Hocking Jane S, Geisler William M, Kong Fabian Y S
Melbourne School of Population and Global Health, University of Melbourne, 3/207 Bouverie Street, Carlton South, Melbourne, Victoria, Australia 3053.
Department of Medicine, University of Alabama at Birmingham, 703 19th Street South, ZRB 242, Birmingham, AL 35294, USA.
Infect Dis Clin North Am. 2023 Jun;37(2):267-288. doi: 10.1016/j.idc.2023.02.007. Epub 2023 Mar 31.
Chlamydia trachomatis infection ("chlamydia") is the most commonly diagnosed bacterial sexually transmitted infection globally, occurring in the genitals (urethra or vagina/cervix), rectum, or pharynx. If left untreated in women, genital chlamydia can ascend into the upper genital tract causing pelvic inflammatory disease, increasing their risk for ectopic pregnancy, infertility, and chronic pelvic pain. In men, chlamydia can cause epididymitis and proctitis. However, chlamydia is asymptomatic in over 80% of cases. This article provides an update on the epidemiology, natural history, and clinical manifestations of chlamydia in adults and discusses the current approaches to its management and control policy.
沙眼衣原体感染（“衣原体感染”）是全球最常被诊断出的细菌性性传播感染，发生在生殖器（尿道或阴道/子宫颈）、直肠或咽部。如果女性衣原体感染不加以治疗，生殖器衣原体感染可能上行至女性上生殖道，引发盆腔炎，增加异位妊娠、不孕和慢性盆腔疼痛的风险。在男性中，衣原体感染可导致附睾炎和直肠炎。然而，超过80%的衣原体感染病例没有症状。本文提供了关于成人衣原体感染的流行病学、自然史和临床表现的最新情况，并讨论了其当前的管理方法和控制政策。
