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《2002年性传播疾病治疗指南》。疾病控制与预防中心。

Sexually transmitted diseases treatment guidelines 2002. Centers for Disease Control and Prevention.

出版信息

MMWR Recomm Rep. 2002 May 10;51(RR-6):1-78.

Abstract

These guidelines for the treatment of patients who have sexually transmitted diseases (STDs) were developed by the Centers for Disease Control and Prevention (CDC) after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta on September 26-28, 2000. The information in this report updates the 1998 Guidelines for Treatment of Sexually Transmitted Diseases (MMWR 1998;47 [No. RR-1]). Included in these updated guidelines are new alternative regimens for scabies, bacterial vaginosis, early syphilis, and granuloma inguinale; an expanded section on the diagnosis of genital herpes (including type-specific serologic tests); new recommendations for treatment of recurrent genital herpes among persons infected with human immunodeficiency virus (HIV); a revised approach to the management of victims of sexual assault; expanded regimens for the treatment of urethral meatal warts; and inclusion of hepatitis C as a sexually transmitted infection. In addition, these guidelines emphasize education and counseling for persons infected with human papillomavirus, clarify the diagnostic evaluation of congenital syphilis, and present information regarding the emergence of quinolone-resistant Neisseria gonorrhoeae and implications for treatment. Recommendations also are provided for vaccine-preventable STDs, including hepatitis A and hepatitis B.

摘要

这些性传播疾病(STD)患者的治疗指南是美国疾病控制与预防中心(CDC)在与一群2000年9月26日至28日在亚特兰大开会的性传播疾病领域的专业人士协商后制定的。本报告中的信息更新了1998年的《性传播疾病治疗指南》(《发病率与死亡率周报》1998年;47 [第RR - 1号])。这些更新后的指南包括疥疮、细菌性阴道病、早期梅毒和腹股沟肉芽肿的新替代治疗方案;关于生殖器疱疹诊断的扩展章节(包括型特异性血清学检测);对感染人类免疫缺陷病毒(HIV)者复发性生殖器疱疹治疗的新建议;性侵犯受害者管理的修订方法;尿道肉阜疣治疗方案的扩展;以及将丙型肝炎纳入性传播感染。此外,这些指南强调对感染人乳头瘤病毒者的教育和咨询,阐明先天性梅毒的诊断评估,并提供关于耐喹诺酮淋病奈瑟菌的出现及其对治疗影响的信息。还提供了针对可通过疫苗预防的性传播疾病的建议,包括甲型肝炎和乙型肝炎。

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