为在城市医院诊所就诊的堕胎患者提供常规阴道毛滴虫检测。
Offering routine trichomonas vaginalis testing to patients presenting for abortion at an urban hospital-based clinic.
机构信息
University of California San Francisco School of Medicine, San Francisco, CA, United States.
University of California San Francisco Department of Obstetrics, Gynecology & Reproductive Sciences, San Francisco, CA, United States.
出版信息
Contraception. 2021 Jun;103(6):423-425. doi: 10.1016/j.contraception.2021.01.011. Epub 2021 Feb 1.
INTRODUCTION
The Centers for Disease Control and Prevention recommend considering screening asymptomatic women for trichomonas in high-prevalence settings. Whether urban abortion clinics constitute such a setting is unknown.
MATERIAL AND METHODS
We offered trichomonas screening to patients presenting for abortion from October 2018 to February 2019 as a practice improvement and conducted a chart review.
RESULTS
Ninety-two percent (593/644) of patients underwent testing. Trichomonas prevalence was 10.0% (95% CI 7.7-12.6). Ninety five percent of patients diagnosed were treated. Testing only symptomatic patients would have missed 98% of infections.
CONCLUSIONS
Trichomonas was highly prevalent, and universal testing and treatment was feasible in an urban abortion clinic.
简介
疾病控制与预防中心建议在高感染率地区考虑对无症状女性进行滴虫筛查。但尚不清楚城市堕胎诊所是否属于这种环境。
材料与方法
我们在 2018 年 10 月至 2019 年 2 月期间为前来堕胎的患者提供了滴虫筛查，作为一项实践改进措施，并进行了病历回顾。
结果
92%（593/644）的患者接受了检测。滴虫感染率为 10.0%（95%CI7.7-12.6）。诊断出的患者中有 95%接受了治疗。仅对有症状的患者进行检测，将错过 98%的感染。
结论
滴虫病的感染率很高，在城市堕胎诊所进行普遍检测和治疗是可行的。
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