Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA 30333, USA.
MMWR Recomm Rep. 2010 Dec 17;59(RR-12):1-110.
These guidelines for the treatment of persons who have or are at risk for sexually transmitted diseases (STDs) were updated by CDC after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta on April 18-30, 2009. The information in this report updates the 2006 Guidelines for Treatment of Sexually Transmitted Diseases (MMWR 2006;55[No. RR-11]). Included in these updated guidelines is new information regarding 1) the expanded diagnostic evaluation for cervicitis and trichomoniasis; 2) new treatment recommendations for bacterial vaginosis and genital warts; 3) the clinical efficacy of azithromycin for chlamydial infections in pregnancy; 4) the role of Mycoplasma genitalium and trichomoniasis in urethritis/cervicitis and treatment-related implications; 5) lymphogranuloma venereum proctocolitis among men who have sex with men; 6) the criteria for spinal fluid examination to evaluate for neurosyphilis; 7) the emergence of azithromycin-resistant Treponema pallidum; 8) the increasing prevalence of antimicrobial-resistant Neisseria gonorrhoeae; 9) the sexual transmission of hepatitis C; 10) diagnostic evaluation after sexual assault; and 11) STD prevention approaches.
这些性传播疾病(性病)感染者或高危人群治疗指南是 CDC 在与 2009 年 4 月 18 日至 30 日在亚特兰大举行的、由一批在性病领域具有专业知识的人士进行磋商后修订的。本报告中的信息更新了 2006 年性传播疾病治疗指南(MMWR 2006;55[No. RR-11])。这些更新的指南中包括以下新信息:1)宫颈炎和滴虫病的扩展诊断评估;2)细菌性阴道病和生殖器疣的新治疗建议;3)阿奇霉素治疗妊娠期衣原体感染的临床疗效;4)生殖支原体和滴虫病在尿道炎/宫颈炎中的作用以及治疗相关影响;5)男男性行为者中的直肠结肠炎;6)评估神经梅毒的脑脊液检查标准;7)耐阿奇霉素苍白密螺旋体的出现;8)耐抗生素淋病奈瑟菌的流行率增加;9)丙型肝炎的性传播;10)性侵犯后的诊断评估;11)性病预防方法。