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强奸与性传播疾病:泌尿生殖医学科的转诊模式与发病率

Rape and sexually transmitted diseases: patterns of referral and incidence in a department of genitourinary medicine.

作者信息

Ross J D, Scott G R, Busuttil A

机构信息

Department of Genitourinary Medicine, Edinburgh Royal Infirmary.

出版信息

J R Soc Med. 1991 Nov;84(11):657-9. doi: 10.1177/014107689108401109.

DOI:10.1177/014107689108401109
PMID:1744870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1295467/
Abstract

A retrospective study was carried out of all women attending a Department of Genitourinary Medicine over a 3-year period. Note was taken of referring source, presenting symptoms, infection detected at STD screening and follow-up attendance. Comparison was also made between the number of women referred by the police surgeon and the number who actually attended. We observed an overall incidence of STD of 35% and noted that many infections had a similar prevalence to that of our normal clinic population over the same time period. Only 13% of the women referred by the police attended although after the initial visit attendance was similar regardless of referral source. A number of asymptomatic women were noted to have infection with Neisseria gonorrhoeae and Chlamydia trachomatis. Although, the risk of significant STD following sexual assault is low greater efforts should be made to encourage women to attend for screening whether or not they are symptomatic.

摘要

对泌尿生殖医学科3年内接待的所有女性进行了一项回顾性研究。记录了转诊来源、出现的症状、性传播疾病筛查中检测到的感染情况以及后续就诊情况。还比较了警方外科医生转诊的女性人数与实际就诊的女性人数。我们观察到性传播疾病的总体发病率为35%,并注意到许多感染的患病率与同期我们普通门诊人群的患病率相似。警方转诊的女性中只有13%前来就诊,不过初次就诊后,无论转诊来源如何,就诊率都相似。注意到一些无症状女性感染了淋病奈瑟菌和沙眼衣原体。虽然性侵犯后发生严重性传播疾病的风险较低,但应做出更大努力鼓励女性前来筛查,无论她们是否有症状。

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本文引用的文献

1
Incidence of sexually transmitted diseases in rape victims during 1984.1984年强奸受害者中性传播疾病的发病率。
Genitourin Med. 1986 Aug;62(4):267-9. doi: 10.1136/sti.62.4.267.
2
Epidemiology of sexually transmitted diseases in rape victims.强奸受害者中性传播疾病的流行病学。
Rev Infect Dis. 1989 Mar-Apr;11(2):246-54. doi: 10.1093/clinids/11.2.246.
3
Rape and subsequent seroconversion to HIV.强奸及随后发生的HIV血清阳转。
BMJ. 1989 Sep 16;299(6701):718. doi: 10.1136/bmj.299.6701.718.
4
Sexually transmitted diseases in rape victims.强奸受害者中的性传播疾病
Genitourin Med. 1990 Dec;66(6):433-8. doi: 10.1136/sti.66.6.433.
5
Sexually transmitted diseases in victims of rape.强奸受害者中的性传播疾病
N Engl J Med. 1990 Mar 15;322(11):713-6. doi: 10.1056/NEJM199003153221101.
6
Sexually transmitted diseases and rape: the experience of a sexual assault centre.性传播疾病与强奸:一家性侵犯中心的经验
Int J STD AIDS. 1990 Nov;1(6):405-9. doi: 10.1177/095646249000100603.
7
Rape, sexually transmitted diseases and human immunodeficiency virus infection.强奸、性传播疾病和人类免疫缺陷病毒感染。
Int J STD AIDS. 1990 Mar;1(2):79-82. doi: 10.1177/095646249000100201.
8
Rape, STDs and HIV.强奸、性传播疾病与艾滋病病毒
Int J STD AIDS. 1990 Jul;1(4):291-2. doi: 10.1177/095646249000100416.