在Trichomonas vaginalis感染的妇女中遵守重新检测指南的差异
Feven W Getaneh1, Carlos R Oliveira2, Shefali Pathy3
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT; Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC.
American journal of obstetrics and gynecology
|July 1, 2023
概括
三,一个常见的性传播感染,显示了高的再感染率. 这项研究发现,特别是在非西班牙裔黑人妇女中,对再检测指南的遵守率较低,这突显了对Trichomonas vaginalis的护理差异.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 妇女健康 妇女健康
背景情况:
- 三虫病是美国最常见的非病毒性性传播疾病.
- 非西班牙裔黑人妇女的患病率不成比例.
- 美国疾病控制和预防中心 (CDC) 建议由于再感染率高,重复测试,但对坚持的研究很少.
研究的目的:
- 为了确定Trichomonas vaginalis感染率在一个城市产科和妇科诊所.
- 为了评估遵守CDC的重复测试指南.
- 确定不遵守重复测试建议的妇女的特征.
主要方法:
- 在2015-2019年间对8809名患者进行了回顾性队列研究.
- 准则一致性测试的描述性统计.
- 多变量逻辑回归用于识别相关因素.
主要成果:
- 9.1%的患者对Trichomonas vaginalis的检测结果呈阳性.
- 只有27%的感染患者根据指导方针进行了再检测.
- 非西班牙裔黑人女性的指南建议重复测试的几率较低 (aOR为0.54).
- 重复测试显示了高的阳性率 (总体为24%,孕妇子组为33%).
结论:
- 在不同的城市诊所群体中,Trichomonas vaginalis感染很常见.
- 有显著的机会来改善公平和符合指导方针的重新测试.
- 解决重新检测的差异对于管理Trichomonas vaginalis至关重要.
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