Holmes K K
West J Med. 1975 Nov;123(5):367-71.
The purpose of a physician's screening for gonorrhea is the provision of comprehensive health care to patients who seek his care. Among sexually active young patients, gonorrhea is probably far more common than many other diseases a physician "screens" for during a routine physical examination. Since gonorrhea culture tests are too costly in time and money to be offered to every patient, guidelines can be used to select patients for screening who are most likely to have gonorrhea. The gonorrhea culture test should be carried out in the same spirit as a cervical cytology test, as a potential health benefit and without stigma.However, even more important than gonorrhea screening, from the standpoint of the patient, is (1) increased use of culture for diagnostic problem solving, particularly in women with dysuria, abnormal vaginal discharge, abnormal menstrual bleeding or lower abdominal pain, and (2) location and treatment of sex partners.
医生筛查淋病的目的是为寻求其治疗的患者提供全面的医疗保健。在性活跃的年轻患者中，淋病可能比医生在常规体检中“筛查”的许多其他疾病更为常见。由于淋病培养检测在时间和金钱方面成本过高，无法对每位患者进行检测，因此可使用指南来选择最有可能患有淋病的患者进行筛查。淋病培养检测应本着与宫颈细胞学检测相同的精神进行，作为一种潜在的健康益处且无耻辱感。然而，从患者的角度来看，比淋病筛查更重要的是：（1）增加使用培养检测来解决诊断问题，特别是对于有排尿困难、异常阴道分泌物、异常月经出血或下腹痛的女性；（2）确定性伴侣并对其进行治疗。
