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Sexually Transmitted Infections01:26

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クラミジアと淋病のスクリーニング:米国の予防サービスタスクフォースの勧告声明

, Karina W Davidson1, Michael J Barry2

  • 1Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.

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|September 14, 2021
PubMed
まとめ

クラミジアと淋病の定期的なスクリーニングは,性的に活動している24歳以上の女性,およびリスクが高い高齢女性に対して推奨されます. 男性のスクリーニングを推奨する証拠は不十分です.

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科学分野:

  • 公衆衛生
  • 感染症
  • 予防 医療

背景:

  • クラミジアと淋病は,米国で,特に若者の間で,一般的な性感染症です.
  • 治療を受けない女性感染は 骨盤炎症や新生児の不良症状などの 深刻な合併症を引き起こす可能性があります
  • 性感染症はHIV感染や感染のリスクを高めます

研究 の 目的:

  • クラミジアと淋病のスクリーニングに関する勧告を更新する.
  • 妊娠を含む性的に活発な青少年と成人のスクリーニングの利益と害を評価する.

主な方法:

  • 米国予防サービスタスクフォース (USPSTF) が組織的な調査を依頼した.
  • このレビューでは,様々な集団におけるクラミジアと淋病のスクリーニングに関する証拠を評価した.

主要な成果:

  • 24歳未満の性的に活発な女性における クラミジアと淋病のスクリーニングは 適度な純利益をもたらします
  • リスクが高い25歳以上の女性におけるこれらの性感染症のスクリーニングも適度な純利益をもたらします.
  • 男性のクラミジアと淋病のスクリーニングの利益と害を決定するには,証拠は不十分です.

結論:

  • USPSTFは,性的に活発な24歳未満の女性,およびリスクが高い高齢女性において,クラミジアのスクリーニングを推奨しています.
  • USPSTFは,性的に活発な24歳未満の女性,およびリスクが高い高齢女性において,淋病のスクリーニングを推奨しています.
  • 男性のクラミジアと淋病のスクリーニングを評価するには,さらなる研究が必要です.