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目的了解梅毒在连云港口岸出入境人群中的感染和流行特点,为传染病监测和预防控制工作提供基础数据。方法实验同时采用甲苯胺红不加热血清试验(TRUST)、酶联免疫吸附试验(ELISA)和梅毒螺旋体抗体血凝试验法(TPPA)3种方法进行梅毒血清学检测。结果12 693名出入境人员中,梅毒抗体阳性73例,阳性率0.58%。男性感染率为0.57%,女性感染率为0.59%,男女之间梅毒感染率差异无统计学意义(χ~2=0.0065,P>0.05)。梅毒感染者主要分布在20～49岁年龄段,占感染总人数的90.41%。劳务人员所占比例最高,占83.56%;其次为交通员工,占感染总人数的9.59%。结论切实加强出入境人员传染病监测的同时,应积极做好预防保健咨询和卫生防病知识的宣传教育,提高出入境人员自我防护意识,从源头上切断梅毒的传播和流行。
Objective To understand the infection and epidemic characteristics of syphilis among immigrants in Lianyungang Port and provide the basic data for the monitoring and prevention and control of infectious diseases. MethodsThree methods of TRUST, ELISA and TPPA were used to detect syphilis serology. Results Among 12 693 immigrants, 73 were positive for syphilis antibody with a positive rate of 0.58%. The rate of male infection was 0.57% and that of female was 0.59%. There was no significant difference in syphilis infection rate between male and female (χ ~ 2 = 0.0065, P> 0.05). Syphilis infection mainly in the 20 to 49 age group, accounting for 90.41% of the total number of people infected. The labor force accounted for the highest proportion, accounting for 83.56%; followed by traffic staff, accounting for 9.59% of the total number of people infected. Conclusion Effective monitoring of communicable diseases among entry-exit personnel should be actively carried out. Publicity and education on preventive health advice and knowledge on health and disease prevention should be actively carried out so as to raise awareness of self-protection among entry-exit personnel and cut off the spread and prevalence of syphilis at the source.