十年来,在患有子宫炎的妇女中检测到的感染趋势
Lenka A Vodstrcil1,2,3, Erica L Plummer1,2, Thuy Vy Nguyen1,2
1School of Translational Medicine, Monash University, Melbourne, VIC, Australia.
Frontiers in reproductive health
|February 18, 2025
概括
在没有克拉米迪亚或淋病的宫炎病例中,细菌性阴道炎 (BV) 和Mycoplasma genitalium是常见的,随着时间的推移而增加. 临床医生应该考虑在这些患者身上进行BV和M. genitalium的测试.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 宫炎通常与克拉米迪亚瘤菌和尼塞利亚淋病有关.
- 新出现的证据表明,Mycoplasma genitalium和细菌性阴道炎 (BV) 也与子宫炎有关,特别是在没有常见感染的情况下.
研究的目的:
- 为了描述在十年内在子宫炎病例中检测到的感染.
- 为了确定Mycoplasma genitalium和BV在非克拉米迪性/非冠状病毒性宫炎的流行率.
- 为了告知临床测试和宫炎的治疗策略.
主要方法:
- 从2011年至2021年间对子宫炎病例进行了回顾性病例系列分析.
- 包括来自澳大利亚最大的公共性健康服务的数据.
- 对C. trachomatis,N. gonorrhoeae,M. genitalium和BV的检测和检测率的趋势的评估.
主要成果:
- 在10年内,分析了813例子宫炎病例,52%没有检测到感染.
- 细菌性阴道炎 (BV) 在31%的病例中被检测出来,而C. trachomatis在20%的病例中被检测出来.
- 在6%的病例中检测到Mycoplasma genitalium,检测率随着时间的推移而增加 (3%至7%).
- 在非克拉米迪亚/非淋巴球菌病例中 (78%),32%的人患有BV,3%的人患有M. genitalium作为唯一感染.
结论:
- 在大约75%的宫炎病例中,克拉米迪亚或淋病缺席.
- 在没有克拉米迪亚/淋病的三分之一的病例中,BV和/或M. genitalium的检测结果呈阳性.
- 越来越多的BV和M. genitalium的患病率突显了它们在治疗子宫炎中的重要性.
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