男男性行为者中的性传播感染
Sexually transmitted infections in men who have sex with men.
作者信息
de Vries Henry J C
机构信息
STI Outpatient Clinic, Cluster of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Post Office Box 22700, 1100 DE, University of Amsterdam, Amsterdam, The Netherlands; Centre for Infection and Immunity Amsterdam (CINIMA) Academic Medical Centre University of Amsterdam, Amsterdam, The Netherlands; Centre for Infectious Diseases Control National Institute for Public Health and the Environment (CIb/RIVM), Bilthoven, The Netherlands.
出版信息
Clin Dermatol. 2014 Mar-Apr;32(2):181-8. doi: 10.1016/j.clindermatol.2013.08.001.
Homosexuality is a global human phenomenon. Although the American Psychiatric Association removed homosexuality from its list of disorders more than 35years ago, homophobia among physicians is still widely prevalent. Men who have sex with men (MSM) form a relatively new epidemiological risk group for STI. To perform correct management, clinicians evaluating men with male-male sex contacts for STI related complaints or STI screening must obtain a thorough sexual history. Emerging STI like lymphogranuloma venereum, hepatitis C, and multidrug resistant N. gonorrhea strains have been described first in MSM. STI related proctitis often occur in MSM. Within the MSM population, HIV positive patients form a special group affected by STI related diseases, such as anal carcinoma and neurosyphilis. The final part of this review concludes with recommendations to reduce the STI burden in MSM.
同性恋是一种全球人类现象。尽管美国精神病学协会在35多年前就将同性恋从其疾病列表中删除，但医生中的恐同现象仍然广泛存在。男男性行为者（MSM）构成了一个相对较新的性传播感染（STI）流行病学风险群体。为了进行正确的管理，临床医生在评估有男男性接触史的男性的性传播感染相关投诉或进行性传播感染筛查时，必须获取详尽的性病史。诸如性病性淋巴肉芽肿、丙型肝炎和多重耐药淋病奈瑟菌菌株等新出现的性传播感染最初是在男男性行为者中被描述的。性传播感染相关的直肠炎经常发生在男男性行为者中。在男男性行为者群体中，艾滋病毒阳性患者构成了一个受性传播感染相关疾病影响的特殊群体，如肛门癌和神经梅毒。本综述的最后一部分给出了减轻男男性行为者中性传播感染负担的建议。
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