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[避孕套预防性传播疾病的有效性]

[Condom effectiveness to prevent sexually transmitted diseases].

作者信息

Vera Eduardo Gayón, Orozco Hilda Hernández, Soto Selene Sam, Aburto Esther Lombardo

机构信息

Servicio de ginecología de la infancia y la adolescencia, Instituto Nacional de Pediatria, México.

出版信息

Ginecol Obstet Mex. 2008 Feb;76(2):88-96.

Abstract

BACKGROUND

Sexual transmitted diseases (included HIV/AIDS) are a common and preventable cause of perinatal morbidity and mortality. When used consistently and correctly, condoms are effective to prevent these diseases, however, its protection does not account for 100%.

OBJECTIVE

To know the effectiveness of male condom, through bibliographic evidence, to prevent sexual transmitted infections in heterosexual serodiscordant partners.

MATERIAL AND METHODS

A bibliographical review of Medline/Pubmed, LILACS and Cochrane databases, and publications of the National Health Institutes, Centers for Disease Control and Prevention, World Health Organization, and WHO AIDS Global Program was done to analyze male condom effectiveness to prevent sexual transmitted diseases.

RESULTS

Reports demonstrated that male condom protection against HIV/AIDS in heterosexual serodiscordant partners goes from 60 to 95%. Most recent information (2006) showed 80%. Two studies demonstrated no HPV protection with male condom, and another one 70% of protection. Male condom demonstrated no HPV-1 protection, but decrease of risk in HVS-2 transmission in women (0.85 of protection).

CONCLUSION

Male condom protection against sexual transmitted diseases is not 100%. There must be used additional measures that have demonstrated its utility to decrease transmission risk.

摘要

背景

性传播疾病(包括艾滋病毒/艾滋病)是围产期发病和死亡的常见且可预防的原因。如果始终正确使用,避孕套可有效预防这些疾病,然而,其防护效果并非100%。

目的

通过文献证据了解男用避孕套在预防异性血清学不一致伴侣间性传播感染方面的有效性。

材料与方法

对Medline/Pubmed、LILACS和Cochrane数据库以及美国国立卫生研究院、疾病控制与预防中心、世界卫生组织和世卫组织艾滋病全球规划的出版物进行文献综述,以分析男用避孕套预防性传播疾病的有效性。

结果

报告表明,男用避孕套对异性血清学不一致伴侣预防艾滋病毒/艾滋病的有效率为60%至95%。最新信息(2006年)显示为80%。两项研究表明男用避孕套对人乳头瘤病毒无防护作用,另一项研究显示防护率为70%。男用避孕套对人乳头瘤病毒1型无防护作用,但可降低女性感染人乳头瘤病毒2型的风险(防护率为0.85)。

结论

男用避孕套预防性传播疾病的效果并非100%。必须采用已证明可降低传播风险的其他措施。

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