Yasuda Jinsuke
Department of Obstetrics and Gynecology, Matsushita Memorial Hospital.
Nihon Rinsho. 2009 Jan;67(1):162-6.
Trichomonas vaginalis is the most common curable sexually transmitted disease worldwide. In spite of serious health sequelae including facilitation of HIV transmission, PID, and adverse outcomes of pregnancy, it remains an underestimated condition, as a half of female infections and the majority of male infections are asymptomatic. T. vaginalis infection was not restricted in high-risk groups, so screening or empiric treatment of low-risk groups should be considered. To develop diagnostic tests which is valuable like PCR and cheap like wet mount microscopy, and the targeted screening of asymptomatic patients will allow a large understanding of T. vaginalis epidemiology and raises concern about the impact of HIV transmission and female reproductive health. T. vaginalis can no longer be ignored.
阴道毛滴虫是全球最常见的可治愈性传播疾病。尽管它会导致包括促进艾滋病毒传播、盆腔炎以及妊娠不良结局等严重健康后果,但由于一半的女性感染和大多数男性感染是无症状的,它仍然是一种被低估的疾病。阴道毛滴虫感染并不局限于高危人群,因此应考虑对低危人群进行筛查或经验性治疗。开发像聚合酶链反应(PCR)一样有价值且像湿片显微镜检查一样便宜的诊断测试,以及对无症状患者进行针对性筛查,将有助于深入了解阴道毛滴虫的流行病学,并引发对艾滋病毒传播影响和女性生殖健康的关注。阴道毛滴虫再也不能被忽视了。