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首页> 外文期刊>Sexually Transmitted Infections >Chlamydia trachomatis infections in eastern Europe: legal aspects, epidemiology, diagnosis, and treatment.
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Chlamydia trachomatis infections in eastern Europe: legal aspects, epidemiology, diagnosis, and treatment.

机译:东欧沙眼衣原体感染:法律方面,流行病学,诊断和治疗。

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OBJECTIVES: Knowledge concerning genital Chlamydia trachomatis infections in eastern Europe is scarce. Data on the legal aspects, epidemiology, diagnosis, and treatment of the infection have never been collected, summarised, and presented to the international scientific community. The aim of this study was to present the current situation on the main aspects of chlamydial infections in the countries of eastern Europe. METHODS: Written questionnaires concerning legal aspects, epidemiology, diagnosis, and treatment of the infection were distributed among national STI operating administrators as well as researchers who had presented papers at earlier meetings of European chlamydia or STI societies. RESULTS: Most of the countries have not legalised reporting of chlamydial infections and in those who have done so, the quality of the reporting system is poor. Contact tracing is mostly done on a voluntary basis. Reported chlamydia incidence varies from 21 to 276 per 100000 inhabitants. The most commonly used diagnostic test remains the direct immunofluorescence test; however, some tendencies towards nucleic acid amplification are in evidence. Diagnostic services are paid for by the patient himself, while treatment in many countries is partially or completely covered by public insurance. CONCLUSIONS: This is the first report summarising data concerning the situation on C trachomatis infections in eastern Europe. The reporting system and diagnosis of C trachomatis infections remain suboptimal, which allows neither control of the epidemiological situation nor optimal treatment of the patients. The most urgent work currently necessary is the education of professionals and the general population.
机译:目的:关于东欧生殖器沙眼衣原体感染的知识很少。关于感染的法律方面,流行病学,诊断和治疗的数据从未被收集,汇总并提供给国际科学界。这项研究的目的是介绍东欧国家衣原体感染主要方面的现状。方法:关于感染的法律方面,流行病学,诊断和治疗的书面调查表已分发给国家性传播感染操作管理人员以及在欧洲衣原体或性传播感染协会较早的会议上发表论文的研究人员。结果:大多数国家/地区尚未将衣原体感染的报告合法化,在已经这样做的国家,报告系统的质量很差。联系人跟踪通常是自愿进行的。报告的衣原体发病率从每100000居民21到276不等。最常用的诊断测试仍然是直接免疫荧光测试。然而,核酸扩增的一些趋势是明显的。诊断服务由患者自己支付,而在许多国家,治疗由公共保险部分或完全覆盖。结论:这是第一份总结东欧东欧沙眼衣原体感染情况数据的报告。沙眼衣原体感染的报告系统和诊断仍然欠佳,这既无法控制流行病学情况,也无法对患者进行最佳治疗。当前最紧急的工作是对专业人员和普通民众的教育。

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