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[在斯德哥尔摩县进行的一项关于衣原体感染传播控制的问卷调查研究。太多医生忽视接触者追踪]

[A questionnaire study in the county of Stockholm on transmission control of chlamydia infections. Too many physicians neglect the contact tracing].

作者信息

Gustafsson B, Parment P A, Ramstedt K, Wikström A

机构信息

Smittskyddsenheten, Stockholm.

出版信息

Lakartidningen. 2000 Jul 12;97(28-29):3269-72.

Abstract

Since 1989 the reporting of chlamydia infections is regulated by the Contagious Diseases Act, which stipulates that a physician who detects chlamydia is obliged to trace the patient's sexual partner(s). Up to 1994 the annual decrease in the number of chlamydia cases was 20 percent, which did not meet the goal stipulated by the County Council. A questionnaire study was carried out concerning diagnosis, treatment and public health intervention in chlamydia patients seen by general and private practitioners. While the clinical management was seen to adhere to the recommendations of the National Board of Health, adequate tracing of sexual contacts was not carried out in 20-45 per cent of the cases. In a major urban area, such as the County of Stockholm, referral of all chlamydia cases to specialist clinics could possibly improve not only the care of the patients but also the success rate in reaching their sex partners.

摘要

自1989年起,衣原体感染报告受《传染病法》监管,该法规定,检测到衣原体的医生有义务追踪患者的性伴侣。到1994年,衣原体病例数量的年降幅为20%,未达到郡议会规定的目标。针对普通医生和私人执业医生诊治的衣原体患者,开展了一项关于诊断、治疗和公共卫生干预的问卷调查。虽然临床管理被认为符合国家卫生局的建议,但在20%至45%的病例中,未对性接触者进行充分追踪。在斯德哥尔摩郡这样的主要城市地区,将所有衣原体病例转诊至专科诊所,不仅可能改善患者护理,还可能提高联系其性伴侣的成功率。

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