Indiana University School of Medicine, 635 North Barnhill, Suite 224, Indianapolis, IN, 46202, USA,
Curr Infect Dis Rep. 2010 May;12(3):225-30. doi: 10.1007/s11908-010-0096-1.
Vaginal infections are one of the most common reasons for medical healthcare visits in the United States and Western Europe. These diseases are also significantly associated with HIV acquisition in resource-constrained settings throughout the world. However, despite ample opportunity to improve diagnosis, and therefore management, of vaginitis and vaginosis, the healthcare community continues to rely on diagnostic methods with poor performance characteristics. This state of affairs results in part from the lack of a public health mandate to reduce the burden of these infections in women. Without such a mandate, there is a lack of funding for reimbursement for more sensitive and specific diagnostic assays. Sensitive assays do exist for these infections, and their use should be encouraged when appropriate for clinical care.
阴道感染是美国和西欧医疗保健就诊的最常见原因之一。在世界各地资源有限的情况下，这些疾病也与艾滋病毒的获得显著相关。然而，尽管有充分的机会改善阴道炎和细菌性阴道病的诊断，从而改善其管理，但医疗保健界仍继续依赖性能特征不佳的诊断方法。这种情况部分是由于缺乏公共卫生任务来减轻这些感染对女性的负担。如果没有这样的任务，就缺乏为更敏感和特异的诊断检测提供报销的资金。这些感染确实存在敏感的检测方法，在适当的临床护理中应鼓励使用。
