Hilbert SueLin M, Reno Hilary E L
Department of Emergency Medicine, Washington University in St. Louis, 660 S. Euclid Campus Box 8072, St. Louis, MO 63110, USA.
Division of Infectious Disease, Washington University in St. Louis, Campus Box 8051, 4523 Clayton Avenue, St Louis, MO 63110, USA.
Emerg Med Clin North Am. 2018 Nov;36(4):767-776. doi: 10.1016/j.emc.2018.06.007. Epub 2018 Sep 6.
Sexually transmitted infections (STI) are very common infections in the United States. Most patients with STIs are evaluated and treated in primary care settings; however, many also present to the Emergency Department (ED) for initial care. Management of STIs in the ED includes appropriate testing and treatment per CDC Sexually Transmitted Diseases Treatment Guidelines. Although most patients with STIs are asymptomatic or may only exhibit mild symptoms, serious complications from untreated infection are possible. Pregnant women with STIs are particularly vulnerable to serious complications; therefore, empiric ED treatment combined with close follow-up care and referral to obstetrics are paramount.
性传播感染(STI)在美国是非常常见的感染。大多数性传播感染患者在初级保健机构接受评估和治疗;然而,也有许多患者会前往急诊科(ED)接受初始治疗。急诊科对性传播感染的管理包括根据美国疾病控制与预防中心(CDC)性传播疾病治疗指南进行适当的检测和治疗。虽然大多数性传播感染患者没有症状或可能仅表现出轻微症状,但未经治疗的感染可能会导致严重并发症。患有性传播感染的孕妇尤其容易出现严重并发症;因此,急诊科的经验性治疗、密切的后续护理以及转诊至产科至关重要。