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【medical-news】性病患者治疗后数月内多再度感染

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Many STD patients reinfected within months
Mon Oct 16, 2006 8:53pm ET

By Amy Norton

NEW YORK (Reuters Health) - Many patients who are treated for chlamydia infection, vaginal trichomoniasis or gonorrhea are infected again within months, U.S. researchers reported Monday.

The findings, they say, suggest that anyone diagnosed chlamydia infection or gonorrhea should return to their doctor in three months to be re-tested.

People can't rely on symptoms to tell them they're infected, said study leader Dr. Thomas A. Peterman, a researcher with the U.S. Centers for Disease Control and Prevention.

"These infections are often asymptomatic," Peterman told Reuters Health. "and that's why we need to do re-screening."

His team's findings, to be published in Tuesday's issue of the Annals of Internal Medicine, are based on the evaluation of 2,419 patients seen at one of three urban STD clinics. The men were diagnosed with either chlamydial infection or gonorrhea, while the women had one of these STDs or infection with vaginal trichomoniasis.

Peterman and his colleagues followed the patients for one year, re-testing them for each of these STDs every three months.

They found that 25.6 percent of the women developed a new infection during the follow-up period -- sometimes with the same STD, sometimes with one of the other two. Among the men, 14.7 percent developed a new chlamydia or gonorrhea infection.

The risk of reinfection was high at the first three-month screening, the study found, and it remained so for the entire one-year follow-up.

Right now, the CDC recommends that women diagnosed with chlamydia be re-screened three months later. The new findings suggest men should follow similar advice, according to Peterman. They also support routine re-testing of men and women with gonorrhea.

Although women with trichomoniasis were at risk of repeat STD infection, Peterman said he was "a little more hesitant" to recommend routine re-testing in these cases. Past studies have yielded similar findings when it comes to chlamydia and gonorrhea, he explained, but the overall evidence is not as strong for trichomoniasis.

Of men and women who did develop new STD infections during the study, two thirds had no symptoms when diagnosed. So people should not assume they don't need repeat testing because they feel fine, according to Peterman.

The high risk of reinfection in the study also points to a need for greater STD prevention, the study authors say. An important step is for infected individuals' partners to be tested.

"It's critical that your partner also gets treated," Peterman said.

He also advised that people diagnosed with an STD "think about" their sexual behavior -- whether they have multiple partners or have unprotected sex, for example -- and make changes that can lower their infection risk.

SOURCE: Annals of Internal Medicine, October 17, 2006.

http://today.reuters.com/news/articlenews.aspx?type=healthNews&storyID=2006-10-17T005340Z_01_TON703166_RTRUKOC_0_US-STD-REINFECTION.xml&WTmodLoc=HealthNewsHome_C2_healthNews-1

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2006-10-17 11:29 浏览 : 659 回复 : 2

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• 大量失血输血治疗后会引起急性心梗吗？

feiguohaitian

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Many STD patients reinfected within months
Mon Oct 16, 2006 8:53pm ET
性病患者治疗后数月内多再度感染
By Amy Norton

NEW YORK (Reuters Health) - Many patients who are treated for chlamydia infection, vaginal trichomoniasis or gonorrhea are infected again within months, U.S. researchers reported Monday.
纽约（路透社卫生分部）-支原体感染、阴道滴虫病或淋病患者治疗后数月内多再度感染。这是美国研究者星期一报道的。
The findings, they say, suggest that anyone diagnosed chlamydia infection or gonorrhea should return to their doctor in three months to be re-tested.
他们说结果表明任何诊断为支原体感染或淋病的患者应该在三个月内到他们的医生那儿重新检测。
People can't rely on symptoms to tell them they're infected, said study leader Dr. Thomas A. Peterman, a researcher with the U.S. Centers for Disease Control and Prevention.
美国疾病预防控制中心（CDC）研究者、学术带头人Thomas A. Peterman博士说人们不能依靠症状判断他们是否感染。
"These infections are often asymptomatic," Peterman told Reuters Health. "and that's why we need to do re-screening."
“这些感染经常是无症状的”，Peterman告诉路透社卫生分部，“那是为什么我们需要做复检”。
His team's findings, to be published in Tuesday's issue of the Annals of Internal Medicine, are based on the evaluation of 2,419 patients seen at one of three urban STD clinics. The men were diagnosed with either chlamydial infection or gonorrhea, while the women had one of these STDs or infection with vaginal trichomoniasis.
星期二刊发的内科学年报登出了他的研究组的结果，结果是根据对1/3市区性病门诊的2419名就诊病人的评估得出的。男性被诊断为支原体感染或淋病，而女性是得了这些传染病中的一种或感染了阴道滴虫。
Peterman and his colleagues followed the patients for one year, re-testing them for each of these STDs every three months.
Peterman和他的同事随访病人一年，每三个月对病人重新检测这几种性病。
They found that 25.6 percent of the women developed a new infection during the follow-up period -- sometimes with the same STD, sometimes with one of the other two. Among the men, 14.7 percent developed a new chlamydia or gonorrhea infection.
他们发现25.6%的女性患者随访期间产生了新的感染-有时是相同的性病，有时是另两种的一种。男性患者中14.7%得上了新的支原体感染或淋病。
The risk of reinfection was high at the first three-month screening, the study found, and it remained so for the entire one-year follow-up.
研究发现初次三个月的筛检时重新感染的风险是高的，一整年的随访仍是如此。
Right now, the CDC recommends that women diagnosed with chlamydia be re-screened three months later. The new findings suggest men should follow similar advice, according to Peterman. They also support routine re-testing of men and women with gonorrhea.
当即，CDC建议诊断为支原体感染的妇女三个月后复检。根据Peterman新的研究结果，男性应遵循相同的原则。他们也支持对淋病男女患者进行常规复查。
Although women with trichomoniasis were at risk of repeat STD infection, Peterman said he was "a little more hesitant" to recommend routine re-testing in these cases. Past studies have yielded similar findings when it comes to chlamydia and gonorrhea, he explained, but the overall evidence is not as strong for trichomoniasis.
Peterman说虽然滴虫病妇女经受着反复性病感染的风险，但对于建议这些案例常规复查是有点犹豫的。他解释说对于支原体感染和淋病过去的研究得出了相同的结果，但对于滴虫病全部的证据并不充分。
Of men and women who did develop new STD infections during the study, two thirds had no symptoms when diagnosed. So people should not assume they don't need repeat testing because they feel fine, according to Peterman.
研究期间产生新的性病感染的男女患者中2/3诊断时并无症状。所以，根据Peterman的说法，人们不应设想因为他们感觉良好就不需要重复检测
The high risk of reinfection in the study also points to a need for greater STD prevention, the study authors say. An important step is for infected individuals' partners to be tested.
研究作者说研究中重新感染的高风险也表明需要更大力度的性病预防。重要的一步是感染者的性伴进行检测。
"It's critical that your partner also gets treated," Peterman said.
“你的性伴也得到治疗是至关重要的”， Peterman说。
He also advised that people diagnosed with an STD "think about" their sexual behavior -- whether they have multiple partners or have unprotected sex, for example -- and make changes that can lower their infection risk.
他也建议诊断为性病的人们仔细的想想他们的性行为-例如是否有多个性伴或不受保护的性行为-并做些改变以降低他们的感染风险。
SOURCE: Annals of Internal Medicine, October 17, 2006.
来源：内科学年报，2006-10-17。

2006-10-17 15:42

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feiguohaitian 编辑于 2006-10-20 11:36

• 文献求助

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沙漠梭梭

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1. “Reuters Health”译为“ 路透健康（新闻）”即可。
2. Right now, the CDC recommends that women diagnosed with chlamydia be re-screened three months later. The new findings suggest men should follow similar advice, according to Peterman. They also support routine re-testing of men and women with gonorrhea.
当即，CDC建议诊断为支原体感染的妇女三个月后复检。根据Peterman新的研究结果，男性应遵循相同的原则。他们也支持大对淋病男女患者进行常规复查。
试译：当下，CDC建议被诊为支原体感染的女性三个月后复检。按Peterman的新研究结果提示，男性也应如此。他们也支持对患淋病的男女进行常规复查。
3. 句子还是要梳理梳理^_^。如：
He also advised that people diagnosed with an STD "think about" their sexual behavior -- whether they have multiple partners or have unprotected sex, for example -- and make changes that can lower their infection risk.
他也建议诊断为性病的人们仔细的想想他们的性行为-例如是否有多个性伴或不受保护的性行为-并做些改变以降低他们的感染风险。
试译：他还建议被诊为性病的人多考虑考虑自己的性行为－比如，是不是有多个性伴侣或者进行过没有任何安全措施的性行为－－也要为降低他们的感染风险做些什么。

2006-10-17 20:52

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沙漠梭梭编辑于 2006-10-17 20:56

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