Molodysky E
Department of General Practice, University of Sydney.
Aust Fam Physician. 1999 Apr;28(4):333-8.
With sexually transmitted diseases (STDs) no longer on the decline, it is prudent to assume that all cases of non specific urethritis and cervicitis are caused by sexually transmitted infection. Specific infections of the urethra and cervix due to chlamydia and other non gonococcal organisms are common and because they are often not apparent clinically, are underdiagnosed.
The aim of this paper is to provide a realistic approach to the management of urethritis and cervicitis by encouraging the performance of investigations and the instigation of treatment at the first consultation.
A knowledge of the patient's sexual history combined with a working knowledge of the new DNA based technologies should provide for the early assessment of and intervention with patients who are at risk of at least one STD infection.
鉴于性传播疾病(STD)的发病率不再呈下降趋势,因此可以合理地假设,所有非特异性尿道炎和宫颈炎病例均由性传播感染引起。由衣原体和其他非淋菌性生物体引起的尿道和宫颈的特定感染很常见,而且由于它们在临床上往往不明显,因此诊断不足。
本文的目的是通过鼓励在首次会诊时进行检查和开始治疗,提供一种切实可行的尿道炎和宫颈炎管理方法。
了解患者的性病史并结合对基于DNA的新技术的实用知识,应有助于对至少感染一种性传播疾病风险的患者进行早期评估和干预。