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青少年和成人单纯型沙眼衣原体感染的诊断与治疗:2015 年美国疾病控制与预防中心性传播疾病治疗指南中评估证据的概要。

Diagnosis and Management of Uncomplicated Chlamydia trachomatis Infections in Adolescents and Adults: Summary of Evidence Reviewed for the 2015 Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines.

机构信息

Departments of Medicine and Epidemiology, Division of Infectious Diseases, University of Alabama at Birmingham.

出版信息

Clin Infect Dis. 2015 Dec 15;61 Suppl 8:S774-84. doi: 10.1093/cid/civ694.

Abstract

In preparation for the 2015 Centers for Disease Control and Prevention (CDC) Sexually Transmitted Diseases (STD) Treatment Guidelines, the CDC convened an advisory group in 2013 to examine recent abstracts and published literature addressing the epidemiology, diagnosis, and management of STDs. This article summarizes the key questions, evidence, and recommendations for the diagnosis and management of uncomplicated Chlamydia trachomatis (CT) infection in adolescents and adults that were considered in development of the 2015 CDC STD Treatment Guidelines. The evidence reviewed primarily focused on CT infection risk factors in women, clinical significance of oropharyngeal CT detection, acceptability and performance of CT testing on self-collected specimens in men, performance of CT point-of-care tests, efficacy of recommended and investigational CT infection treatments, and timing of test of cure following CT infection treatment in pregnant women.

摘要

为准备 2015 年疾病预防控制中心(CDC)性传播疾病(STD)治疗指南,CDC 于 2013 年召集了一个咨询小组,审查了近期关于性传播疾病的流行病学、诊断和管理的摘要和已发表文献。本文总结了制定 2015 年 CDC STD 治疗指南时考虑的用于诊断和治疗青少年和成人单纯性沙眼衣原体(CT)感染的关键问题、证据和建议。所审查的证据主要集中在女性 CT 感染的危险因素、口咽 CT 检测的临床意义、男性自我采集标本进行 CT 检测的可接受性和性能、CT 即时检测的性能、推荐和研究性 CT 感染治疗的疗效,以及孕妇 CT 感染治疗后治愈测试的时间。

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