预防性传播感染的行为咨询干预措施:美国预防服务工作组建议声明
, Alex H Krist1,2, Karina W Davidson3
1Fairfax Family Practice Residency, Fairfax, Virginia.
JAMA
|August 19, 2020
概括
行为咨询可以帮助预防性传播感染 (STI) 的年轻人和有风险的成年人. 这种干预在减少STI收购方面提供了适度的净收益.
科学领域:
- 公共卫生
- 预防医学
- 传染性疾病
背景情况:
- 每年约有2000万美国人感染性传播感染,其中一半的新病例发生在15-24岁的人群中.
- 克拉米迪亚,淋病和梅毒的发病率不断上升, 凸显了持续存在的公共健康问题.
- 无症状性传播感染可能导致诊断,治疗和进一步传播的延迟,并导致严重的长期健康后果,包括不孕症和艾滋病.
研究的目的:
- 提供有关预防性感染行为辅导有效性的最新建议.
- 审查旨在减少性病感染的咨询干预措施的好处和危害.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统的证据审查.
- 这项审查侧重于预防性传播疾病的行为咨询干预措施.
主要成果:
- 行为辅导干预表明减少性传播感染的可能性中等.
- 这些干预措施对性活跃的青少年和有风险的成年人有中等的净益处.
结论:
- USPSTF建议对性活跃的青少年进行行为辅导.
- 患有性病风险较高的成年人,包括已患有性病的成年人,不一致使用避孕套的成年人或有多个性伴侣的成年人,也应接受此类咨询.
相关概念视频
Sexually Transmitted Infections
702
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
702
Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K
Standard Precaution
2.6K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.6K
Preventive Healthcare Services
1.7K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.7K
Transmission-based Precautions I: Contact, Enteric, and Droplets
4.3K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
4.3K
Infection
11.3K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
11.3K


