小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 无症状
其他诊断因素
- 宫颈分泌物
- 子宫颈质脆
- 异常阴道出血
- 阴茎分泌物
- 阴道分泌物
- 排尿困难
- 盆腔疼痛
- 发热/寒战
- 恶心/呕吐
- 阴囊痛
- 肌痛
- 腹痛
- 黏液脓性直肠分泌物或里急后重
- 关节痛和肿胀
- 眼部刺激
- 皮疹
- 炎症
危险因素
- 25 岁以下、性活跃
- 新的性伴侣或多个性伴侣
- 与感染衣原体的患者者发生性行为
- 无套性行为
- 既往性传播感染病史
- 种族
- 城市居住区和低的社会经济地位
诊断性检查
首要检查
- 核酸扩增试验 (NAAT)
需考虑的检查
- 直接免疫荧光试验
- 酶免疫测定
- 核酸杂交试验
- 细胞培养
新兴检查
- 快速和即时检测
治疗流程
确诊的或者疑似的
撰稿人
作者
Matthew M. Hamill, MBChB, PhD, FRCP
Assistant Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore
MD
利益声明
MMH receives royalties for contributing to UpToDate on Lymphogranuloma venereum and for Clinical Care Options. He has an honorarium from Roche Diagnostics for panel STI & HIV 2021 World Congress (virtual) and was a member of the 2021 Roche group on future of POCT for STI. He has also received consulting fees from GSK for the HSV vaccine.
鸣谢
Dr Matthew M. Hamill would like to gratefully acknowledge Dr Anne Rompalo and Dr Christopher K. Fairley, the previous contributors to this topic.
利益声明
AR and CKF declare that they have no competing interests.
同行评议者
Kenneth Lin, MD
Assistant Editor
American Family Physician
Clinical Assistant Professor
GUSOM Medical Officer
US Preventive Services Task Force
利益声明
KL declares that he has no competing interests.
Lars Jørgen Østergaard, MD, PhD, DMSc
Professor/Head
Department of Infectious Diseases
Aarhus University Hospital
Skejby Sygehus
Aarhus
Denmark
利益声明
LJO has been funded by Pfizer to write a leaflet on Chlamydia infections.
鉴别诊断
- 性病性淋巴肉芽肿
- 淋病感染
- 细菌性阴道病
更多 鉴别诊断指南
- 减少性传播感染
- 衣原体感染和淋病筛查： 建议声明
更多 指南患者教育信息
衣原体
更多 患者教育信息
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