Infecciones de transmisión sexual

性传播传染病
  • 文章类型: Journal Article
    目标:目前,生殖器感染的微生物学诊断是用分子方法进行的,这允许检测不太频繁的病原体,但具有潜在的致病性重要性,如嗜血杆菌。这篇综述的目的是分析和强调分离嗜血杆菌的临床重要性。生殖器和直肠感染,不包括杜克雷嗜血杆菌.
    方法:根据截至2021年8月5日MEDLINE数据库中关于嗜血杆菌存在的出版物的详尽搜索,进行了系统评价。生殖器和直肠感染,不包括H.Ducreyi.
    结果:在回顾了文献中描述的内容后,嗜血杆菌。(不包括H.Ducreyi:HSNOD)在2397次生殖器感染发作中检测到,最常见的分离物种是流感嗜血杆菌和副流感嗜血杆菌。大多数发作(87,6%)由单一隔离构成。在女性中有轻微的优势(48,3%),它可以引起阴道炎,输卵管炎,子宫内膜炎或怀孕期间的并发症。在男人中,临床表现通常对应于尿道炎。大多数样本对应于阴道和尿道分泌物,在直肠水平上有少数代表(2.3%)。
    结论:HSNOD在生殖器感染发作中起相关的致病作用,所以微生物诊断方案必须包括允许检测它们的方法,以及将它们包括在这种类型的临床表现的病因谱中。
    OBJECTIVE: Currently, the microbiological diagnosis of genital infections is carried out with molecular methods, which allow the detection of less frequent etiological agents but with potential pathogenic importance, such as Haemophilus spp. The objective of this review is to analyse and highlight the clinical importance of the isolation of Haemophilus spp. in genital and rectal infections, excluding Haemophilus ducreyi.
    METHODS: A systematic review was carried out based on an exhaustive search of the publications included in the MEDLINE database up to August 5, 2021, on the presence of Haemophilus spp. in genital and rectal infections, excluding H. ducreyi.
    RESULTS: After reviewing what was described in the literature, Haemophilus spp. (excluding H. ducreyi: HSNOD) was detected in 2397 episodes of genital infection, the most frequently isolated species being H. influenzae and H. parainfluenzae. Most of the episodes (87,6%) are constituted by single isolation. There is a slight predominance in women (48,3%) where it can cause vaginitis, salpingitis, endometritis or complications during pregnancy. In men, the clinical picture usually corresponds to urethritis. Most of the samples correspond to vaginal and urethral exudates, with a minority representation at the rectal level (2.3%).
    CONCLUSIONS: HSNOD plays a relevant pathogenic role in episodes of genital infection, so microbiological diagnostic protocols must include methods that allow their detection, as well as include them in the etiological spectrum of this type of clinical picture.
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  • 文章类型: Journal Article
    了解关注与女性发生性关系的女性(WSW)的研究特征,并确定WSW在全面性健康方面可能存在的差距。
    2000年至2019年对WSW的性健康进行了范围审查。WSW上缺乏性健康重点的论文被排除在外,并使用网络工具来保证失明。提取了有关研究的关键特征和证据质量的信息。性健康类别是全面的性健康,WSW的性行为规范,并提供建议。
    纳入了39项研究,主要是横截面。发现的差距是缺乏关于性健康的证据,对性取向和性行为的困惑,对全面的性健康和生命周期方法缺乏具体的兴趣。建议侧重于WSW自我护理;针对临床实践的干预措施,研究,教育和预防;以及WSW性健康女权主义方法的贡献。
    WSW在性健康知识方面存在一些差距。强调了针对这些妇女的独特特征及其不同和具体情况和健康决定因素的自我保健改善和具体战略。
    To know the characteristics of the studies that have paid attention to women who have sex with women (WSW) and to identify possible gaps in the interest of comprehensive sexual health in WSW.
    A scoping review on sexual health on WSW was conducted from 2000 to 2019. Papers with lack of focus on sexual health on WSW were excluded and a web tool was used to guarantee blindness. Information was extracted on the key characteristics of the studies and the quality of the evidence. The sexual health categories were comprehensive sexual health, specification of sexual practices in WSW, and recommendations provided.
    39 studies were included, mostly cross-sectional. The gaps identified were the lack of evidence on sexual health, confusion about sexual orientation and sexual practices, lack of specific interest in comprehensive sexual health and the life cycle approach. Recommendations focused on WSW self-care; interventions aimed at clinical practice, research, education and prevention; and contributions of a feminist approach on sexual health of WSW.
    There are several gaps about in the knowledge about sexual health among WSW. Self-care improvement and specific strategies addressed to the unique characteristics of these women and their different and specific situation and health determinants are highlighted.
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  • 文章类型: Journal Article
    这项工作的目的是收集梅毒螺旋体的最新信息,沙眼衣原体和淋病奈瑟菌,引起性传播感染(STIs)和眼部感染的病原体,提供有关此公共卫生问题的相关信息。为此,使用不同的电子数据库进行了书目审查,例如:PubMedcentral,谷歌学术,丁香花,Scopus,科学直接和Scielo,2009年3月至2019年8月。根据WHO,每天有超过一百万人感染性传播感染。对于梅毒螺旋体,据估计,男性和女性的全球患病率为0.5%。它是梅毒和眼梅毒的病原体,表现为葡萄膜炎.总的来说,沙眼衣原体的男性患病率为2.8%,女性为3.8%.它与眼睛生殖器疾病相关,其中包括性传播感染,成人和新生儿眼炎的包涵性结膜炎。其并发症包括沙眼,这是全球感染性失明的主要原因。关于淋病奈瑟菌,它在全球范围内选择了0.9%和0.7%的女性和男性,分别。表现为淋球菌性结膜炎和新生儿眼炎。我们可以得出结论,与梅毒螺旋体相关的信息,沙眼衣原体和淋病奈瑟菌的眼部损害问题是不够的,更重要的是,如果我们试图发现它们彼此相关,这使得很难访问用于视觉健康的临床效用数据。
    The objective of this work was to collect updated information on Treponema pallidum, Chlamydia trachomatis and Neisseria gonorrhoeae, causing sexually transmitted infections (STIs) and etiological agents of eye infections, to provide relevant information on this public health problem. For this, a bibliographic review was carried out using different electronic databases such as: PubMed central, google academic, Lilacs, Scopus, Science Direct and Scielo, between March 2009 and August 2019. According to the WHO, more than a million people a day contract a sexually transmitted infection. For T. pallidum, a global prevalence of 0.5% is estimated for both men and women. It is a causative agent of syphilis and ocular syphilis, which manifests as uveitis. Overall, a prevalence of 2.8% in men and 3.8% in women for C. trachomatis is estimated. It is associated with oculo-genital disease, which includes STIs, inclusion conjunctivitis in adults and neonatal ophthalmia. Among its complications is trachoma, which is the leading cause of infectious blindness worldwide. Regarding N. gonorrhoeae, it has a global selection of 0.9% and 0.7% in women and men, respectively. It manifests with gonococcal conjunctivitis and neonatal ophthalmia. We can conclude that the information that relates T. pallidum, C. trachomatis and N. gonorrhoeae with their ocular compromise problems is insufficient, and even more so if we seek to find them related to each other, which makes it difficult to access data of clinical utility for visual health.
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