Comparison of Computer-Assisted Self-Interview Versus Clinician Interview for Self-Reported Vulvovaginal Symptoms.

Comparison of Computer-Assisted Self-Interview Versus Clinician Interview for Self-Reported Vulvovaginal Symptoms.
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计算机辅助自我访谈与临床医生访谈对自我报告的外阴阴道症状的比较。

DOI:
10.1097/olq.0000000000001780
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发表时间:
2023
影响因子:
3.1
通讯作者:
Brotman,RebeccaM
Brotman,RebeccaM
中科院分区:
医学4区
文献类型:
--
作者:
Robbins,SarahJ;Brown,SarahE;Stennett,ChristinaA;Tuddenham,Susan;Johnston,ElizabethD;He,Xin;Mark,KatrinaS;Brotman,RebeccaM

文献摘要

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方法我们对妇科和润滑剂效应(GALE)研究进行了二次分析,这是一项于2017年5月至2020年3月在马里兰州巴尔的摩进行的为期10周的观察性研究,旨在评估经阴道超声(TVUS)期间使用的阴道润滑剂对阴道微环境的影响。15名参与者年龄在18岁以上,出生时被指定为女性,并因各种指征接受TVUS治疗,包括盆腔肿块、盆腔疼痛和异常月经。排除标准包括糖尿病、其他免疫抑制情况、当前怀孕、前一个月使用抗生素或抗真菌药物、TVUS后一周内使用润滑剂、盆腔炎或子宫癌、卵巢癌或盆腔结构癌。如果宫颈样本的核酸扩增检测证实淋病、沙眼衣原体或阴道毛滴虫感染(BD Max CT/GC/TV),或血清学测试检测到HIV(Abbot Architect HIV Ag/Ab Combo)或梅毒(BD Macro-Vue),参与者也被排除在基线之外。
METHODSWe conducted a secondary analysis of the Gynecology and Lubricant Effects (GALE) study, a 10-week observational study in Baltimore, MD conducted between May 2017 and March 2020 that evaluated the impact of vaginal lubricant used during transvaginal ultrasound (TVUS) on the vaginal microenvironment. 15 Participants were older than 18 years, assigned female at birth, and were referred for TVUS for various indications, including pelvic mass, pelvic pain, and abnormal periods. Exclusion criteria included diabetes, other immunosuppressive conditions, current pregnancy, antibiotic or antifungal use in the prior month, lubricant use within a week of TVUS, pelvic inflammatory disease, or cancers of the uterus, ovaries, or pelvic structures. Participants were also excluded at baseline if nucleic acid amplification testing of cervical samples confirmed Neisseria gonorrhea, Chlamydia trachomatis, or Trichomonas vaginalis infections (BD MAX CT/GC/TV), or serologic testing detected HIV (Abbot ARCHITECT HIV Ag/Ab Combo) or syphilis (BD Macro-Vue).