Epidemiology and Treatment of Trichomoniasis
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  • 作者:Patricia Kissinger
  • 关键词:Trichomonas vaginalis ; Trichomoniasis ; Epidemiology ; Treatment
  • 刊名:Current Infectious Disease Reports
  • 出版年:2015
  • 出版时间:June 2015
  • 年:2015
  • 卷:17
  • 期:6
  • 全文大小:237 KB
  • 参考文献:Papers of particular interest, published recently, have been highlighted as: ??Of importance1.Harp DF, Chowdhury I. Trichomoniasis: evaluation to execution. Eur J Obstet Gynecol Reprod Biol. 2011;157(1):3-.PubMed
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    21.Guenthner PC, Secor WE, Dezzutti CS. Trichomonas vaginalis-induced epithelial monolayer disruption and human immunodeficiency virus type 1 (HIV-1) replication: implications for the sexual transmission of HIV-1. Infect Immun. 2005;73(7):4155-0.PubMed Central PubMed
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  • 作者单位:Patricia Kissinger (1)

    1. School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street SL-18, New Orleans, LA, 70112, USA
  • 刊物主题:Infectious Diseases;
  • 出版者:Springer US
  • ISSN:1534-3146
文摘
Trichomonas vaginalis is the most common nonviral sexually transmitted infection (STI) in the world. It was once thought to be a nuisance STI, but it is now being recognized as an important source of reproductive morbidity and a facilitator of HIV transmission and acquisition, and thus it is an important public health problem. The prevalence of T. vaginalis varies greatly by geography and risk group, but is more common among persons of African descent and appears to increase with age, though this may be a screening phenomenon. Wet mount and culture are simple diagnostics, but have lower sensitivity than nucleic acid amplification techniques presently approved for women only. Single dose (2?g) metronidazole (MTZ) for both the index patient and their sexual partners is the preferred treatment. High rates of retest positivity are found after single-dose treatment which are likely due to clinical resistance rather than re-infection and/or drug resistance.

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