Low N, FitzGerald M R
Department of Genitourinary Medicine, King's College School of Medicine and Dentistry, London, England.
Dermatol Clin. 1998 Oct;16(4):713-22. doi: 10.1016/s0733-8635(05)70036-x.
This article has shown that all the necessary components for successful control of gonorrhea are available. In developed countries, general improvements in economic conditions and advances in treatment and diagnosis have resulted in the lowest incidence rates of gonorrhea ever. Within these countries, however, control is failing, and gonorrhea is becoming hyperendemic among specific populations who tend to be disadvantaged and marginalized and who may have limited access to health care. Managing gonorrhea in individual patients and ensuring that their sexual partners receive appropriate treatment will contribute to reducing the transmission of infection in the community. Innovative school- and community-based interventions targeted to vulnerable populations will further help to reduce the incidence and contribute to improvements in the sexual health of the population.
本文表明，成功控制淋病所需的所有要素均已具备。在发达国家，经济状况的普遍改善以及治疗和诊断技术的进步使得淋病发病率降至历史最低水平。然而，在这些国家内部，控制工作却在失败，淋病在特定人群中呈高度流行态势，这些人群往往处于弱势和边缘化地位，获得医疗保健的机会可能有限。对个体患者进行淋病管理并确保其性伴侣得到适当治疗，将有助于减少社区内的感染传播。针对弱势群体开展创新的学校和社区干预措施，将进一步有助于降低发病率，并促进人群性健康的改善。
