检测甲状腺菌和淋巴球菌感染:美国预防服务工作组的最新证据报告和系统审查
Amy Cantor1,2,3, Tracy Dana1, Jessica C Griffin1
1Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland.
JAMA
|September 14, 2021
概括
在年轻女性中,克拉米迪亚查显著降低了盆腔炎症的风险. 大多数地点的测试准确度很高,但对男性和孕妇需要更多的研究.
科学领域:
- 公共卫生
- 传染性疾病
- 预防医学
背景情况:
- 美国预防服务工作组 (USPSTF) 曾建议对年轻的性活跃女性进行克拉米迪亚和淋病查.
- 对男性进行查的证据不足,因此需要进行更新的审查.
研究的目的:
- 提供有关成人和青少年克拉米迪亚和淋巴球菌感染查的最新证据.
- 根据USPSTF关于查有效性,测试准确性和危害的建议.
主要方法:
- 从2014年到2021年随机临床试验和观察性研究的系统审查.
- 独立调查人员进行数据提取和质量评估.
- 查有效性,风险分层,测试准确性和查危害的分析.
主要成果:
- 克拉米迪亚查与年轻女性的盆腔炎症 (PID) 风险降低有关.
- 年龄小于22岁是克拉米迪亚风险的关键预测因素,与广泛的标准相比.
- 在大多数解剖部位和自收集样本中,克拉米迪亚和冠状病毒检测显示出高准确性.
结论:
- 克拉米迪亚查有效降低年轻女性的PID风险.
- 目前的风险预测工具在年龄之外的准确性有限.
- 需要对男性,孕妇的查效果,最佳间隔和不良反应进行进一步研究.
相关概念视频
Sexually Transmitted Infections
479
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...
479
Preventive Healthcare Services
1.2K
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:
1.2K
Healthcare Associated Infections II: Preventive Measures
3.2K
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...
3.2K
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
79
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
79
Bacterial Phylum Chlamydiae
174
The phylum Chlamydiae or Chlamydiota is composed of a single order, Chlamydiales. This phylum consists entirely of obligate intracellular parasites that infect eukaryotic hosts. While human pathogens within this group have been studied extensively, the phylum encompasses many species capable of interacting with various eukaryotic organisms. Members of Chlamydiae are typically small cocci, approximately 0.5 μm in diameter, and exhibit a distinctive developmental cycle. As is characteristic...
174
Acute Pyelonephritis II: Diagnostic Studies and Management
75
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
75


