美国两个人口密集的城市的Mpox患者中STI测试和诊断率,2022年
Shauna H Gunaratne1, Karen J Vigil2, Simian Huang3
1Division of Infectious Diseases, Department of Medicine, Columbia University Irving Medical Center, 622 W 168th St, New York, NY, 10032, USA. shg2130@cumc.columbia.edu.
BMC medicine
|October 10, 2025
概括
马波克斯患者的性传播感染 (STI) 检测率很低,即使有症状. 这项在休斯顿和纽约的研究发现,对于mopox病例的基本性传播疾病查存在重大差距.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 蒙波克斯被认为是一种性传播感染 (STI).
- 最近的mopox疫情强调了在受影响人群中进行性传播疾病检测的必要性.
- 了解MPOX患者的STI检测和诊断模式对于公共卫生战略至关重要.
研究的目的:
- 评估已确认mopox.患者中STI检测和新STI诊断的发生率.
- 为了确定在这个队列中诊断出的特定的性传播疾病.
- 为了评估mpox患者的STI测试坚持性,包括那些有特定部位症状的患者.
主要方法:
- 追溯队列研究设计.
- 涉及对在德克萨斯州休斯顿和纽约市的三个主要临床中心确认的mopox病例进行手动审查.
- 用描述性统计数据分析了性病检测率和梅毒,克拉米迪亚和淋病的新诊断.
主要成果:
- 分析了404名mopox患者的队列,平均年龄为33岁.
- 66%的患者在mopox诊断后两周内接受了性病检测.
- 在接受测试的患者中,诊断出71种新的性传播感染,梅毒是最常见的. 大多数克拉米迪亚和淋病病例是外阴 (81%).
- 即使在报告局部特异性症状的患者中,STI检测率仍然很低 (例如,尿道63.6%,直肠51.9%,喉炎症状47.4%).
结论:
- 在被诊断患有mpox.的患者中,在STI测试中存在很大的差距.
- 低测试率甚至在高风险个体中也存在,这些个体呈现出POPOX和特定症状.
- 为了改善公共卫生结果,需要加强mpox患者的性传播感染查协议.
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