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青少年和年轻人性传播感染的新趋势:流行病学、临床及诊断管理

New Trends in Sexually Transmitted Infections Among Adolescents and Young People: Epidemiology, Clinical and Diagnostic Management.

作者信息

Zanotta Nunzia, West Nicole, Cason Carolina, Degli Ivanissevich Stefania, Meneghel Alessia, Righi Francesco, Brunelli Laura, Casuccio Alessandra, Gazzetta Silvia, Gianfrilli Daniele, Fasciana Teresa Maria Assunta, Salfa Maria Cristina, Sesti Franz, Suligoi Barbara, Valent Francesca, Comar Manola

机构信息

Department of Advanced Translational Microbiology, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, 34137 Trieste, Italy.

Department of Medical, Surgical, and Health Sciences, University of Trieste, 34127 Trieste, Italy.

出版信息

Microorganisms. 2025 Jun 17;13(6):1411. doi: 10.3390/microorganisms13061411.

Abstract

Sexually transmitted infections (STIs) are a significant public health issue, especially among adolescents and young adults. Despite improvements in diagnostic tools and treatments, over 1 million new STIs occur daily worldwide, many of which are asymptomatic. These infections can severely affect quality of life and reproductive health, particularly when contracted at a young age. This review provides an overview of STIs' recent epidemiology data, clinical trends, and diagnostic challenges in Italian adolescents and young adults, focusing on the , , , , and / species. Worrying new evidence indicates that young women are at a higher risk of contracting STIs than men and multidrug-resistant strains have increased in young heterosexuals. This evidence shows a general change in lifestyle, where a lack of awareness about the risks of STI reflects a significant educational gap. To address the rising STI rates, targeted school educational interventions and innovative multidisciplinary healthcare models, such as the hub-and-spoke approach, are needed.

摘要

性传播感染(STIs)是一个重大的公共卫生问题,在青少年和青年中尤为突出。尽管诊断工具和治疗方法有所改进,但全球每天仍有超过100万例新发性传播感染病例,其中许多是无症状的。这些感染会严重影响生活质量和生殖健康,尤其是在年轻时感染。本综述概述了意大利青少年和青年中性传播感染的最新流行病学数据、临床趋势和诊断挑战,重点关注 、 、 、 以及 / 菌种。令人担忧的新证据表明,年轻女性感染性传播感染的风险高于男性,且年轻异性恋者中多重耐药菌株有所增加。这一证据显示出生活方式的普遍变化,对性传播感染风险缺乏认识反映出重大的教育差距。为应对性传播感染率的上升,需要有针对性的学校教育干预措施和创新的多学科医疗模式,如中心辐射方法。

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