在有症状的男性军事学员中检测性传播感染
Catherine S Malone1, Angela B Osuna2, Ga O Jung2
1Department of Medicine, Brooke Army Medical Center, Joint Base San Antonio-Fort Sam Houston, TX 78234, United States.
Military medicine
|August 12, 2025
概括
尽管在有症状的男性学员中性传播感染 (STI) 率高,但查和后续检测仍然不一致. 这影响了军事准备,需要改进STI监控策略.
科学领域:
- 军事医学 军事医学
- 传染病流行病学 传染病流行病学
- 公共卫生监督 公共卫生监督
背景情况:
- 性传播感染 (STIs) 在进入美国空军基本军事训练 (BMT) 的学员中构成重大健康负担.
- 虽然女性实习生接受普遍的性传播疾病查,但男性实习生,特别是那些表现出像失尿症这样的症状的人,很少接受测试.
- 长期随访的性传播疾病检测率对于 BMT 中症状男性并没有得到充分的记录.
研究的目的:
- 评估诊断工作和对被诊断患有尿不良或尿路感染 (UTI) 的男性基本学员的3年随访护理.
- 评估假设性传播感染治疗对后续性传播感染检测率和发病率的影响.
- 在有症状的男性军事学员中发现性传播感染查和记录方面的差距.
主要方法:
- 追溯分析2019年至2023年间被诊断患有尿障或尿道感染的男性基本学员.
- 在接受假定的性传播感染治疗和未接受治疗的患者之间,性传播感染检测率和发病率的比较.
- 对诊断工作和诊断后3年后续护理的评估.
主要成果:
- 在102,382名男性实习生中,82名 (0.08%) 被诊断出患有尿障/尿道感染.
- 有症状的男性在淋病和克拉米迪亚 (GC/CT) 测试中阳性率为23%.
- 只有30%的人在3年内接受了后续的STI测试,阳性率为12%;假定的STI治疗改善了文档和后续测试.
结论:
- 观察到不一致的性病史文件和STI查,尽管在症状男性学员中STI阳性率很高.
- 准确的STI负担评估至关重要,因为男性占基本学员的多数.
- 加强监测和一致的测试协议对于减轻性传播感染对军事人口的影响至关重要.
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