Analysis of the status of lower genital tract infection in women of reproductive age in gynecology outpatient department
GAO Di
WANG Xu
WANG Xue-yin
JUAN Juan
ZHAO Geng-li
ZHANG Xiao-song
Abstract：Objective To investigate the distribution and risk factors of reproductive tract infection(RTI)in women of childbearing age visiting medical institutions.Methods A total of 3,159 women aged 18-49 years visting the gynecology outpatient department of six medical institutions from January 2021 to December 2022 were included in our study.Cervical exfoliated cells were collected for the detection of ten common RTI pathogens,and relevant demographic characteristics were also collected.The distribution of RTI infections was analyzed,and logistic regression was used to analyze the association of RTI with demographic characteristics and smoking status.Results The mean age of the study subjects was 34.6±6.7 years.The positive detection rate of any RTI pathogen was 45.7％,and the detection rate of any Ureaplasma species was 41.8％.The pathogens with the top three positive detection rates were Ureaplasma parvum3(Up3)(17.6％),Up6(13.4％)and Ureaplasma urealyticum(Uu)(10.2％).Among those with RTI,78.0％were single infection and 22.0％were multiple infection.The rates of RTI were significantly higher in women with junior high school education or below,with average monthly family income more than 20 000 CNY,being unmarried,and with smoking habit(P＜0.05).Conclusions The infection rates of RTI-related pathogens in women in gynecology outpatient department are relatively high.The most common RTI pathogens is Ureaplasma species,especially Up3,Up6 and Uu,and single infection is prevalent.At the same time,it is necessary to further strengthen health education for high-risk groups of RTI,such as those with lower education level,lower monthly family income,and smokers,to promote the reproductive health-related knowledge in them.Maintaining the balance of the vaginal microecology and actively treating lower reproductive tract infections in a standardized routine might play a crucial role in enhancing women's reproductive health.
Keywords：sexual tract infectionwomen of childbearing ageepidemiologyrisk factors
Publication Date：2025-08-02
Online Publishing Date：2025-09-30(First online date of this platform, not the publication date of the document)
Pages：5( 842-846 )