性传播感染的综合征方法:分子诊断的附加价值。

Current opinion in HIV and AIDS Pub Date : 2025-05-01 Epub Date: 2025-04-01 DOI:10.1097/COH.0000000000000932
Onya Opota, Gilbert Greub
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引用次数: 0

摘要

综述目的:性传播感染(STIs)是一个重大的全球健康问题,许多病例由于无症状感染而未得到诊断。传统的诊断方法,如培养和血清学,在敏感性、特异性和周转时间上都有局限性。分子诊断,特别是基于聚合酶链反应的方法,具有显著的优势,包括提高检出率和进行综合征检测的潜力。本文综述了综合征PCR诊断在改善STI检测和管理中的作用。最近的发现:最近的研究强调了检测常见性传播感染的效用,如沙眼衣原体、淋病奈瑟菌和阴道毛滴虫,以及新出现的病原体。基于聚合酶链反应的综合征组允许从单个样本中同时检测多种病原体,从而提高诊断准确性和效率。综合征PCR方法简化诊断,有助于早期发现,并支持有效治疗,解决常见和新发感染。总结:综合征PCR诊断简化了STI检测,解决了传统方法的局限性。它们能够实现更快、更准确和全面的诊断,从而实现有针对性的治疗并改善患者的预后。扩大综合征组以包括新出现的病原体和确保具有成本效益的实施仍然是未来研究的关键领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Syndromic approaches for sexually transmitted infections: added value of molecular diagnosis.

Purpose of review: Sexually transmitted infections (STIs) are a significant global health concern, with many cases going undiagnosed due to asymptomatic infections. Traditional diagnostic methods, such as culture and serology, have limitations in sensitivity, specificity, and turnaround time. Molecular diagnostics, particularly PCR-based approaches, offer significant advantages, including improved detection rates and the potential for syndromic testing. This review examines the role of syndromic PCR diagnostics in improving STI detection and management.

Recent findings: Recent studies highlight the utility in detecting common STIs, such as Chlamydia trachomatis , Neisseria gonorrhoeae , and Trichomonas vaginalis , as well as emerging pathogens. PCR-based syndromic panels allow for the simultaneous detection of multiple pathogens from a single sample, improving diagnostic accuracy and efficiency. Syndromic PCR approaches streamline diagnosis, aid in early detection, and support efficient treatment, addressing both common and emerging infections.

Summary: Syndromic PCR diagnostics streamline STI detection, addressing the limitations of conventional methods. They enable faster, more accurate, and comprehensive diagnosis, leading to targeted treatment and improved patient outcomes. Expanding syndromic panels to include emerging pathogens and ensuring cost-effective implementation remain key areas for future research.

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