生殖器ヘルペスと公衆衛生:グローバルな問題に取り組む
1Fred Hutchinson Cancer Research Center, Department of Laboratory Medicine, University of Washington School of Medicine, Seattle 98109, USA.
JAMA
|February 22, 2000
まとめ
ヘルペス・シンプレックスウイルス2 (HSV-2) によって引き起こされる一般的な性感染症である性器ヘルペスは,しばしば認識されない. サブクリニック感染の認識は,感染の伝播と深刻な健康被害を防ぐために極めて重要です.
科学分野:
- 感染症 感染症は感染症です.
- 公衆衛生は公衆衛生である.
- ウイルス学 ウイルス学 ウイルス学
背景:
- 生殖器ヘルペスは,米国で流行している性感染症 (STD) で,主にヘルペスシンプレックスウイルス2 (HSV-2) によって引き起こされます.
- 重要な公衆衛生上の課題は,患者および臨床医の間で認識されていない生殖器 HSV 感染症の高い割合です.
- 認識されていない感染は,新生児ヘルペスやHIVリスクの増加などの病気の伝染と深刻な結果に寄与します.
研究 の 目的:
- 認識されていない生殖器ヘルペス感染症の問題を強調するために.
- 生殖器ヘルペスのサブクリニック的なプレゼンテーションを認識することの重要性を強調する.
- 病気の伝染における無症状の個人の役割を強調する.
主な方法:
- 概要は,特定の実験方法について詳細に述べていませんが,血清流行データと臨床観察について論じています.
- 認識されていない感染が公衆衛生に及ぼす影響を検討しています.
- 医者のための推奨事項や,将来の研究分野を提案しています.
主要な成果:
- ヘルペス・シンプレックスウイルス2 (HSV-2) 抗体は,一般人口の22%に存在し,高い罹患率を示しています.
- HSV-2感染の多くの個人は無症状である,または自分の状態を認識することができません.
- サブクリニック感染は,HSVの伝播のための貯蔵庫を表しています.
結論:
- 医師と患者は,生殖器ヘルペスのサブ臨床的性質に対する認識を高めなければなりません.
- 型別HSV検査は,STDスクリーニングおよび生殖器潰瘍評価の際に推奨されます.
- 型別試験の性能と伝播防止戦略に関するさらなる研究が必要である.
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