Syphilis seroepidemiology, serological test results and HIV infection among inpatients in a general hospital in Chengdu / 公共卫生与预防医学

ABSTRACT

Objective To analyze the distribution of syphilis infection, serological test results and HIV infection in inpatients of a general hospital in Chengdu, so as to provide effective theoretical basis for the effective prevention and treatment of syphilis. Methods To collect the clinical data of syphilis infected patients in a general hospital in Chengdu from January 2014 to October 2020.The syphilis infection rate of men and women in different age groups, the distribution of syphilis infection departments, the education level, industry and marriage of the infected people were analyzed.The Department Distribution of syphilis infection,and compare the positive rates of tpsab,TPPA and trust in syphilis infected patients,as well as the combined HIV infection rate in syphilis patients of different genders. Results From January 2014 to October 2020,206455 cases of syphilis were screened in our hospital,of which 4760 cases were infected with syphilis,accounting for about 2.31%;there were 2843 males and 1917 females,with a male to female ratio of 1.481;the age distribution of 41-50 years old was the most,followed by 51-60 years old,61-70 years old and 31-40 years old,and the age group of2=4.143,P=0.042;χ2=81.395,P2=63.699,P2=24.425,P2=4.237,P=0.039).Department Distribution the top five departments were neurology, anorectal hemorrhoids and fistula, gastrointestinal surgery, orthopedics and urology. Among the 4760 patients diagnosed with syphilis infection, the proportion of those with education level of junior high school or below, service industry and married was higher.The positive rates of tpsab and TPPA were significantly higher than those of trust(χ2=6293.760,P2=102.886,P<0.001). Conclusion The syphilis infection of inpatients in our hospital is mainly middle-aged and old men, low education, people engaged in service industry, and the common departments are neurology department. Therefore, the early popularization and screening of this kind of population is of great significance.