Trichomonas vaginalis Vaginitis in Obstetrics and Gynecology Practice: New Concepts and Controversies

被引:42
作者
Coleman, Jenell S. [1 ]
Gaydos, Charlotte A. [2 ]
Witter, Frank [3 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Gynecol & Obstet, Div Gynecol Specialties, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Med, Dept Med, Div Infect Dis, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Div Maternal Fetal Med, Dept Gynecol & Obstet, Baltimore, MD 21287 USA
关键词
SEXUALLY-TRANSMITTED-DISEASES; NEISSERIA-GONORRHOEAE; PREMATURE RUPTURE; METRONIDAZOLE; INFECTION; PREVALENCE; WOMEN; HIV-1; VIRUS; ACQUISITION;
D O I
10.1097/OGX.0b013e318279fb7d
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Trichomonas vaginalis (TV) is the most common curable sexually transmitted infection worldwide. Annually, 7.4 million new infections are estimated in the United States, which is greater than combined new cases of Chlamydia, gonorrhea, and syphilis. Serious adverse reproductive health outcomes including pregnancy complications, pelvic inflammatory disease, and an increased risk of HIV acquisition have been linked to TV infection. There are several sensitive and specific diagnostic tests available, including a newly approved nucleic acid amplification test (NAAT) that utilizes the same instrumentation platform and clinical sample as Chlamydia and gonorrhea tests. In this article, we review TV pathogenicity, adverse reproductive health outcomes, detection, and treatment followed by clinical scenarios for which TV diagnosis may prove useful in obstetrics and gynecology practice.
引用
收藏
页码:43 / 50
页数:8
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