Brabin L
School of Tropical Medicine, Liverpool, U.K.
Ann Trop Med Parasitol. 1992 Aug;86 Suppl 1:25-33. doi: 10.1080/00034983.1992.11812732.
The control of sexually transmitted diseases (STD) will reduce the prevalence of pelvic inflammatory disease (PID). In most developing countries, treatment services are limited, coverage of the infected female population is inadequate and women seeking treatment are likely to be mismanaged. Family planning clinics do not usually provide routine screening for non-pregnant women. Screening only at family planning clinics would result in failure to treat some high-risk individuals, especially unmarried adolescents. The use of simplified protocols in the community has been recommended, but these may underestimate the problems of contact tracing, provide no systematic screening and induce passivity in the patient. For pregnant women, STD control has targetted syphilis, which does not cause PID. An integrated service for the management of reproductive health is required, and the development of women's clinics is suggested, using well-trained nurses and affordable technologies.
性传播疾病（STD）的控制将降低盆腔炎（PID）的患病率。在大多数发展中国家，治疗服务有限，感染女性人群的覆盖率不足，且寻求治疗的女性可能得不到妥善管理。计划生育诊所通常不为非孕妇提供常规筛查。仅在计划生育诊所进行筛查会导致一些高危个体，尤其是未婚青少年得不到治疗。有人建议在社区使用简化方案，但这些方案可能会低估接触者追踪的问题，不提供系统筛查，并使患者产生被动性。对于孕妇，性传播疾病控制的目标是梅毒，而梅毒不会引起盆腔炎。需要一种综合的生殖健康管理服务，并建议利用训练有素的护士和经济实惠的技术来发展妇女诊所。
