关键词: Chlamydia Gonorrhea Human immunodeficiency virus Mpox Mycoplasma Sexually transmitted infections Syphilis Trichomonas

来  源:   DOI:10.1016/j.idc.2024.04.007

Abstract:
Sexually transmitted infections (STIs) are more commonly seen in patients with human immunodeficiency virus (PWH). Routine sexual history taking and appropriate multisite screening practices support prompt identification and treatment of patients, which in turn reduces morbidity and spread of STIs including HIV. Nucleic acid amplification testing has high accuracy for diagnosing many of the major STIs. Diagnosis of syphilis remains complex, requiring 2 stage serologic testing, along with provider awareness of the myriad symptoms that can be attributable to this disease. Prevention through mechanisms such as vaccines and postexposure prophylaxis hold promise to reduce the burden of STIs in PWH.
摘要:
性传播感染(STIs)更常见于人类免疫缺陷病毒(PWH)患者。常规性病史记录和适当的多部位筛查做法支持迅速识别和治疗患者,这反过来又减少了包括艾滋病毒在内的性传播感染的发病率和传播。核酸扩增测试对于诊断许多主要性传播感染具有高准确性。梅毒的诊断仍然很复杂,需要2期血清学检测,以及提供者对可归因于这种疾病的无数症状的认识。通过疫苗和暴露后预防等机制进行预防有望减轻PWH中性传播感染的负担。
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