[热带性传播感染 2023 年 11 月 9 日 SFMTSI 科学日摘要]。

Medecine tropicale et sante internationale Pub Date : 2023-10-24 eCollection Date: 2023-12-31 DOI:10.48327/mtsi.v3i4.2023.447
Éric Caumes
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引用次数: 0

摘要

如今,热带地区的性传播感染(STIs)比以往任何时候都更值得关注。事实上,2022 年在西方国家出现的猴痘提醒人们注意热带地区输出性传播感染的风险,几十年来,热带非洲的艾滋病毒/艾滋病感染在世界范围内的传播已经引起了人们的注意。有些危害已经被明确指出。根据世界卫生组织 2023 年的报告,性传播感染在全球不断增加。淋病奈瑟菌的抗生素耐药性正在增加,生殖器支原体的抗生素耐药性已经确立,而苍白曲霉菌在过去二十年中已经对大环内酯类药物产生了耐药性。一些被忽视的热带疾病(寨卡、埃博拉、猴痘)也可以通过性传播,有时甚至在治愈后数月才传播(埃博拉)。在这种情况下,在移民和非洲使用 PrEP 值得在传统圈子之外进行讨论。
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[Tropical sexually transmitted infections Summary of the SFMTSI Scientific Day of November 9, 2023].

Sexually transmitted infections (STIs) deserve more attention today than ever in the tropics. Indeed, the emergence of monkeypox in 2022 in Western countries reminds the risk of exporting STIs from the tropics as it was already known for decades with the worldwide spread of HIV/AIDS infection from tropical Africa. Some hazards are already well identified. According to WHO 2023 report STIs are increasing in the world. Antibiotic resistance is increasing for Neisseria gonorrhoeae, and already well established for Mycoplasma genitalium, whereas Treponema pallidum has become resistant to macrolides within the last twenty years. Some neglected tropical diseases (Zika, Ebola, monkeypox) can also be sexually transmitted, sometimes months after cure (Ebola). In this setting, the use of PrEP in migrants, and in Africa, is worth to be discussed beyond traditional circles.

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