HIV 感染性传播疾病管理中的新问题。

Emerging issues in management of sexually transmitted diseases in HIV infection.

机构信息

Division of Allergy & Infectious Diseases, University of Washington, Harborview Medical Center, Center for AIDS and STD, 325 Ninth Avenue, Mailbox #359931, Seattle, WA 98104-2499, USA.

出版信息

Curr Infect Dis Rep. 2007 Nov;9(6):518-30. doi: 10.1007/s11908-007-0077-1.

DOI:10.1007/s11908-007-0077-1

PMID:17999888

Abstract

Sexually transmitted diseases (STDs) occur often among sexually active persons with HIV infection. Incident STDs may complicate the course of HIV infection and potentiate HIV transmission in the coinfected individual by mucosal disruption and an increase in HIV concentration in ulcers and involved mucous membranes. Conducting ongoing periodic sexual risk assessments in HIV-positive patients in routine medical care is critical to identifying asymptomatic infections. HIV clinicians should be familiar with updated recommendations for screening, diagnosis, and treatment of bacterial and viral STDs, including those specific to HIV infection. This article addresses emerging issues in the management of STDs in HIV-infected persons and summarizes the latest evidence that can be applied to clinical decision-making in this population.

摘要

性传播疾病（STDs）在 HIV 感染的性活跃人群中经常发生。新发 STD 可能会使 HIV 感染的病程复杂化，并通过黏膜破坏和溃疡及受累黏膜中 HIV 浓度增加，使合并感染个体的 HIV 传播能力增强。在常规医疗护理中对 HIV 阳性患者进行持续定期的性风险评估，对于识别无症状感染至关重要。HIV 临床医生应熟悉最新的细菌和病毒 STD 筛查、诊断和治疗建议，包括针对 HIV 感染的具体建议。本文讨论了 HIV 感染者 STD 管理中的新问题，并总结了可用于该人群临床决策的最新证据。