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Six-Year Study of the Incidence of Herpes in Genital and Nongenital Cultures in a Central Kentucky Medical Center Patient Population

机译:肯塔基州中部医疗中心患者人群中生殖器和非生殖器文化中疱疹发病率的六年研究

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摘要

Herpes infections are among the most common sexually transmitted diseases and are the most common cause of genital ulcer disease in the United States. This study addresses the changing distribution of herpes simplex virus type 1 (HSV-1) and HSV-2 in patients presenting for evaluation of herpetic infections. Viral culture results from the University of Kentucky Clinical Microbiology Laboratory were reviewed for a 6-year period (1994 through 1999). Data were collected on patient sex, site of culture, and culture result. These data were analyzed statistically to identify yearly trends. Of the 4,498 cultures analyzed, nearly equal proportions of HSV-1 (13.3%) and HSV-2 (12.0%) were detected for an overall culture positivity rate of 25.3%. Approximately two-thirds of all positive cultures were from women. Although HSV-2 remained the predominant type of genital herpes, over the 6-year span of this study, there was a trend toward increasing proportions of HSV-1 genitalis, with 31.8% of male patients and 44.8% of female patients demonstrating HSV-1 genitalis by 1999. The majority of patients with HSV in nongenital sites grew HSV-1. Although there was significant yearly variation, HSV-2 was isolated from only 9.4% of patients with nongenital HSV for the entire 6-year period. This study therefore concludes that HSV-2 remains primarily a genital pathogen, while HSV-1 is taking on an increasingly important role in causing genital ulcer disease in addition to being the primary nongenital HSV.
机译:疱疹感染是最常见的性传播疾病,并且是美国生殖器溃疡疾病的最常见原因。这项研究解决了在评估疱疹感染的患者中1型单纯疱疹病毒(HSV-1)和HSV-2的分布变化。回顾了肯塔基大学临床微生物学实验室的病毒培养结果,为期6年(1994年至1999年)。收集有关患者性别,培养部位和培养结果的数据。对这些数据进行了统计分析,以确定年度趋势。在分析的4,498种培养物中,检测到几乎相等比例的HSV-1(13.3%)和HSV-2(12.0%),总培养阳性率为25.3%。在所有积极文化中,约有三分之二是女性。尽管HSV-2仍然是生殖器疱疹的主要类型,但在本研究的6年中,HSV-1生殖器的比例呈上升趋势,其中男性患者31.8%,女性患者44.8%表现出HSV-到1999年,生殖器已经达到1个生殖器。非生殖器部位的大多数HSV患者都生长了HSV-1。尽管每年都有显着变化,但在整个6年期间,仅从9.4%的非生殖器HSV患者中分离出HSV-2。因此,这项研究得出的结论是,HSV-2主要仍然是生殖器病原体,而HSV-1除了是主要的非生殖器HSV之外,在引起生殖器溃疡疾病中也起着越来越重要的作用。

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