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目的了解玉林市城区公共场所从业人员梅毒感染状况,探讨防控对策与措施。方法采用梅毒甲苯胺红不加热血清诊断试验对公共场所从业人员进行梅毒抗体检测,并对收集的资料进行综合分析。结果 2001-2010年间共检测公共场所从业人员35 115名,检出梅毒感染者248例,感染率为70.63/万,各年间感染率差异无统计学意义(χ2=16.50,P=0.057)。男性阳性36例,占14.52%(36/248);女性阳性212例,占85.48%(212/248),女性感染率高于男性,差异有统计学意义(χ2=7.30,P=0.007)。248例梅毒感染者中,年龄最大54岁,最小17岁,以青壮年居多,21~40岁年龄组人数占76.21%,感染率有随年龄增加而升高的趋势,差异有统计学意义(χ2=18.24,P=0.001)。美容美发、娱乐场所2个行业的梅毒抗体阳性率较高,不同行业间差异有统计学意义(χ2=57.48,P<0.001)。一年四季均检出梅毒感染病例,无明显的季节性变化。结论玉林市公共场所从业人员梅毒感染从2001-2010年呈下降趋势,但阳性率仍然较高;美容美发从业人员的梅毒感染阳性率最高,是梅毒防控的重点人群。
Objective To understand the status of syphilis infection among practitioners in public places in urban area of Yulin City and explore the countermeasures and measures for prevention and control. Methods Using syphilis toluidine red non-heated serum diagnostic test to detect syphilis antibodies in public places practitioners, and a comprehensive analysis of the collected data. Results A total of 35,115 employees in public places were detected in 2001-2010. 248 cases of syphilis were detected, the infection rate was 70.63 / million. There was no significant difference in infection rates between years (χ2 = 16.50, P = 0.057). There were 36 males (36.5%) were positive for males and 212 females were positive for 212 females (212/248). The prevalence of females was higher than males (χ2 = 7.30, P = 0.007). 248 cases of syphilis infection, the oldest 54 years old, minimum 17 years old, mostly young and middle-aged, 21 to 40 years of age accounted for 76.21% of the total number of cases, the infection rate increased with age trend, the difference was statistically significant χ2 = 18.24, P = 0.001). There was a significant positive rate of syphilis antibody in beauty salons and entertainment venues in two industries (χ2 = 57.48, P <0.001). Syphilis infections were detected throughout the year, with no significant seasonal changes. Conclusion Syphilis infection in public places in Yulin City has been on a downward trend from 2001 to 2010, but the positive rate is still high. The highest positive rate of syphilis infection among beauty salons practitioners is the focus of prevention and control of syphilis.