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性传播感染(STI)的微生物学诊断:第1部分。非病毒性STI

[Microbiological diagnosis of sexually transmitted infections (STI): Part 1. Non-viral STI].

作者信息

Martínez M Angélica T

机构信息

Programa de Microbiología y Micología, ICBM, Facultad de Medicina, Universidad de Chile, Sanitago, Chile.

出版信息

Rev Chilena Infectol. 2009 Dec;26(6):529-39. Epub 2009 Dec 21.

Abstract

Non-viral sexually transmitted infections (STI) are an important cause of physical, psychological and social distress, have severe consequences for women's reproductive health and may be transmitted to the newborn child. These infections are also risk factors for the acquisition and transmission of HIV and other STI, and for premature labor. In the last years we have observed a gradual decrease in the national incidence of gonorrhea. The implementation of a screening program in our country for Chlamydia trachomatis is necessary, since up to 80% of infections in women are asymptomatic. Due to medical, psychosocial and legal reasons, laboratory diagnosis of STI has to be certain. This offers a great challenge to laboratories. Since etiological agents are susceptible to environmental conditions, present a high adaptation to their human host and have particular physiological characteristics, their laboratory diagnosis is more difficult than diagnosis of conventional microorganisms. Otherwise, the diagnostic techniques currently available for non-viral STI are characterized by their excellent sensitivity and specificity, which result of great interest given the curable nature of these infections. Clinical specimens obtained for diagnosis of STI and other genital infections, such as bacterial vaginosis or Candidiasis represent a large proportion of specimens processed by clinical laboratories. Thus, the creation of norms and quality control guidelines for laboratories which diagnose these infections, and also the epidemiologic and genetic surveillance of circulating sex transmitted microorganisms should be considered a priority in our country. The objective of this study is to review current literature on accurate diagnostic procedures especially for three non-viral STI agents: C. trachomatis, N. gonorrhoeae, and Trichomonas vaginalis.

摘要

非病毒性传播感染(STI)是导致身体、心理和社会困扰的重要原因,对女性生殖健康有严重后果,还可能传播给新生儿。这些感染也是感染和传播艾滋病毒及其他性传播感染以及早产的危险因素。在过去几年中,我们观察到全国淋病发病率逐渐下降。在我国实施沙眼衣原体筛查计划很有必要,因为高达80%的女性感染是无症状的。由于医学、心理社会和法律原因,性传播感染的实验室诊断必须准确。这给实验室带来了巨大挑战。由于病原体易受环境条件影响,对人类宿主有高度适应性且具有特殊生理特征,其实验室诊断比传统微生物的诊断更困难。否则,目前可用于非病毒性传播感染的诊断技术具有出色的敏感性和特异性,鉴于这些感染可治愈的性质,这一点非常重要。用于诊断性传播感染和其他生殖器感染(如细菌性阴道病或念珠菌病)的临床标本占临床实验室处理标本的很大比例。因此,制定诊断这些感染的实验室规范和质量控制指南,以及对传播的性传播微生物进行流行病学和基因监测,应被视为我国的优先事项。本研究的目的是回顾当前关于准确诊断程序的文献,特别是针对三种非病毒性传播感染病原体:沙眼衣原体、淋病奈瑟菌和阴道毛滴虫。

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