Trichomonas vaginalis Vaginitis in Obstetrics and Gynecology Practice: New Concepts and Controversies
Trichomonas vaginalis Vaginitis in Obstetrics and Gynecology Practice: New Concepts and Controversies
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DOI：
10.1097/ogx.0b013e318279fb7d
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发表时间：
2013-01-01
影响因子：
6.2
通讯作者：
Witter, Frank
中科院分区：
文献类型：
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作者：
Coleman, Jenell S.;Gaydos, Charlotte A.;Witter, Frank
阴道毛滴虫(TV)是全世界最常见的可治愈的性传播感染。据估计，美国每年新增感染人数为740万，比衣原体、淋病和梅毒新增病例的总和还要多。严重的不良生殖健康后果，包括妊娠并发症、盆腔炎和感染艾滋病毒的风险增加，都与电视感染有关。有几种敏感和特异的诊断测试可用，包括新批准的核酸扩增测试(NAAT)，它使用与衣原体和淋病测试相同的仪器平台和临床样本。在这篇文章中，我们回顾了电视的致病性、不良生殖健康结果、检测和治疗，以及电视诊断在产科和妇科实践中可能被证明有用的临床方案。
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.