T C N C Y H Phg trUdng 80 (3B) - 2 0 1 2
2. N g u y e n T h j T h a n h H u y i n va CS 4 . N g u y e n Quy- T h a i , Tru>ang Minh (2010). Nghien c d u tinh hinh b0nh da tgi 1 s6 H u a n g (1999). D d n h gid dnh h u d n g ciia khi xd thupc huypn Mai Chdu tinh Hod Binh ndm hdu nhd sdn t d i bpnh da ciia nhdn dan tgi 2010. Hd Npi. xd H y p T h d n h huy0n Phu L u a n g tinh Thai
_ ., » _ , , p»- u - ^ u i i N g u y b n . Nbi san da lieu. 4. 52 - 59.
3. N g u y e n Duy H u n g , D a o H u u G h i va ^ ' ^
CS (2009). Tinh hinh b0nh da Hlu tgi 3 xd Ngpc 5. T r a n H g u K h a n g v a CS (2009).
Hod, Long Thgnh. Hod Dien huy0n G i l n g R l i n g H u d n g d i n q u I e gia thye hi0n chuang trinh va Kien L u a n g linh Kien Giang nam 2009. Tgp phbng c h l n g b0nh phong. Nha xuat ban Y hpc, c h l D a l i e u h g c V i 0 t Nam. 3: 1 2 - 1 6
S u m m a r y
S K I N D I S E A S E S A N D L E P R O S Y IN FOUR C O M M U N E S OF V A N NINH DISTRICT, K H A N H H O A P R O V I N C E
The study was carried out to describe the skin diseases and leprosy in 4 communes of Van Ninh district, Khanh Hoa province in 2004. The results showed that the ratio of skin diseases was 8%. in which atopic dermatitis was highest (32 3%). following allergic skin diseases was 17.6%. Pyoderma was 14 8%.
The prevalence of dermatophytoses was also high (13%). Among the prurigo, arthropod insect bites and infestations was 12.9%. Detecting a leprosy patient with disability grade 0 (detection of prevalence * 6.4/100,000). In conclusion: the prevalence of skin diseases is 8%, in which skin diseases common were atopic dermatitis, allergic dermatitis, pyoderma, the arthropod insect bites and infestations. Detecting a leprosy patient with disability grade 0 (detection of prevalence ~ 6.4/100,000).
K e y w o r k s : S k i n d i s e a s e s , l e p r o s y , K h a n h Hoa
NHieiVl TRUNG LAY TRUYEN QUAOUdNG TINH DUC d MOT sb NHbM Obl TUONG DAN CU
TAI TiNH QUANG NINH
N g u y e n D u y Hu'ng \ P h ? m T h | L a n ' HI B^nh vi^n Da lieu Tmng mmg, O D^i hoc V Ha Npi
Nghien cuv nhim xac dinh ty la hl^n mic mpt s6 nhlSm tnjng lay truyen qua dudng tinh dt^c dmqtsi nhdm doi tupng ddn cu tai tinh Quang Ninh ndm 2003. Kit qui nghiin euu ehd thiy trong 1400 dii IwnS- ty la nhiem HIV a ngudi nghl$n chich ma tuy 56%, nam gldl kham 57/ 5,5%, gai mai dim 4,0%. Ty le nhiim C. trachomatis d tan binh 4,75%, phd nu- mang thai 5%, nam gidi khim STI 0,5% va gai mai dam 3%. Giang mai: 0,25% d tin binh vi phu nCr mang thai, 0,5% d nam gidi khim STIva 1,0%d ngudi nghlan chich ma luy Ty 1$ nhiem lau 6 tin binh li 2,0%, phu nu mang thai li 1,5%, gii mai dim li 0,5%. Ty 1$ nhiem T.
2 8 2
TCNCYH Phu truang 80 (38) - 2012
vaginalis: nam gldl khim STI la 2,0% va gai mai dim /d 2,5%!. Ty 1$ nhiim nim Candida d gal mai dam la 1,5%. Kit luan: ty te nhiem HIV rit cao d ngudi nghien chleh ma tiiy. gii mat dam va nam banh nhan khim STI. Ty 1$ nhiim Chlamydia cao d tin binh vi phu nir mang thai eho thiy cin phat cd cac hoat ddng phong.
chong HIV tap trung vao lira tuoi thanh nien
Tir khda: benh lay truyen qua du'dng tinh dgc, nghien chich ma tCiy, gai m^i dam I. OAT V A N Bt
Bgnh hoa lilu da dugc bilt den tir r^l Idu vd ngudi ta cung biet rang day Id bgnh lay qua quan he tinh dye khdng an todn. Vi vay, nd cdn dugc ggi Id "Maladies veneriennes", ten l^y tir nhan vat treng than thogi Hy Lap NO' than Sdc dgp vd Ai tinh Venus. Ngdy nay, ngudi ta ggi Id nhidm triing lay truyen qua dudng tinh dgc (NTLTQDTD hay STI). Bgnh anh hudng trdm trgng din sire khce cua con ngudi vd ndi giong [4]. Bgnh Idy truyen qua dudng tinh dye lam tang khd ndng lay nhilm HIV. Dieu trj cdc bgnh Idy truyen qua dudng tinh due d nhung ngudi nhilm HIV thudng khd khdn hon doi vdi nhu'ng ngudi khdng nhilm [1].
Theo udc tinh cua WHO, hang nam cd it nhdt 1/10 ngu'di dang a tuoi hoat dgng tinh dye bj STI. 6 cde nu'dc dang phdt tnen, cac STI la mgt trong nam bgnh thu'dng gap nhdt [8]. 6 Viet Nam, theo udc tinh eua cac chuyen gia thi hdng nam CO khodng gan 1 tngu trudng hgp mdi mac bgnh ndy. Trong dd, Quang Ninh Id mgt trong eae tinh cd ty le nhiem HIV tren 100.000 ddn cao nhat d Vigt Nam. Oe gdp phdn nghien cdu ve tinh hinh bgnh LTQDTD d Quang Ninh, cung nhu tinh hinh benh ndy tgi Viet Nam, chOng tci tien hdnh nghien cdu ndy vdi muc tieu xac djnh ty le hign mdc mdt so nhilm triing Idy truyin qua dudng tinh dgc d mgt s l nhom doi tugng ddn cu tai tinh Quang Ninh nam 2003.
mang thai (PNMT), thanh nien khdm tuyen nghTa vy qudn sy, ngudi tiem chich ma tuy (TCMT), phy nu mgi dam (PNMD) vd nam gidi den khdm bgnh lay truyen qua dudng tinh dye (LTQDTD).
2. PhU'O'ng phap nghien ciru
* Thiet lie nghien cu'u:
Nghien cu'u mo ta cdt ngang nhdm xdc djnh ty le hien mdc mgt so nhiem triing lay truyen qua dudng tinh dye d mgt s6 nhom doi tugng dan cu tai Quang Ninh ndm 2003.
* Cv mau nghien CLFU vi chon mau - Cd mau nghien cdu se dugc tinh theo cdng thdc sau; ^. ^
P (l-P) n = Z-;i.i:) X D E
d=
Trong dd; n; cd mau nghien ciru Z(1-a/2): Hg so tin cay d muc sac xuat 95%
(=1,96)
p: ty Ig hien nhilm ehung (ude luong = 7%) d; dg ehlnh xde mong mucn (= 2%).
DE; higu sg thiet ke nghien cuu (= 2) Cd mdu nghien eiru tinh dugc la n = 1252.
Lay them 10% de de phdng mgt so ddi tugng nghien cuu khdng din tham gia. Chgn cd mdu trong nghien cuu nay la 1400 ngudi.
- Chgn mau. mau nghien ciru dugc phan bo nhu sau; chgn 400 phy nO' mang thai, 400 thanh nien khdm tuyen nghTa vy quan sy, 200 II. 0 6 l T i r O N G VA PHU'O'NG PHAP ngu-e,, tiem chich ma tiiy, 200 phy nir mgi dam I.DiitU'g'ng nghien ciru:
Mgt so nhdm doi tygng ddn cu tai tinh Quang Ninh trong nam 2003 bao gdm; phu nu'
283 vd 200 nam gidi den kham bgnh LTQDTD.
* Cac blfov tien hanh
TCNCYH PhM trUdng 80 (SB) - 2012
- Hbi b0nh - Khdm sdng Ipc -L^yb0nh ph^m
- Xdt nghipm: thye hi0n cdc xdt nghi0m sdng Ipe vd khang djnh tgi phbng xdt nghi0m B0nh vi0n Da li§u Trung uang. Cdc xdt nghi0m ndy dd dupe ehuJin hba vd Ihyc hi0n thudng quy
lli. K^T QUA
1. Ty 10 hipn mdc STI tren doi tuyng cb hanh vi nguy ca thap tgi Quang Ninh
Bang 1. Ty Ip hipn mac STI d tan binh tgi Quang Ninh (n =400) Bgnh LTQDTD
Mdc bgnh HIV/AIDS Giang mai Lau Chlamydia Triing rgi Nam Khdng mdc Tong
bgnh n 33
6 1 8 19 Khong Idm Khong lam 367 400
xet xet
%
8,25 1,25 0.25 2,00 4,75 nghigm nghigm 91,75 100 Ket qud bang 1 eho thay ty 10 hl0n mdc b0nh LTQDTD chung d doi tuyng Idn binh Id 8,25%. Trong 66. b0nh LTQDTD cb ty Ip hi0n mdc cao nhat d tdn binh la Chlamydia (4,75%).
Tiep den Id bpnh I0u vdi 2,0%. Ty 10 hipn mdc HIV/AIDS d tan binh Id 1,25%. Trong khi 66, ty Ip hlpn mdc giang mai d tan binh chiem ly 10 thap nhat vdi 0,25%. 0 nhbm doi tuyng nay khbng tien hanh xet nghl0m trung roi vd nam.
Ket qua cung cho thay cb 91,75% tdn binh khbng mac b0nh LTQDTD.
Bang 2. Ty 10 hi0n mac STI d phy nu"
mang thai tgi Quang Ninh (n = 400)
Bgnh LTQDTD Mdc b^nh HIV/AIDS Giang mai Ldu Chlamydia Triing roi N^m Khdng mdc bgnh Ting
n 30
3 1 6 20
0 0 370 400
%
7,5 0,75 0,25 1,5 5,0
0 . 0 ' 92,5
100 Ket qud bang 2 eho thay ty 10 mdc b0nh LTQDTD ehung d phg nd mang thai la 7,5%.
Trong db, ty 10 hi0n mdc Chlamydia d phy nO mang thai Id cao nhat (5,0%). Ty 10 hi0n m^c Idu trbn phy nu mang thai Id 1,5%. Trong khi db, ty Ip hlpn mdc HIV/AIDS d nhbm doi tupng nay la 0,75%, hi0n mdc giang mai Id 0,25%.
Khbng cb phg nd mang thai ndo hien mic triing roi vd nam. Ket qua cho thay co 92,5%
phu nu mang thai khbng mdc b0nh LTQDTD.
2. Ty 10 hipn mac STI tren doi tuyng co hanh vi nguy ca eao tgi Quang Ninh Bang 3. Ty Ip hipn mac STI d nhbm nam b0nh nhan den kham STI tai Quang Ninh (n=200)
Bgnh LTQDTD Mdc bgnh HIV/AIDS Giang mat Lgu Chlamydia Trung roi Nam Khdng mdc Tong
bgnh n 17 11 1 0 1 4 0 183 200
•/.
8,5 5,5 0,5 0 0,5 2,0 0 91,5
100
284
TCNCYH Phy truong 80 (3B) - 2012 Ket qua bang 3 cho thay, ty Ip hipn mae
bpnh LTQDTD chung d nhbm nam b0nh nhdn den khdm STI la 8,5%. Trong do, b0nh LTQDTD CO ty le hl0n mac cao nhat d nam gldl den khdm STI la HIV/AIDS (5,5%) Tiep den la ty 10 hi0n mlc trung roi (2,0%). Ty Ip hipn mdc giang mai va Chlamydia d nam gidl den khdm STI deu la 0,5%. Trong khi db, khbng eb trudng hyp nam gidi nao tdi khdm mdc bpnh Igu vanam. Cb91,5% namgidi den khdm STI khbng mdc bpnh.
Bang 4. Ty Ip hipn mae STI d nhom nghipn chich ma tuy tgi Quang Ninh (n = 200)
Bang 5. Ty Ip hlpn mac STI d gai mgi dam tgi Quang Ninh (n = 200)
Bgnh LTQDTD Mdc bdnh HIV/AIDS Giang mai Lgu Chlamydia Tnjng roi Nam Khong mac Tong
benh
n % 114 57 112 56 2 1,0 0 0 0 0 Khdng Idm xet nghigm Khdng lam xet nghigm
86 43 200 100 Ket qua bang 4 cho thdy ty le mac b0nh LTQDTD ehung d doi tuyng nghl0n chleh ma tiiy Id 57%. Trong db, hau het eae doi tuyng nghien chleh ma tiiy deu mac HIV/AIDS ehlem ty le 56%, ehi eb 1,0% mdc benh giang mai.
Khbng cb doi tuyng nghi0n chich ndo hl0n mdc Igu vd Chlamydia. Ket qua cho thay cb 43,0% ngudi nghi0n chich ma luy khbng mdc bpnh LTQDTD.
Bgnh LTQDTD Mdc b^nh HIV/AIDS Giang mai Lgu Chlamydia Triing roi Nam Khdng mdc Tong
bgnh n 23 8 0 1 6 5 3 177 200
%
11,5 4 0 0,5
3 2,5 1,5 88,5 100 Ket qua bang 5 cho thay, ty Ig hign mdc benh LTQDTD chung d gai mgi dam Id 11,5%.
Trong dd, benh LTQDTD eo ty le hien mdc cao nhat d gdi mgi dam Id HIV/AIDS (4%). Tilp din la ty Id hien mdc Chlamydia (3%), triing roi (2,5%), ndm (1,5%). Ty le hien mdc Idu d gdi mgi dam chilm ty Ig thap nhat (0,5%). Trgng khi dd, khdng cd trudng hgp gdi mgi dam ndo mdc bgnh giang mai. Ket qua cung cho thay cd 88,5% gai mgi dam khong mdc bgnh LTQDTD.
IV, BAN LUAN
Kit qua cho thdy ty le mdc HIV/AIDS d phu nu' cd thai 0,75%. So sanh vdi kit qua nghien ciru eua tae gia Nguyen. Duy Hung vd CS khi du'dc thye hien dong thdi d 5 tinh/
thdnh pho Ha Ngi, Hal Phong, Quang Ninh, TP Ho Chi Minh (TP HCM) vd TPOa Nang thl kit qua ciia nghien eii'u nay tren phy nu' mang thai d Quang Ninh tuong ty tai Hd Noi; nhyng ty Ig nay cac hon kit qua tgi Hai Phdng (0%), TP HCM (0%) va Da Nang (0%) [5]. Ty le hien mac HIV/AIDS tren nhdm tan binh trong nghien cuu ndy Id 1,25%, thap hon tai TP HCM (2,25%) vd cao hdn Hd Ngi (0,25%), Hdi Phdng (0%) va Od Ndng (0%) [5]. Tuy nhien, ty Ig mdc HIV/
285
TCNCYH Phg trUdng 80 (38) - 2012
AIDS d phg nd mang thai vd tdn binh trong nghien cii-u ndy Id tuang d6i cao. Ty 10 ndy cao han so vdi 0,53% nhi^m HIV Irong ebng d6ng [3]. Di^u ndy d$l ra thdeh thuc vd y&u c^u sy n6 lye r^t Idn trong cbng tdc phbng.
ch6ng HIV/AIDS cua tinh Qudng Ninh nhdm kh6ng ch4 sy lan Iruyen HIV trong cbng d6ng.
Ty 10 mdc 10u d nhbm tdn binh Id 2%. K^t qud ndy tuang ly k^t qud nghidn cuu Igi Hd Nbi vd TP HCM (d6u Id 2%); nhung cao hon tgi Dd Ndng (0.75%) vd Hdi Phbng (0.25%) [5].
Trong khi db, ty 10 mdc Igu trong nhbm phg nd cb thai la 1.50%. Ty 10 ndy d phy nu mang thai chl Ih^p han k^t qud nghidn cdu tgi TP H 6 Chl Minh (1,75%), ebn Igi dfeu cao han so vdi k^t qua tgi Hai Phbng (1,25%). Dd Ning (0.25%) vd Ha Npi (0%) [5]. Ket qua ndy cung phu hyp vdi mbt s6 nghien cdu d nude ngodi cho ring ty 10 nhiem Igu cau dao dpng tu 0,8-1,8% [7].
Lgu edu Idy nhiem qua quan hp tinh dye khbng an todn vdi ngudi mac bpnh, va thudng cb ty 10 eao d cpng dong eb dieu ki0n kinh le xa hbi thap. Vi vgy de gidm ty 10 mdc b0nh trong cbng dong cdn cb cdc bl0n phdp tuyen Iruyen, ndng cao kien thuc eho ngudi dan ve cdc bipn phdp tinh dye an loan, dge bl0t Id doi vdi cac viing eb dieu klpn kinh te xa hpi cbn thap. Qua db se gbp phin Idm gidm ty 10 nhiem trong cpng dong.
Ty 10 mac giang mai d nhbm tan binh la 0,25%, tuang ty ket qud nghien euu tgi Ha Nbi, Hal Phbng, Quang Ninh ( vdi ty 10 mdc Id 0,25%) vd cao han tgi TP HCM, Dd Nang (0%) [5]. Trong khi db, ty 10 mdc giang mai d nhbm phy nd mang thai cung Id 0,25%, th^p han tgi Da Ndng (0,75%) va Hd Npi (0,6%) [5]. Ket qua thu duyc cQng phu hyp vdi bdo cao eiia 80 Y te vdi ty 10 giang mai d phg nd dg tuoi 15-39 tai Hd Npi la 0,2%, tgi thanh pho H 6 Chl Minh Id 0,5% [2].
Ty 10 mdc Chlamydia d phy nd mang thai
Id khd cao (5%), cao han kit qud nghien ciru tgi cdc tinh Hdi Phbng (4,5%), Hd Npi (1,5%) vd Dd N§ng (1,5%), tuy nhien ty 10 ndy thip han tgi TP HCM (5,75%) [5]. D$c bi0t, ty 10 mdc Chlamydia d tdn binh la cao, chiem 4,75%; eao han kit qud tren doi tupng l3n binh tgi Dd N§ng (4,25%), Hai Phbng (2,0%) vd TP HCM (1%), nhung ty 10 ndy van thap ly 10 nhiem Chlamydia d nhbm tdn binh tgi Ha Nbi (9%) [5].
Tgi nghien cdu ndy khbng phy nu mang thai ndo mdc cde b0nh trung roi dm dgo, nim Candida dm dgo. Trong khi db theo kel qua gidm sdt trgng diem tgi 5 tinh/thanh pho thi cac ty 10 nhilm nay d l u d mue cao: ty 10 mdc nam Candida tgi Dd Ndng, Hai Phbng va TP HCM lln luyt la 18,5%, 18,25% vd 18% [5].
Ty 10 mdc HIV/AIDS d ngudi nghi0n ma tuy 56%, gdi mgi dam 4,0% vd nam den kham STI 5,5%. Ty 10 mdc HIV d doi luyng nghl0n ma tuy tgi Quang Ninh cao han tgi TP Ho Chl Minh (51,1%), Hai Phbng (42%), Hd Npi (38%) vd Dd Nang (6,5%) [6]. Tren nhbm mgi dam. c6 ty 10 ndy thap han tgi TP HCM. Hd Npi (cung la 10,5%), Hal Phbng (8.0%) vd eao han so vd\
Dd Ning (1,0%) [6]. Cbn doi vdi nhom nam b0nh nhdn kham STI thi ty 10 ndy thdp hon tgi TP HCM (7,0%), nhung Igi eao han tgi Ha Ngi (3,0%), Hai Phbng (2,7%) vd Da Nang (1,5%) [6]. Dieu ndy eho thay ty 10 mdc HIV/AIDS 6 cac nhbm doi tuyng eb nguy ca Id r^t cao, fl^c bi0t Id d doi tuyng nghi0n chich ma tuy Ddy la thyc trgng rdt dang Io nggi. Nlu khbng c6 cdc bi0n phdp can thi0p kip thdi vd hl0u qua thi si;
Idy nhiem HIV ra cgng d6ng tu cdc nhbm d6l tuyng ndy la rlt eao. Vi v0y can cb sy chung tay eua ca cpng ding, eb sy phoi hyp chgt che vd dp dgng bipn phap can thipp dbng bp tir c^c ca quan qudn l^* va chuyen mon thi mdi d?t duyc hipu qua trong vi0e phbng, ehong sy lay lan HIV ra cpng ding dan cu.
286
T C N C Y H Phy trUdng 80 (38) - 2012
Doi t u y n g gai mgi dam tgi Quang Ninh khbng cb t r u d n g h y p ndo m l c giang mai.
Trong khi db cQng tren doi t u y n g ndy tpl Ha Nbi, TP Ho Chi Minh ly le ndy deu Id 4,5%, Dd Ndng (3%) va Hai Phbng (2,7%) [6]. Ket qua nghien cuu eho thdy ty 10 giang mai tren doi tuyng nghien chich ma tiiy Id 1 % vd tren nam b0nh nhdn kham STI Id 0,5%.
Theo ket qua nghien cu'u ty 10 mdc b0nh lgu d gal mgi dam la 0,5% va khbng eb doi iLpyng nam khdm STI va nghi0n ma tiiy nao mdc b0nh lgu. K i t qua nay t h i p h a n so vdi k i t qua ciia mpt sb nghien euu [6]. Tren doi t u y n g mgi dam tgi TP Ho Chl Minh eb ty Ip n h i l m Idu cao nhat (5,5%), t i l p den la tgi Hd Npi (3%), Da Ndng (3%) vd Hai Phbng (2,7%) [6]. Tren nhbm bpnh nhan khdm STI, ty 10 nay tgi TP H i Chi Minh len tdi 10%, Hal Phbng (3,3%). Ha Npi (2,5%) vd Da Nang (1,5%) [6].
Ty 10 mac Chlamydia d gai mgi dam la 3%.
Tuong t u n h u ty le mdc benh lgu, ty le hien mdc Chlamydia tai Quang Ninh cung thap han cac tinh/thanh pho khac: tai T P Hb Chi Mmh la 6,5%, Ha Npi la 5%, Hal Phbng Id 3,5% vd tgi Da Nang Id 3,3% [6]. Trong khi 66, ty 10 hi0n mdc Chlamydia tren dbi t u y n g nam kham STI ia 0,5% t u a n g t y ket qua tai Dd Ndng, nhung so vdi cde tinh khdc thl ty 10 nay van thap h a n : IgiTP Hb Chi Minh Id 5,0%, Hdi Phbng la 3,3%, Ha Npi la 1,5% [6]. Rieng nhbm nghipn ma tuy, trong nghien euu ndy khbng phat hien d u y c trudng h y p nao nhiem Chlamydia, t u a n g t y kit qua tgi Ha Npi Id 0%, vd thdp h a n tgi Hai Phbng vdi 5% nhiem, tgi D a Nang Id 1 % vd tgi TP HCM la 0,5% nhiem Chlamydia [6].
V. Ktr LUAN
T^ 10 n h i l m HIV tren cac doi t u p n g cb nguy co Id rat eao: cao nh^t la d n g u d i nghi0n chleh ma tiiy (56%), d nam b0nh nhdn khdm STI la 5,5%, gal mgi dam Id 4 % . Ty 10 nay cOng
eao d doi t u y n g tan binh (1,25%) va phg n d mang thai (0,75%).
Ty 10 hipn mae giang mai rat thap Iren ca doi t u y n g eb hanh vi nguy ea eao va nguy ca thap. eao nhat Id nhbm nghien ma tiiy (1%), ddc bi0t d gdi mgi ddm la 0%.
Ty 10 hi0n m l c Chlamydia va lau eau d nhbm lan binh (lan l u y t Id 4,75% va 2%) va phy n d mang thai (lan l u y t Id 5% va 1,5%) la rat cao Trong khi db, doi t u y n g gai mgi dam cb ty 10 nhiem Chlamydia Id 3%, lgu Id 0,5%.
Ty 10 mdc triing roi va nam Candida d gai mgi dam lan l u y t la 2,5% va 1,5%. Cbn d nhbm phy n u eb thai khbng cb trudng h y p ndo nhiem hai b0nh tren.
TAI LIEU THAM KHAO
1 . B o Y te (2003). H u d n g dan chuan quoc gia ve cae dich vy eham sbc sdc khbe sinh san. Ha Nbi. 1 4 9 - 1 6 7 .
2. B o Y t e , B a n p h o n g c h o n g AIDS (2003). K i t qud dieu tra ddnh gia tdn s u i t mdc cac nhiem trung lay t r u y i n qua d u d n g tinh dye d phy n u mgi dam thugc 5 tinh bien gidi Viet Nam. Vipn Pasteur. Thanh pho Ho Chi Minh.
3. B p Y te (2007). Bdo cdo qube gia l l n t h d 3 ve vi0c t h y c hlpn tuyen bo cam k i t HIV/
AIDS giai doan bdo eao 01/2006-12/2007. Ha Nbi. 9 - 1 0 .
4. K i n g K. H o l m e s at al (1999). Sexually Transmitted Diseases, third edition. Me Gravi/- Hill. 4 3 3 - 4 7 3 .
5. N g u y e n Duy H u n g va CS (2011). K i t qua giam sat mgt so nhiem triing lay truyen qua d u d n g tinh dye gdn k i t vdi gidm sat HIV tren nhbm dan c u cb hdnh vi nguy ea thap tgi 5 tinh/thanh pho Vl0t Nam. Tgp ehi Y hpc Vl0t Nam. 1 : 1 9 - 2 3 .
6. N g u y e n Duy H u n g , Pham V a n Hien,
2 8 7
T C N C Y H Phy IrUdng 80 (3B) - 2 0 1 2
Tran Hgu K h a n g va CS (2010). Nghidn ciru trachomatis Infection in a H i g h - R i s k Population t r i l n khai gidm sdl cdc b§nh STD gdn k i t vdi Contraception. An Intenational Journal. 61 (3);
giam sal trgng diem HIV Igi 5 tinh/lhdnh ph6 231 - 234.
Vi^l Nam. Tgp chl Da Ii6u hgc. 2; 39 - 45. j ^ ^ ^ ^ , ^ g g 7 , S ^ P ^ ^ ^ ^ Management.
7. R o n a l d J.P., D o n a l d R.S., A l a n M.K. Syndromic Approach For Primary Health Care (2000). The Relationship of Inflammation Settings, facilitator's version. 1 - 1 0 . in the Papanicolaou Smear to Chlamydia
S u m m a r y
THE P R E V A L E N C E OF SOME SEXUALLY T R A N S M I T T E D INFECTIONS (STIS) IN Q U A N G NINH PROVINCE
The study was earned out to identify the prevalence of some Sexually Transmitted Infections (STIs) in Quang Ninh province in 2003. The results showed that in 1.400 studied objects: HIV infection on injecting drug users (IDUs) is 56%. STI clinic attenders: 5,5%), female sex workers (FSWs): 4%. Infection oi C.trachomatis on military recruits was 4.75%, pregnant woman 5%. STI clinic attenders 0.5% and female sex workers 3%. Syphilis: 0.25% on both military recruits and pregnant woman, 0.5% on STI clinic attenders and 1%) on injecting drug users N gonorrheae on military recruits is 2%>, pregnant woman 1.5%, female sex woricers 0.5%. T. vaginalis: STI clinic attenders is 2.0% and female sex workers 2 5%. C.albicans: 1.5%
on female sex workers. Conclusions: The very high prevalence of HIV on IDUs, FSWs and male STI clinic attenders. and high prevalence of Chlamydial infection in young military recruits and pregnant woman suggests a need to take HIV prevention activities in these group focusing on youth.
K e y w o r d s : S e x u a l l y T r a n s m i t t e d I n f e c t i o n s (STIs), I n j e c t i n g d r u g u s e r s (IDUs), female sex w o r k e r s (FSWs)
NGUYEN NHAN TU VONG d VIET NAM K^T QUA DlfeU TRA BANG PHUONG PHAP PHbNG VAN
N g u y e n P h u a n g H o a , Pham Thj Lan Tnrang D^i hoc Y Ha Noi
Thong tin vi mi hlnh nguyen nhdn tu" vong cOa tirng nhdm tuii s§ gdp phin quan trpng cho cdng tic xay di/ng cac chwang trinh chdm sdc sire khde phu hep v&i tirng nhdm doi tupng. l\A\^c tiiu cua nghiin c6v nhdm mi ta md hlnh nguyen nhdn tCr vong d cdc nhdm tuii t^i Vi$t Nam ndm 2008. Kit qua nghien cifU cho thay nhin chung 3 nhdm nguyin nhdn gdy tO- vong hdng diu Id cdc binh tim mach 27.3%; ung thu 1B,3%
vd tai nan thirang tich 12.5%. Tuy thuqc vdo nhdm tuSi khdc nhau, md hinh nguyen nhin gay ti/vong se khac nhau. Tir vong do tai n^n thuang tich ludn dirng diu trong cdc nhdm nguyen nhan gdy tir vong i tre
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