McKinzie J
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Emerg Med Clin North Am. 2001 Aug;19(3):723-43. doi: 10.1016/s0733-8627(05)70212-1.
STDs are commonly encountered in emergency department patients. The emergency physician can optimize individual patient outcomes and contribute to public health STD control initiatives by: maintaining a high index of suspicion for STDs; obtaining suitable diagnostic tests and instituting appropriate empiric therapy; counseling patients regarding treatment compliance, follow-up, partner notification, and preventive measures; and 4) reporting selected STDs to public health authorities. This article provides a general review of STDs commonly encountered in the United States and gives guidelines for routine treatment of adult patients with these infections. For a more detailed discussion of available treatment options and for guidelines regarding treatment in special patient populations (pediatric patients, pregnant patients, immunosuppressed patients) the reader is referred to the Centers for Disease Control publication "1998 Guidelines for Treatment of Sexually Transmitted Diseases," which is available on-line via the CDC website at http://www.cdc.gov.
性传播疾病（STDs）在急诊科患者中很常见。急诊医生可以通过以下方式优化个体患者的治疗效果并促进公共卫生性传播疾病控制举措：对性传播疾病保持高度怀疑指数；进行适当的诊断测试并实施适当的经验性治疗；就治疗依从性、随访、性伴侣通知和预防措施向患者提供咨询；以及4）向公共卫生当局报告特定的性传播疾病。本文对美国常见的性传播疾病进行了一般性综述，并给出了成人这些感染患者常规治疗的指南。有关可用治疗方案的更详细讨论以及特殊患者群体（儿科患者、孕妇、免疫抑制患者）治疗指南，请读者参考疾病控制中心出版物《1998年性传播疾病治疗指南》，可通过疾病控制中心网站http://www.cdc.gov在线获取。
