骨盤炎症疾患を予防する
A E Washington1, W Cates, J N Wasserheit
1Center for Reproductive Health Policy Research, School of Medicine, University of California, San Francisco 94109.
JAMA
|November 23, 1991
まとめ
効果的な骨盤炎症疾患 (PID) 予防戦略は,女性の生殖健康と経済的理由から不可欠です. 地域レベルでの予防には,包括的な性感染症の管理が鍵となる一方で,個人および提供者の戦略については,さらなる評価が必要である.
科学分野:
- 生殖器保健は,生殖器の健康についてです.
- 感染症予防 感染症予防
- 公衆衛生は公衆衛生である.
背景:
- 盆腔炎症 (PID) は女性の生殖健康に重大なリスクをもたらし,かなりの経済的コストを負う.
- 効果的な予防戦略は不可欠ですが,徹底的な評価が必要です.
研究 の 目的:
- 現在の盆腔炎症疾患 (PID) の予防オプションの有効性を特定し,評価する.
- 予防戦略を参加レベル (個人,提供者,コミュニティ) とタイプ (初等,中等,三等) により整理する.
主な方法:
- PID予防に関するデータを収集するために,包括的な文献検索を実施しました.
- 公開された報告書を調査し,参加レベルと予防の種類によって調査結果を整理した.
主要な成果:
- 個々の予防戦略は有望だが,十分な評価はされていない.
- 提供者が推奨する措置 (カウンセリング,教育) は,支持する証拠が限られている.
- コミュニティレベルでの予防は,PIDを減らすためにクラミジアおよびゴノコック感染症の制御に大きく依存しています.
結論:
- 総合的な性感染症管理は,PIDの予防のための最も重要なコミュニティレベルの戦略です.
- 個別的および提供者ベースの予防方法を検証するためにさらなる研究が必要である.
- PIDの予防のための特定の推奨事項と研究ニーズが概説されています.
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