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检测盆腔炎患者解脲支原体感染情况:一项临床审计。

Testing for Mycoplasma genitalium in pelvic inflammatory disease: A clinical audit.

机构信息

Rotational Resident Medical Officer, Gold Coast University Hospital, Gold Coast, Queensland, Australia.

Sexual Health Consultant, Gold Coast Sexual Health Service, Gold Coast, Queensland, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2022 Dec;62(6):826-829. doi: 10.1111/ajo.13609. Epub 2022 Sep 11.

Abstract

The records of women attending Gold Coast health hospital sites were retrospectively analysed to determine if women diagnosed with pelvic inflammatory disease (PID) were being tested for Mycoplasma genitalium (MG). Only 11.4% of 299 women were tested for MG despite 74.2% being tested for Chlamydia trichomonas (CT) and Neisseria gonorrhoeae (NG). Only 9% of the women were treated with antibiotics which would treat macrolide-sensitive MG infection. Increasing education and awareness of MG and utilising reflex macrolide testing for MG will help direct effective antibiotic therapy and prevent the long-term sequalae of PID.

摘要

对前往黄金海岸卫生医院就诊的女性患者的记录进行了回顾性分析,以确定是否对诊断为盆腔炎(PID)的女性进行了支原体属生殖器(MG)检测。尽管对 74.2%的患者进行了沙眼衣原体(CT)和淋病奈瑟菌(NG)检测,但仅有 299 名女性中的 11.4%接受了 MG 检测。只有 9%的女性接受了可治疗大环内酯类敏感 MG 感染的抗生素治疗。增加对 MG 的教育和认识,并利用 MG 的反射性大环内酯类检测,将有助于指导有效的抗生素治疗,并预防 PID 的长期后遗症。

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本文引用的文献

1
Resistance-guided treatment of infection at a UK sexual health centre.英国性健康中心基于耐药性指导的感染治疗。
Int J STD AIDS. 2021 Jul;32(8):758-765. doi: 10.1177/0956462420987764. Epub 2021 Mar 23.
3
Emerging macrolide resistance in Mycoplasma genitalium.生殖支原体中日益出现的大环内酯类耐药性。
Lancet Infect Dis. 2020 Nov;20(11):1222-1223. doi: 10.1016/S1473-3099(20)30462-X. Epub 2020 Jul 2.
6
9
CT findings of acute pelvic inflammatory disease.急性盆腔炎的CT表现。
Abdom Imaging. 2014 Dec;39(6):1350-5. doi: 10.1007/s00261-014-0158-1.

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