Sexually transmitted infections

Eimear Kieran, Daniel P. Hay
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Abstract

In the recent white paper ‘Choosing Health: making healthy choices easier’, the UK Government outlined the actions required to prioritise sexual health care in the NHS. This is in response to an unprecedented rise in sexually transmitted infections (STIs) in recent years. There has been an increase in high-risk sexual activity, ignorance regarding consequences and higher incidence of infection resulting from migration from developing countries. Acquisition abroad via so-called ‘sex tourism’ is also a factor in prevalence, as is the development of drug-resistant infections.

Early identification of infection is crucial to prevent or ameliorate sequelae. Obstetricians and gynaecologists will often be patients’ first point of contact; thereafter, liaison with genitourinary medicine colleagues is vital. Special consideration of safe treatments and prevention of vertical transmission in pregnant patients present obstetricians with extra challenges.

性传播感染
在最近的白皮书《选择健康:使健康的选择更容易》中,联合王国政府概述了在国民保健制度中优先考虑性健康保健所需采取的行动。这是为了应对近年来性传播感染(STIs)前所未有的增长。高风险的性活动有所增加,对后果的无知以及发展中国家移民造成的感染发生率更高。通过所谓的“性旅游”在国外获得艾滋病也是艾滋病流行的一个因素,抗药性感染的发展也是一个因素。早期识别感染是预防或改善后遗症的关键。产科医生和妇科医生通常是患者的第一个接触点;此后,与泌尿生殖医学同事的联络至关重要。特别考虑安全治疗和预防妊娠患者的垂直传播给产科医生带来了额外的挑战。
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