重视女性生殖道淋菌沙眼衣原体及支原体感染的临床诊治

Diagnosis and treatment of Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasmainfections in female genital tract

临床上女性生殖道淋菌沙眼衣原体及支原体感染很常见，与尿道炎、宫颈炎、盆腔炎、异位妊娠、不孕、慢性盆腔痛及围生期感染相关，但缺乏典型症状而容易被忽略。采用核酸扩增试验（NAAT）法均可对这三类疾病进行准确的诊断，有条件的实验室应该广泛开展。治疗均采用相应的敏感抗生素治疗，性伴同治，在支原体感染治疗时应注意区别无症状携带的健康人群。应该提高对这类感染性疾病的认识，减少漏诊造成的危害。

Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma are common in female genital tract infections, which are associated with urethritis, cervicitis, pelvic inflammatory disease, ectopic pregnancy, infertility, chronic pelvic pain and perinatal infections. They can cause the infectious diseases asymptomatically, which would be easily neglected. Nucleic acid amplification test （NAAT） can provide an accurate diagnosis for these diseases, and qualified laboratories should be suggested to develop the project. Appropriate sensitive antibiotics and sex partners participation are essential for treatment. Noticeably, asymptomatic carrier should be differentiated during the treatment of Mycoplasma infections. It should increase awareness of these infectious diseases, in order to reduce the harm caused hv rnisdiagnosis.