Haripriya V, Rajendran P, Thyagarajan S P, Sripathy M S, Parthiban R, Ram C C Mohan, Gopalakrishnan P B, Chandraseskha G S, Rajendran Melani
Department of Microbiology, Dr ALM Postgraduate Institute of Basic Medical Sciences, Chennai.
J Indian Med Assoc. 2002 Jun;100(6):372-5.
The efficacy of microbiological diagnosis in sexually transmitted diseases (STDs) has been evaluated in comparison with the clinical diagnosis. Amongst the clinical diagnoses of single STDs, syphilis, genital warts, gonorrhoea and herpes genitalis were the predominant ones. Syphilis was the most predominant infection in both the single and mixed STD infections in Chennai. Clinical diagnoses of trichomoniasis, genital chlamydiasis and genital herpes were more accurate and correlated well with laboratory investigations. On the other hand, clinical diagnoses of gonorrhoea, candidiasis and syphilis were less accurate. More over many of these cases, clinically diagnosed as single, infection, were also positive for other STDs in the laboratory investigations. Double infections were clinically diagnosed only in 7 cases as against 11 cases in microbiological tests and one triple infection diagnosed in microbiological tests was diagnosed only as single disease clinically. Therefore, the laboratory/microbiological investigations have been emphasised to have better accuracy of diagnosis of STDs.
已将性传播疾病（STDs）的微生物学诊断效能与临床诊断进行了比较评估。在单一性传播疾病的临床诊断中，梅毒、尖锐湿疣、淋病和生殖器疱疹最为常见。在钦奈，梅毒是单一性传播疾病感染和混合性传播疾病感染中最主要的感染类型。滴虫病、生殖器衣原体感染和生殖器疱疹的临床诊断更为准确，与实验室检查结果相关性良好。另一方面，淋病、念珠菌病和梅毒的临床诊断准确性较低。此外，许多临床诊断为单一感染的病例，在实验室检查中也对其他性传播疾病呈阳性。双重感染的临床诊断仅7例，而微生物学检测为11例；微生物学检测诊断出的1例三重感染，临床仅诊断为单一疾病。因此，强调实验室/微生物学检查对于性传播疾病诊断具有更高的准确性。
