Assi Roland, Hashim Peter W, Reddy Vikram B, Einarsdottir Hulda, Longo Walter E
Roland Assi, Peter W Hashim, Vikram B Reddy, Hulda Einarsdottir, Walter E Longo, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, United States.
World J Gastroenterol. 2014 Nov 7;20(41):15262-8. doi: 10.3748/wjg.v20.i41.15262.
Sexually transmitted infections (STIs) represent a significant public health concern. Several STIs, once thought to be on the verge of extinction, have recently reemerged. This change is thought to be partially related to an increase in STIs of the anus and rectum. Importantly, the global human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) epidemic has contributed to the emergence of particular anorectal lesions that require specialized approaches. In this report, we review common anorectal STIs that are frequently referred to colorectal surgeons in the United States. Epidemiology, clinical presentation, and management are summarized, including the latest treatment recommendations. The particularity of anorectal diseases in HIV/AIDS is addressed, along with recent trends in anal cytology and human papillomavirus vaccination.
性传播感染(STIs)是一个重大的公共卫生问题。几种曾被认为濒临绝迹的性传播感染最近又重新出现了。这种变化被认为部分与肛门和直肠性传播感染的增加有关。重要的是,全球人类免疫缺陷病毒和获得性免疫缺陷综合征(HIV/AIDS)疫情导致了一些需要特殊治疗方法的特定肛门直肠病变的出现。在本报告中,我们回顾了在美国经常被转诊给结直肠外科医生诊治的常见肛门直肠性传播感染。总结了其流行病学、临床表现及治疗方法,并包括最新的治疗建议。还讨论了HIV/AIDS患者肛门直肠疾病的特殊性以及肛门细胞学和人乳头瘤病毒疫苗接种的最新趋势。