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津巴布韦针对重点人群的梅毒检测有限:一种潜在的公共卫生威胁。

Limited syphilis testing for key populations in Zimbabwe: A silent public health threat.

作者信息

Dzobo Mathias, Dzinamarira Tafadzwa, Murewanhema Grant, Madziva Roda, Herrera Helena, Musuka Godfrey

机构信息

School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Unit of Obstetrics and Gynecology, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.

出版信息

S Afr J Infect Dis. 2022 Jun 10;37(1):385. doi: 10.4102/sajid.v37i1.385. eCollection 2022.

DOI:10.4102/sajid.v37i1.385
PMID:35815225
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9257705/
Abstract

In this article, the authors discuss the problem of high prevalences of active syphilis amongst key populations (KPs) in Zimbabwe, in combination with low testing rates, partly because of a difficult legal and social environment for these populations. The article highlights the need to develop strategies to address the high prevalence of syphilis amongst KPs. The authors discuss requirements for addressing deficits in existing clinical services, predominantly primary care settings, in providing primary healthcare, including sexually transmitted infection (STI) management, to Zimbabwe's KP communities and utility of point-of-care testing and self-testing and other innovations to improve testing uptake.

摘要

在本文中,作者讨论了津巴布韦重点人群中梅毒感染率居高不下的问题,同时检测率较低,部分原因是这些人群面临艰难的法律和社会环境。文章强调需要制定战略来解决重点人群中梅毒感染率高的问题。作者讨论了弥补现有临床服务(主要是初级保健机构)在为津巴布韦重点人群社区提供包括性传播感染管理在内的初级医疗保健方面的不足的要求,以及即时检测和自我检测等创新措施在提高检测接受度方面的作用。

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本文引用的文献

1
High Burden of Active Syphilis and Human Immunodeficiency Virus/Syphilis Coinfection Among Men Who Have Sex With Men, Transwomen, and Genderqueer Individuals in Zimbabwe.津巴布韦男男性行为者、跨性别女性和性别酷儿人群中活跃性梅毒和人类免疫缺陷病毒/梅毒合并感染的高负担。
Sex Transm Dis. 2022 Feb 1;49(2):111-116. doi: 10.1097/OLQ.0000000000001553.
2
Syphilis self-testing to expand test uptake among men who have sex with men: a theoretically informed mixed methods study in Zimbabwe.梅毒自我检测在男男性行为者中扩大检测:津巴布韦一项基于理论的混合方法研究。
Sex Transm Infect. 2022 May;98(3):197-202. doi: 10.1136/sextrans-2020-054911. Epub 2021 Apr 29.
3
The impact of antenatal syphilis point of care testing on pregnancy outcomes: A systematic review.产前梅毒即时检测对妊娠结局的影响:一项系统评价。
PLoS One. 2021 Mar 25;16(3):e0247649. doi: 10.1371/journal.pone.0247649. eCollection 2021.
4
Sexually transmitted infection screening, prevalence and incidence among South African men and transgender women who have sex with men enrolled in a combination HIV prevention cohort study: the Sibanye Methods for Prevention Packages Programme (MP3) project.性传播感染筛查、南非男男性行为者和跨性别女性中的流行率和发生率,这些人群参加了一项组合 HIV 预防队列研究:Sibanye 预防方案包项目 (MP3)。
J Int AIDS Soc. 2020 Oct;23 Suppl 6(Suppl 6):e25594. doi: 10.1002/jia2.25594.
5
Key Stakeholders' Perspectives on Implementation and Scale up of HIV Self-Testing in Rwanda.卢旺达主要利益相关者对实施和扩大艾滋病毒自我检测的看法
Diagnostics (Basel). 2020 Apr 1;10(4):194. doi: 10.3390/diagnostics10040194.
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Dried Blood Spot Tests for the Diagnosis and Therapeutic Monitoring of HIV and Viral Hepatitis B and C.用于HIV及乙型和丙型病毒性肝炎诊断与治疗监测的干血斑检测
Front Microbiol. 2020 Mar 9;11:373. doi: 10.3389/fmicb.2020.00373. eCollection 2020.
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Risk attitudes, risky sexual behaviours and willingness to test negative for syphilis using lottery-based financial incentives among Chinese men who have sex with men.中国男男性行为者的风险态度、高危性行为与使用彩票式经济激励检测梅毒阴性的意愿
Sex Transm Infect. 2020 Aug;96(5):355-357. doi: 10.1136/sextrans-2019-054072. Epub 2019 Oct 25.
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Accurate dried blood spots collection in the community using non-medically trained personnel could support scaling up routine viral load testing in resource limited settings.在社区中使用非医务人员采集准确的干血斑样本,可以支持在资源有限的环境中扩大常规病毒载量检测。
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Clin Infect Dis. 2020 May 6;70(10):2178-2186. doi: 10.1093/cid/ciz603.