26.70% in males and females respectively.Among patients with GH,the infection rate was 31.03% for Treponema pallidum,4.14% for HIV and 5.52% for HCV.Among patients for not GH group,the infection rate of HIV,HCV and Treponema pallidum was 3.39%,0.34% and 0.68% respectively.Conclusion:The infection rate of Treponema pallidum,HIV and HCV had a significant increase in patients with GH. Thus,the patients with GH should be protected from co-infection with syphilis, HIV and HCV transmission.

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