南非农村地区孕妇作为未被发现的性传播疾病宿主：对疾病控制的影响
Pregnant women as a reservoir of undetected sexually transmitted diseases in rural South Africa: implications for disease control.
作者信息
Sturm A W, Wilkinson D, Ndovela N, Bowen S, Connolly C
机构信息
Department of Medical Microbiology, University of Natal, Durban, South Africa.
出版信息
Am J Public Health. 1998 Aug;88(8):1243-5. doi: 10.2105/ajph.88.8.1243.
Abstract
OBJECTIVES
This study was undertaken to determine the prevalence of sexually transmitted diseases (STDs) in pregnant women in rural South Africa and to determine the value of using abnormal urogenital symptoms to identify infected women.
METHODS
This was a cross-sectional study of 327 patients attending prenatal clinics.
RESULTS
Of the 271 women with complete data, 141 (52%) had at least 1 STD and 49 (18%) had more than 1. Abnormal symptoms were common (n = 225; 83%), but associations were weak, and the positive predictive value of different symptoms for infection ranged from 2% to 54%.
CONCLUSIONS
Most STDs in rural South African women remain undetected and untreated. As the scope for laboratory diagnosis in resource-poor settings is limited, presumptive treatment of pregnant women and their partners may be a cost-effective option to reduce transmission of STDs and HIV infection.
摘要
目的
开展本研究以确定南非农村地区孕妇性传播疾病（STD）的患病率，并确定利用泌尿生殖系统异常症状识别感染女性的价值。
方法
这是一项针对327名前往产前诊所就诊患者的横断面研究。
结果
在271名有完整数据的女性中，141名（52%）至少患有一种性传播疾病，49名（18%）患有一种以上性传播疾病。异常症状很常见（n = 225；83%），但关联较弱，不同症状对感染的阳性预测值在2%至54%之间。
结论
南非农村地区大多数女性性传播疾病仍未被发现和治疗。由于资源匮乏地区的实验室诊断范围有限，对孕妇及其性伴侣进行推定治疗可能是一种具有成本效益的选择，可减少性传播疾病和艾滋病毒感染的传播。
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