Phan Thi Lien, Elias Christopher, Nguyen Thi Loi, Bui Thi Chi, Nguyen Hua Phuc, Gardner Michelle
Population Council, Bangkok.
Stud Fam Plann. 2002 Sep;33(3):217-26. doi: 10.1111/j.1728-4465.2002.00217.x.
A study was conducted in central Vietnam to measure the prevalence of reproductive tract infections among clients of a family planning clinic, and to determine the usefulness of simple, clinic-based diagnostic tests. The prevalence of such infections was moderate, with the majority being endogenous. Few cases of cervical infection were identified, and no clinical or sociodemographic variables proved to be good predictors of such infection. Most vaginal infections could be identified through simple, clinic-based diagnostic tests, although further research into the cost-effectiveness of establishing and maintaining these services would be useful. Comparison of the results from laboratory tests and the presumptive diagnosis of the clinician indicate that the current practice of presumptive treatment is leading to significant overtreatment. Use of the World Health Organization flowcharts would reduce the overtreatment of vaginal infection but not of cervical infection. The importance of adapting the flowcharts to local epidemiology is highlighted.
在越南中部开展了一项研究，以测量计划生育诊所服务对象的生殖道感染患病率，并确定基于诊所的简单诊断测试的效用。此类感染的患病率为中等水平，大多数为内源性感染。仅发现少数宫颈感染病例，且没有临床或社会人口统计学变量被证明是此类感染的良好预测指标。尽管进一步研究建立和维持这些服务的成本效益会很有用，但大多数阴道感染可通过基于诊所的简单诊断测试来识别。实验室检测结果与临床医生的初步诊断结果比较表明，目前的初步治疗做法导致了大量过度治疗。使用世界卫生组织的流程图将减少阴道感染的过度治疗，但不能减少宫颈感染的过度治疗。强调了使流程图适应当地流行病学情况的重要性。
