University of Washington and Public Health - Seattle & King County, Seattle, Washington (J.C.D.).
Ann Intern Med. 2021 Oct;174(10):ITC145-ITC160. doi: 10.7326/AITC202110190. Epub 2021 Oct 12.
Gonorrhea and chlamydia rates have risen to record-high levels in the United States over the past decade. Because these infections are often asymptomatic, effective clinical management relies on screening of asymptomatic patients, particularly women younger than 25 years and men who have sex with men. If undetected and untreated, gonorrhea and chlamydia can lead to infertility, ectopic pregnancy, and chronic pelvic pain and can facilitate HIV acquisition and transmission. Primary care providers need to be aware of recent changes in recommended treatments for both infections.
在过去的十年中，美国淋病和衣原体感染率上升至历史新高。由于这些感染通常无症状，有效的临床管理依赖于对无症状患者的筛查，特别是年龄小于 25 岁的女性和男男性行为者。如果未被发现和治疗，淋病和衣原体可导致不孕、宫外孕和慢性盆腔疼痛，并可促进 HIV 的获得和传播。初级保健提供者需要了解这两种感染的推荐治疗方案最近发生的变化。
