서울 소재 일개 수탁 검사 기관에서 성병 검사의 실태조사: 다발성 성매개 감염병 중심으로
Survey on Sexually Transmitted Infection Test of One Referral Laboratory in Seoul: Focused on Multiple Sexually Transmitted Diseases
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초록
현재 성병은 성매개 질환(sexually transmitted disease, STD) 은 무증상 감염도 포함하는 의미에서 “성매개 감염”(sexually transmitted infections, STI)이라고 표현하고 있다. STI는 다양한 상호 관계를 가지고 있다. 본 연구는 보건복지부 장관이 고시하는 STI로 매독, 임질, 클라미디아 감염증, 연성하감, 성기단순포진, 첨규콘딜로마, 사람유두종바이러스 감염증과 비임균성요도염(non-gonococcal urethritis, NGU)을 대상으로 하였다. 따라서 다발성 및 동시성 STI를 확인하여 요인을 특성화하는 것을 목적으로 하였다. 본 연구는 2014년부터 2019년까지서울에 위치한 일개 수탁검사기관의 검사실정보시스템(laboratory information system)의 자료를 활용하였다. 본 연구에서 다발성 STI로 두 가지 감염균의 중복 STI는 10 종류, 세 가지감염균의 다중 STI는 6 종류로 나타났다. 이러한 16 종류의 다발성 STI 중 가장 많은 비중을 차지하는 균은 U. urealyticum (9가지), HSV-2 (8가지), C. trachomatis (7가지), HPV 6, 11 (7가지), N. gonorrhoeae (6가지), T. pallidum (1가지)에 포함되었다. 따라서 본 연구 결과에서 다발성 STI에 가장 비중이높은 STI 등 상호 관계연구의 추가연구가 필요할 것으로 사료된다.
Abstract
Currently, sexually transmitted diseases (STD) are referred to as “sexually transmitted infections" (STIs) in the sense of including asymptomatic infections. STIs have a range of interrelationships. This study used the STI defined by the Minister of Health and Welfare of the Republic of Korea, and targeted syphilis, gonorrhea, chlamydia infection, chancroid, genital herpes simplex, condyloma, human papillomavirus, and non-gonococcal urethritis. The factors were characterized by identifying multiple and simultaneous STIs. This study used the data from the laboratory information system of a consigned inspection institution located in Seoul from 2014 to 2019. In this study, multiple STIs were identified as overlapping STIs of a double infectious source (10 types) and multiple STIs of a third infectious source (6 types). Among the 16 types of multiple STIs, U. urealyticum (9 types), HSV-2 (8 types), C. trachomatis (7 types), HPV 6, 11 (7 types), N. gonorrhoeae (6 types), and T. pallidum (1 type) were included. Therefore, additional research on interrelationship studies, such as STIs, which has the highest proportion of multiple STIs, will be necessary.
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