估算可能受益于反向算法诊断新发梅毒的 HIV 感染者比例。
Estimating the Proportion of People Living With HIV Who May Benefit From the Reverse Algorithm for the Diagnosis of Incident Syphilis.
机构信息
Johns Hopkins School of Medicine, Baltimore, MD.
University of Washington School of Medicine, Seattle, WA.
出版信息
Sex Transm Dis. 2024 Jun 1;51(6):e26-e29. doi: 10.1097/OLQ.0000000000001955.
Abstract
Among 8455 people engaged in HIV care in 4 US cities, 4925 (58%) had treponemal testing at care entry. Of the 4925 tested, 3795 (77%) had a nonreactive result and might benefit from the reverse algorithm for a future incident syphilis diagnosis. Furthermore, low-barrier treponemal testing as a first step in the reverse algorithm may increase syphilis screening and decrease time to treatment.
摘要
在 4 个美国城市参与 HIV 护理的 8455 人中，有 4925 人（58%）在护理开始时进行了梅毒检测。在 4925 名接受检测的人中，有 3795 人（77%）结果为阴性，可能受益于反向算法，以便将来诊断梅毒感染。此外，作为反向算法第一步的低门槛梅毒检测可能会增加梅毒筛查，并减少治疗时间。
相似文献
1
Estimating the Proportion of People Living With HIV Who May Benefit From the Reverse Algorithm for the Diagnosis of Incident Syphilis.估算可能受益于反向算法诊断新发梅毒的 HIV 感染者比例。
Sex Transm Dis. 2024 Jun 1;51(6):e26-e29. doi: 10.1097/OLQ.0000000000001955.
2
Expanding syphilis test uptake using rapid dual self-testing for syphilis and HIV among men who have sex with men in China: A multiarm randomized controlled trial.在中国男男性行为者中使用梅毒和 HIV 快速双联自我检测扩大梅毒检测：一项多臂随机对照试验。
PLoS Med. 2022 Mar 2;19(3):e1003930. doi: 10.1371/journal.pmed.1003930. eCollection 2022 Mar.
3
Strategies of testing for syphilis during pregnancy.孕期梅毒检测策略。
Cochrane Database Syst Rev. 2014 Oct 29;2014(10):CD010385. doi: 10.1002/14651858.CD010385.pub2.
4
Traditional versus reverse algorithm for diagnosis of syphilis - An Indian perspective from a national referral laboratory for sexually transmitted infections.梅毒诊断的传统算法与反向算法——来自一家全国性性传播感染转诊实验室的印度视角
Indian J Sex Transm Dis AIDS. 2025 Jan-Jun;46(1):25-30. doi: 10.4103/ijstd.ijstd_132_24. Epub 2025 Jun 9.
5
Screening for Syphilis: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.梅毒筛查：美国预防服务工作组的更新证据报告和系统评价。
JAMA. 2016 Jun 7;315(21):2328-37. doi: 10.1001/jama.2016.4114.
6
Introduction of rapid syphilis testing in antenatal care: A systematic review of the impact on HIV and syphilis testing uptake and coverage.产前保健中快速梅毒检测的引入：对艾滋病毒和梅毒检测接受率及覆盖率影响的系统评价
Int J Gynaecol Obstet. 2015 Jun;130 Suppl 1(Suppl 1):S15-21. doi: 10.1016/j.ijgo.2015.04.008. Epub 2015 Apr 29.
7
Performance of the bioLytical Multiplex HIV 1/2 and Syphilis rapid test on serum in a laboratory evaluation for syphilis.生物分析多重HIV 1/2和梅毒快速检测在梅毒实验室评估中对血清的检测性能。
Microbiol Spectr. 2025 Jul;13(7):e0013225. doi: 10.1128/spectrum.00132-25. Epub 2025 May 19.
8
Treponema pallidum infection in asymptomatic persons: A puzzling scenario in the Canary Islands (Spain) (2001-2020).无症状人群中的梅毒螺旋体感染：西班牙加那利群岛（2001 - 2020年）的一个令人困惑的情况
PLoS One. 2025 Jul 8;20(7):e0325073. doi: 10.1371/journal.pone.0325073. eCollection 2025.
9
Syphilis Screening and Treatment at a Large Urban Jail.大城市监狱中的梅毒筛查与治疗
Sex Transm Dis. 2025 Sep 1;52(9):542-548. doi: 10.1097/OLQ.0000000000002178. Epub 2025 May 23.
10
Opt-Out Syphilis Screening at an Urgent Care Center in Atlanta: Evaluation of a Pilot Program.亚特兰大一家紧急护理中心的梅毒主动筛查：一项试点项目的评估
Sex Transm Dis. 2024 Aug 1;51(8):516-520. doi: 10.1097/OLQ.0000000000001980. Epub 2024 Apr 17.
引用本文的文献
1
Is it Time to Test and Treat for Syphilis?是时候进行梅毒检测和治疗了吗？
J Gen Intern Med. 2025 Jul;40(10):2421-2422. doi: 10.1007/s11606-025-09547-x. Epub 2025 May 2.
本文引用的文献
1
Assessing the acceptability of dried blood spot testing for HIV and STBBI among Métis people in a community driven pilot project in Alberta, Canada.评估在加拿大艾伯塔省一个社区驱动的试点项目中，梅蒂斯人对 HIV 和 STBBI 的干式血斑检测的可接受性。
BMC Health Serv Res. 2022 Dec 8;22(1):1496. doi: 10.1186/s12913-022-08763-z.
2
Syphilis Testing and Diagnosis Among People With Human Immunodeficiency Virus (HIV) Engaged in Care at 4 US Clinical Sites, 2014-2018.2014-2018 年，在美国 4 个临床站点接受治疗的人类免疫缺陷病毒（HIV）感染者中的梅毒检测和诊断。
Clin Infect Dis. 2022 Aug 31;75(3):483-492. doi: 10.1093/cid/ciab944.
3
Use of Injection Drugs and Any Form of Methamphetamine in the Portland, OR Metro Area as a Driver of an HIV Time-Space Cluster: Clackamas, Multnomah, and Washington Counties, 2018-2020.俄勒冈州波特兰都会区注射毒品和任何形式的甲基苯丙胺的使用是导致 HIV 时空聚集的原因：2018-2020 年，克拉卡马斯县、蒙诺马县和华盛顿县。
AIDS Behav. 2022 Jun;26(6):1717-1726. doi: 10.1007/s10461-021-03522-3. Epub 2021 Nov 10.
4
Limited Utility of Reverse Algorithm Syphilis Testing in HIV Clinic Among Men Who Have Sex With Men.梅毒反向算法检测在男男性行为者艾滋病毒临床应用中的效用有限。
Sex Transm Dis. 2021 Sep 1;48(9):675-679. doi: 10.1097/OLQ.0000000000001386.
5
Are all blood-based postal sampling kits the same? A comparative service evaluation of the performance of dried blood spot and mini tube sample collection systems for postal HIV and syphilis testing.所有基于血液的邮政采样试剂盒都一样吗？针对邮政HIV和梅毒检测的干血斑与微量管样本采集系统性能的比较服务评估。
Sex Transm Infect. 2021 May;97(3):209-214. doi: 10.1136/sextrans-2020-054692. Epub 2020 Nov 19.
6
The Traditional or Reverse Algorithm for Diagnosis of Syphilis: Pros and Cons.梅毒诊断的传统或反向算法：利弊。
Clin Infect Dis. 2020 Jun 24;71(Suppl 1):S43-S51. doi: 10.1093/cid/ciaa307.
7
Clinical Test Performance of a Rapid Point-of-Care Syphilis Treponemal Antibody Test: A Systematic Review and Meta-analysis.即时检测梅毒螺旋体抗体检测的临床检测性能：系统评价和荟萃分析。
Clin Infect Dis. 2020 Jun 24;71(Suppl 1):S52-S57. doi: 10.1093/cid/ciaa350.
8
An efficient method for simultaneously screening for HIV, syphilis, and HCV based on one dried blood spot sample.一种基于一份干血斑样本同时筛查 HIV、梅毒和 HCV 的高效方法。
Antiviral Res. 2020 Sep;181:104775. doi: 10.1016/j.antiviral.2020.104775. Epub 2020 Apr 1.
9
Intersecting Epidemics: Incident Syphilis and Drug Use in Women Living With Human Immunodeficiency Virus in the United States (2005-2016).交叉流行：2005-2016 年美国人类免疫缺陷病毒感染者中梅毒和药物使用的情况。
Clin Infect Dis. 2020 Dec 3;71(9):2405-2413. doi: 10.1093/cid/ciz1108.
10
Evaluation of a Rapid Syphilis Test in an Emergency Department Setting in Detroit, Michigan.密歇根州底特律市急诊环境中快速梅毒检测的评估。
Sex Transm Dis. 2019 Jul;46(7):429-433. doi: 10.1097/OLQ.0000000000000993.
Zotero 插件