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Utilisation of Rapid Tests for Sexually Transmitted Infections: Promises and Challenges

机译:性传播感染快速检测的利用:承诺和挑战

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The control of curable STIs in countries with high disease burden has been hampered by the lack of accessibleSTI laboratory services. Rapid tests that are sensitive, specific and easy to use have the potential to increase the specificityof syndromic management of STIs in symptomatic patients and increase access to screening of asymptomatic infection toprevent the development of long-term complications and to interrupt the chain of transmission of STIs in the population.Although most rapid tests for chlamydia and gonorrhoea have sub-optimal sensitivity, and are neither simple noraffordable, some rapid syphilis tests have been shown to have acceptable performance. These can be deployed to increaseaccess to screening in settings where testing is not previously possible or where laboratory services are inconsistent. Withmore political commitment and technological advances made possible by increased funding and public and privateproduct development partnerships, there is much optimism in the near future for point of care tests for STIs that canimprove patient management and disease control.
机译:由于缺乏可获得的性传播感染实验室服务,阻碍了在疾病负担高的国家对可治愈的性传播感染的控制。快速,灵敏,特异且易于使用的检测方法有可能增加有症状患者的性传播感染综合症管理的特异性,并增加无症状感染筛查的机会,以防止长期并发症的发生并中断性传播感染的传播链。尽管大多数针对衣原体和淋病的快速检测方法灵敏度欠佳,并且既不能简单地改编,也显示出一些快速的梅毒检测方法具有可接受的性能。在以前无法进行测试或实验室服务不一致的环境中,可以部署这些工具以增加进行筛选的机会。通过增加资金以及公共和私人产品开发合作伙伴关系,可以在政治上做出更大的承诺,并在技术上取得进步,因此在不久的将来,针对性传播感染的即时检验可以改善患者的管理和疾病控制,因此人们对此充满乐观。

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