Chan Edward L, Kingston Margaret A, Carlin Elizabeth M
Department of Pathology, Baptist Medical Center-Montclair, Birmingham, AL 35213-1984, USA.
J Fam Plann Reprod Health Care. 2004 Apr;30(2):126-7. doi: 10.1783/147118904322995564.
Following a decline in prevalence during the 1980s and early 1990s, gonorrhoea and syphilis infections are once again posing a threat to public health. In addition, the antibiotic sensitivity pattern for gonorrhoea appears to have changed with an increased prevalence of resistance. Both syphilis and gonorrhoea appear to disproportionately affect MSM and black ethnic minorities, and are concentrated in urban areas. Their diagnosis requires microbiological tests to be performed appropriately, and a rapid diagnosis can often be provided in GUM clinics using near-patient microscopy. Early diagnosis and effective, rapid treatment is crucial in limiting the morbidity for the affected individual and the public health risks resulting from the spread of infection.
在20世纪80年代和90年代初发病率下降之后，淋病和梅毒感染再次对公共卫生构成威胁。此外，淋病的抗生素敏感性模式似乎已经发生变化，耐药性患病率有所增加。梅毒和淋病对男男性行为者和少数族裔黑人的影响似乎尤为严重，且集中在城市地区。其诊断需要适当地进行微生物检测，在性健康诊所使用即时检验显微镜检查通常可以快速做出诊断。早期诊断以及有效、快速的治疗对于降低受感染个体的发病率以及感染传播所带来的公共卫生风险至关重要。
