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《2006年性传播疾病治疗指南》

Sexually transmitted diseases treatment guidelines, 2006.

作者信息

Workowski Kimberly A, Berman Stuart M

机构信息

Division of STD Prevention, National Center for HIV, Viral Hepatitis, STDs, and Tuberculosis Prevention, Atlanta, GA 30333, USA.

出版信息

MMWR Recomm Rep. 2006 Aug 4;55(RR-11):1-94.

Abstract

These guidelines for the treatment of persons who have sexually transmitted diseases (STDs) were developed by CDC after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta, Georgia, during April 19-21, 2005. The information in this report updates the Sexually Transmitted Diseases Treatment Guidelines, 2002 (MMWR 2002;51[No. RR-6]). Included in these updated guidelines are an expanded diagnostic evaluation for cervicitis and trichomoniasis; new antimicrobial recommendations for trichomoniasis; additional data on the clinical efficacy of azithromycin for chlamydial infections in pregnancy; discussion of the role of Mycoplasma genitalium and trichomoniasis in urethritis/cervicitis and treatment-related implications; emergence of lymphogranuloma venereum protocolitis among men who have sex with men (MSM); expanded discussion of the criteria for spinal fluid examination to evaluate for neurosyphilis; the emergence of azithromycin- resistant Treponema pallidum; increasing prevalence of quinolone-resistant Neisseria gonorrhoeae in MSM; revised discussion concerning the sexual transmission of hepatitis C; postexposure prophylaxis after sexual assault; and an expanded discussion of STD prevention approaches.

摘要

这些性传播疾病(STD)患者治疗指南由美国疾病控制与预防中心(CDC)制定,制定前曾于2005年4月19日至21日在佐治亚州亚特兰大与一群在性传播疾病领域知识渊博的专业人员进行了磋商。本报告中的信息更新了《2002年性传播疾病治疗指南》(《发病率与死亡率周报》2002年;51[第RR - 6号])。这些更新后的指南包括对宫颈炎和滴虫病的诊断评估扩展;针对滴虫病的新抗菌建议;阿奇霉素治疗妊娠期衣原体感染临床疗效的更多数据;生殖支原体和滴虫病在尿道炎/宫颈炎中的作用及治疗相关影响的讨论;男男性行为者(MSM)中出现的性病性淋巴肉芽肿直肠炎;评估神经梅毒时脑脊液检查标准的扩展讨论;阿奇霉素耐药梅毒螺旋体的出现;男男性行为者中耐喹诺酮淋病奈瑟菌患病率的增加;关于丙型肝炎性传播的修订讨论;性侵犯后的暴露后预防;以及性传播疾病预防方法的扩展讨论。

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