日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Online ISSN: 2434-2505 Print ISSN: 0917-0324
日本性感染症学会 Japanese Society for Sexually Transmitted Infections
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society for Sexually Transmitted Infections Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Japanese Journal of Sexually Transmitted Infections 30(1): 1-8 (2019)
doi:10.24775/jjsti.O-2019-0007

原著原著

診療科別の梅毒届出数や症状等の特徴—岡山市における梅毒届出票に基づく積極的疫学調査結果—Number of cases and symptoms of syphilis from different medical departments: Active epidemiological investigation of the reported cases of syphilis in Okayama city, Japan

岡山市保健所Okayama City Health Center

受付日:2019年3月29日Received: March 29, 2019
受理日:2019年7月23日Accepted: July 23, 2019
発行日:2019年9月27日Published: September 27, 2019
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2016~2018年に岡山市内で届け出られた梅毒症例(男性147例、女性85例)について積極的疫学調査を行ない、届け出た医師の診療科による患者数や症状等の特徴を分析した。泌尿器科(36.6%)、皮膚科(27.6%)、産婦人科(22.0%)からの届出以外にも、内科、美容外科、脳神経内科、耳鼻咽喉科、眼科、精神科、歯科など多岐にわたる診療科から多くの梅毒患者が届出られていた。産婦人科からの届出症例(女性)の47.1%は無症状であるが、皮膚科からの届出症例(女性)の68.0%はバラ疹を呈しているように、診療科によって届出時の各症状の出現頻度は異なっていた。また、妊娠経過中に皮膚科や産婦人科にて梅毒と診断された例も報告されていた。若い女性患者が増加する中、先天梅毒を未然に防ぐ対策が喫緊の課題だが、産婦人科を含め様々な診療科の医師にも、梅毒の診断治療、先天梅毒の危険等についての情報提供が必要である。

We conducted an active epidemiological investigation on the syphilis cases (147 males and 85 females) reported in Okayama City from 2016 to 2018, and analyzed the number of patients and its symptoms, according to the specialized physicians who reported them. In addition to reports from the urology (36.6%), dermatology (27.6%), and obstetrics and gynecology (22.0%) departments, a number of syphilis cases were identified from other departments including internal medicine, cosmetic surgery, neurology, otorhinolaryngology, ophthalmology, psychiatry, and dentistry. Particularly, 47% of the 51 women reported from the obstetrics and gynecology department were asymptomatic, and 68.0% of the 25 women reported from the dermatology department had rose rashes. The frequency of each symptom largely varied depending on the medical department. Moreover, in the dermatology and obstetrics departments, a few pregnant patients were diagnosed with syphilis. Thus, gynecologic measures to prevent congenital syphilis in advance are crucial because of the increasing number of young female patients with syphilis. Furthermore, the information on the diagnosis and treatment of this disease and the risk of congenital syphilis is necessary for physicians from various medical departments, especially that of obstetrics and gynecology.

Key words: syphilis; congenital syphilis; active epidemiological investigation; medical department; physician

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