[Is it a sexually transmitted disease?]

Q4 Medicine
A J P Boeke, J H Dekker, C A J van Bokhoven-Rombouts, A P van Dam, J M Oldhoff
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引用次数: 0

Abstract

STD-associated questions and symptoms are submitted frequently to general practitioners and STD outpatient-clinics. In this teaching article we address several important clinical questions regarding epidemiology, risk assessment, testing policy, diagnostics and prevention. STD's form a separate category of infectious diseases because of the role of sexuality. Good communication about sexual behavior is indispensable for an adequate diagnosis. We discuss the recognition of extragenital manifestations of STD, which requires alertness. Estimating the STD-risk based on sexual behaviour is essential for testing policy. Persons at high risk are tested for gonorrhoea, syphilis, hiv and hepatitis B. In other cases testing is based on symptoms and complaints. HIV and syphilis are serious std's. Early detection followed by treatment is important in preventing health damage and preventing further spread. Hiv-indicator-conditions are useful alarm-signs for this purpose. PrEP can help not to acquire hiv and increases sexual health. It can be prescribed by gp's and public health clinicians. But condom-use remains crucial in prevention.

[是性传播疾病吗? ]
全科医生和性传播疾病门诊经常会遇到与性传播疾病相关的问题和症状。在这篇教学文章中,我们将讨论有关流行病学、风险评估、检测政策、诊断和预防的几个重要临床问题。由于性行为的作用,性传播疾病是一类独立的传染病。良好的性行为沟通是进行适当诊断的必要条件。我们将讨论如何识别性病的生殖器外表现,这需要提高警惕。根据性行为估计性传播疾病的风险对于检测政策至关重要。高危人群需要接受淋病、梅毒、艾滋病和乙肝检测。艾滋病毒和梅毒是严重的性传播疾病。早期检测和治疗对于防止健康受损和进一步传播非常重要。为此,艾滋病病毒感染症状是有用的警报信号。PrEP 可以帮助避免感染艾滋病毒,提高性健康水平。医生和公共卫生临床医生可以开具处方。但使用安全套仍然是预防的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nederlands tijdschrift voor geneeskunde
Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
302
期刊介绍: Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.
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