Ross J D C, Jensen J S
Whittall Street Clinic, Whittall Street, Birmingham B4 6DH, UK.
Sex Transm Infect. 2006 Aug;82(4):269-71. doi: 10.1136/sti.2005.017368.
The evidence that Mycoplasma genitalium is a sexually transmitted pathogen is virtually incontrovertible based on both the concordance rates among partners and on DNA typing showing the same sequence type among partners in contrast to unrelated M genitalium positive patients. The implications that this has for the screening, testing, and treatment of patients is less certain however. Which tests are the most sensitive and specific, what samples are most appropriate, who should be tested, what treatment is best and how should partners be managed?
基于性伴侣间的一致性率以及DNA分型显示性伴侣间具有相同序列类型(与不相关的生殖支原体阳性患者形成对比),生殖支原体是性传播病原体这一证据几乎确凿无疑。然而,这对患者的筛查、检测和治疗的影响却不太确定。哪些检测最敏感、最具特异性,哪些样本最合适,谁应该接受检测,什么治疗方法最佳,以及应该如何管理性伴侣?