2013-2019年印度尼西亚万隆哈桑·萨迪金医生总医院淋球菌性尿道炎患者的危险因素

P. Achdiat, Jefferson Basta Erguna Ginting, Chrysanti Chrysanti
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引用次数: 0

摘要

背景:淋病是东南亚第二常见的性传播感染。引起淋球菌性尿道炎的因素很多,每个区域都有其特点。本研究旨在确定万隆哈桑·萨迪金总医院淋球菌性尿道炎患者的危险因素。方法:采用回顾性全抽样方法,采用描述性研究方法,对万隆哈桑·萨迪金总医院2013 - 2019年收治的淋球菌性尿道炎患者病历进行回顾性分析。收集社会人口学、临床表现和性行为或危险行为数据。结果:97例男性淋球菌性尿道炎患者中,未婚男性占54.6%,年龄以20 ~ 24岁为主(35.1%),高中及以上文化程度者占58.8%。就性行为而言,大多数受访者在过去一个月内有超过一名性伴侣(63.9%),而在发生性行为时从未使用安全套(55.7%)。此外,还有男男性行为者(MSM)(14.4%)和非法吸毒者(19.5%)。结论:青壮年、单身、文化程度高、有多个性伴侣、性行为中未使用安全套的男性患淋球菌性尿道炎的风险较高。确定这些报告最多的风险因素可能有助于卫生保健提供者设计有效的预防策略。未婚的年轻人应该是接受教育项目的主要对象。应告知他们多性伴侣、避孕套使用和非法药物对男性淋球菌性尿道炎感染的影响。
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Risk Factors for Patients with Gonococcal Urethritis at Dr. Hasan Sadikin General Hospital Bandung, Indonesia in 2013–2019
Background: Gonorrhea is the second most common sexually transmitted infection in Southeast Asia. Many factors cause gonococcal urethritis, and each region has its characteristics. This study aimed to determine the risk factors among patients with gonococcal urethritis at Dr. Hasan Sadikin General Hospital Bandung. Methods: This was a descriptive study with a retrospective and total sampling method, reviewing the gonococcal urethritis patient medical records obtained from Dr. Hasan Sadikin General Hospital Bandung from 2013 to 2019. Sociodemographic, clinical manifestations, and sexual or risky behaviors data were collected.Results: Among 97 males with gonococcal urethritis, unmarried males (54.6%) and the age category of 20–24 years (35.1%) were predominant, with high school education/equivalent (58.8%). Based on their sexual behavior, the majority had more than one sexual partner in the past month (63.9%) and had never used a condom when having sex (55.7%). Additionally, there was also a group of man who had sex with man (MSM) (14.4%) and illicit drug users (19.5%).Conclusions: Males in the young adult age group, single, have a high education level, have multiple sexual partners, and never used a condom during having sex, have a higher risk of having gonococcal urethritis. Identifying these most reported risk factors may help health care providers design effective prevention strategies. Unmarried young adults should be a primary focus in receiving educational programs. They should be informed regarding the impact of multiple sexual partners, condom usage, and illicit drug on gonococcal urethritis infection among men.
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