阴道毛滴虫诊断方法综述

F. Rahmani, Y. Ehteshaminia, H. Mohammadi, S. Mahdavi
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摘要

滴虫病是世界上最常见的非病毒性性传播感染,由阴道毛滴虫原虫引起,感染男性和女性的泌尿生殖道。全世界每年报告的阴道毛滴虫感染新病例约为2.5亿例。滴虫病也被认为是一种重要的HIV合并感染。感染通常无症状,但可伴有严重炎症、瘙痒和刺激、泡沫分泌物和恶臭粘液等症状,但该病的体征和症状不足以进行具体诊断。材料与方法:本研究检索PubMed、Google Scholar、SID、Margiran等网站,查阅相关文章。结果:只有筛查和使用高灵敏度和特异性的诊断方法才能识别无症状个体。今天,诊断感染最常见的方法是使用湿玻片、巴氏涂片和培养方法,这些方法的灵敏度和特异性都不高。此外,由于感染及其并发症的增加,寻找一种有效、快速、简便的检测寄生虫并将滴虫阴道炎与其他性传播疾病区分开来的方法是重要和必要的。结论:目前已有几种鉴别滴虫感染与其他性传播感染的诊断方法,具有较高的准确性和敏感性。当然,现有的诊断方法大多采用女性尿液和阴道样本进行诊断,专门诊断男性感染的方法较为有限。
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A Review on Diagnostic Methods for Trichomonas Vaginalis
Introduction: Trichomoniasis is the most common non-viral sexually transmitted infection in the world, caused by the protozoan parasite Trichomonas vaginalis, which infects the urogenital tract of men and women. Approximately, 250 million new cases of Trichomonas vaginalis Infection are reported worldwide each year. Trichomoniasis is also considered an important HIV co-infection. The infection is often asymptomatic but can be accompanied by symptoms such as severe inflammation, itching and irritation, foamy discharge, and malodorous smell mucus, but the signs and symptoms of the disease are not sufficient for specific diagnosis. Material and Methods: In this study, the websites of PubMed, Google Scholar, SID, and Margiran were searched and related articles were reviewed. Results: Only screening and the use of highly sensitive and specific diagnostic methods can identify asymptomatic individuals. Today, the most common way to diagnose the infection is to use wet slide, Pap smear and culture methods that do not have high sensitivity and specificity. Also, due to the increase in infection and its complications, finding an efficient, rapid, and easy test to detect the parasite and differentiate Trichomoniasis vaginitis from other sexually transmitted diseases is considered important and necessary. Conclusion: Nowadays, there are several diagnostic methods that differentiate trichomoniasis infection from other sexually transmitted infections with high accuracy and sensitivity. Of course, existing diagnostic methods mostly use women's urine and vaginal samples for diagnosis, and methods that specifically diagnose the infection in men are more limited.
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