目的 了解医疗机构性病诊疗服务的现状,为在性病就诊者中开展扩大HIV和梅毒检测试点工作提供保障。方法 2018年6~9月采取目的抽样方法在合肥市和六安市抽取部分医疗机构进行问卷调查,调查内容包括医疗机构基本情况、性病诊疗科室医护人员配备情况、开展传染病筛查情况、实验室开展梅毒检测能力、开展性病诊断与治疗能力等。使用SPSS 17.0统计软件对调查资料进行分析。结果 共调查28家医院,71.4%的医院承担性病诊疗的科室主要是皮肤性病科,其他涉及性病诊疗的科室包括妇产科、肛肠科和泌尿科等。78.6%的医院设置了性病诊疗专科门诊。90%以上的医院能够开展HIV和梅毒筛查,92.9%的医院同时开展了非梅毒螺旋体血清学试验和梅毒螺旋体血清学试验。75.0%的医院具备性病诊断和治疗能力,能够诊疗的性病种类包括梅毒、淋病和尖锐湿疣等。结论 调查的这两个市各级医疗机构的性病诊疗服务能力有了很大进步,但应进一步加强对从事性病诊疗工作医务人员的性病诊疗规范服务培训。

Objective To understand the status of sexually transmitted diseases (STD) diagnosis and treatment services among medical institutions,and to provide guarantee for the expansion of HIV and syphilis testing among STD patients. Methods From June to September 2018,a purpose sampling method was adopted to select some medical institutions for surveys in Hefei and Lu'an City.The survey included the basic information of medical institutions,structure of medical staff in STD clinics,screening programs for infectious diseases,the ability to conduct syphilis testing,the ability of STD diagnosis and treatment,etc.SPSS 17.0 statistical software was used to analyze the survey data. Results A total of 28 hospitals were surveyed.The clinical department that responsible for STD diagnosis and treatment was mainly dermatology in 71.4% of the hospitals,and other departments that engaged in STD diagnosis and treatment included obstetrics and gynecology,anorectal and urology.78.6% of the hospitals had established STD clinics.More than 90% hospitals were able to carry out HIV and syphilis screening,and 92.9% hospitals carried out both non treponema pallidum serological test and treponema pallidum serological test.75.0% of hospitals have the ability to diagnose and treat STD.and the types of STD that can be diagnosed and treated included syphilis,gonorrhea,and genital warts. Conclusion The capabilities of STD diagnosis and treatment services in medical institutions at all levels in the two cities under investigation had greatly improved,but the training of STD diagnosis and treatment standard service for medical staff engaged in STD diagnosis and treatment should be further strengthened.