ĐẶC ĐIỂM LÂM SÀNG CỦA NGƯỜI BỆNH CÓ HỘI CHỨNG TIẾT DỊCH NIỆU ĐẠO, ÂM ĐẠO TẠI BỆNH VIỆN DA LIỄU HÀ NỘI NĂM 2025 VÀ MỘT SỐ YẾU TỐ LIÊN QUAN

Abstract

Objective: Describe the clinical characteristics of patients with urethral and vaginal discharge syndrome at Hanoi Dermatology Hospital in 2025 and some related factors. Subjects and methods: Descriptive, cross-sectional study on 125 patients with urethral or vaginal discharge syndrome tested for 12 sexually transmitted pathogens at Hanoi Dermatology Hospital in 2025. Results: The study was conducted on 125 patients with urethral and vaginal discharge syndrome, of which 54 cases (43,2%) were positive for at least one sexually transmitted pathogen. The 20–29 age group had the highest proportion (46,4%), with more men than women (47,3% vs 44,1%). Multivariate regression analysis showed that large discharge (OR = 3,14; 95% CI: 1,06–6,54), cloudy discharge (OR = 5,56; 95% CI: 1,73–17,90), functional symptoms (OR = 2,27; 95% CI: 1,58–8,25), and clinical signs of inflammation (OR = 3,41; 95% CI: 1,27–7,35) were all statistically significantly associated with positive results. In contrast, a history of recent antibiotic use reduced the odds of detecting the agent (OR = 0,30; 95% CI: 0,06–0,87). Conclusion: Clinical features, especially the nature of the discharge and signs of inflammation, are valuable in predicting the likelihood of STD positivity in patients with the discharge syndrome. Previous antibiotic use reduced the likelihood of detection.