更新性传播感染的管理。
Updating the management of sexually transmitted infections.
作者信息
Ooi Catriona, Lewis David
机构信息
University of Sydney.
出版信息
Aust Prescr. 2015 Dec;38(6):204-8. doi: 10.18773/austprescr.2015.070. Epub 2015 Dec 1.
Abstract
The control of sexually transmitted infections relies on case-finding and treatment of sexual contacts to prevent further transmission. Screening for infections should be tailored to the demographic and sexual risk of the individual. For most sexually transmitted infections, screening is performed on self-collected, non-invasive samples using highly sensitive molecular assays. These are quick and inexpensive. Shorter courses of antivirals for genital herpes are now recommended. New chemoprophylactic strategies for preventing HIV transmission have emerged, including treatment to prevent transmission and the use of antiretrovirals for pre-exposure prophylaxis.
摘要
性传播感染的控制依赖于病例发现以及对性接触者的治疗，以防止进一步传播。感染筛查应根据个体的人口统计学特征和性风险进行调整。对于大多数性传播感染，使用高灵敏度分子检测法对自我采集的非侵入性样本进行筛查。这些检测快速且成本低廉。现在推荐使用疗程更短的抗疱疹病毒药物治疗生殖器疱疹。预防艾滋病毒传播的新化学预防策略已经出现，包括预防性治疗以及使用抗逆转录病毒药物进行暴露前预防。
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