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美国CDC《2021年性传播感染诊治指南》外阴阴道假丝酵母菌病诊治解读

2021-11-15 清华大学临床医学院 中国微生态学杂志

阴道炎霉菌性阴道炎性与性病外阴阴道假丝酵母菌病

美国疾病控制和预防中心(CDC)发布了最新版的《2021年性传播感染诊治指南》,其中其中外阴阴道假丝酵母菌病(VVC)部分有一些新的修订。

中文标题：

美国CDC《2021年性传播感染诊治指南》外阴阴道假丝酵母菌病诊治解读

发布机构：

清华大学临床医学院

发布日期：

2021-11-15

简要介绍：

美国疾病控制和预防中心(CDC)发布了最新版的《2021年性传播感染诊治指南》(Sexually Transmitted Infection Treatment Guidelines,2021),其中外阴阴道假丝酵母菌病(VVC)部分有一些新的修订。本文对该部分进行解读,并与2015年美国CDC指南进行比较分析,以期为临床医生对VVC的规范诊治和国内新版指南的修订提供参考。该指南主要更新为复发性VVC(RVVC)的诊断由一年内有症状的VVC发作4次或以上更改为一年内发作3次或以上。指南目前不推荐使用益生菌制剂治疗单纯性VVC。此外,对于非白假丝酵母菌感染患者,推荐600 mg硼酸胶囊阴道给药,每日1次,持续治疗时间由2015年版的2周延长为3周。 

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美国CDC《2021年性传播感染诊治指南》外阴阴道假丝酵母菌病诊治解读.pdf
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  1. [GetPortalCommentsPageByObjectIdResponse(id=1212981, encodeId=f6971212981e2, content=学习啦, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01a65193898, createdName=14721ddbm39暂无昵称, createdTime=Wed Apr 20 22:02:10 CST 2022, time=2022-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199779, encodeId=ec701199e791b, content=非常適合，謝謝, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d4d61685031, createdName=1de43ceem32(暂无匿称), createdTime=Sat Mar 05 23:27:44 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189574, encodeId=3e2211895e4bf, content=基层医院赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee616470317, createdName=ms8000002131411968, createdTime=Tue Feb 01 19:46:44 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1186705, encodeId=ccb01186e0566, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=204, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/KVHctYzJg2NRamomawmLicXkx2wOqTxoncJfTCraj1ff7K7gG5lr8u9wyzCUVMMW5T6JPibpuKF6OPicV5YiaWFqew/132, createdBy=65c65253420, createdName=Lee4204, createdTime=Fri Jan 21 08:50:46 CST 2022, time=2022-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185058, encodeId=87191185058b5, content=赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=189, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Mon Jan 17 07:03:52 CST 2022, time=2022-01-17, status=1, ipAttribution=)]
    2022-04-20 14721ddbm39暂无昵称

    学习啦

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1212981, encodeId=f6971212981e2, content=学习啦, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01a65193898, createdName=14721ddbm39暂无昵称, createdTime=Wed Apr 20 22:02:10 CST 2022, time=2022-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199779, encodeId=ec701199e791b, content=非常適合，謝謝, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d4d61685031, createdName=1de43ceem32(暂无匿称), createdTime=Sat Mar 05 23:27:44 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189574, encodeId=3e2211895e4bf, content=基层医院赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee616470317, createdName=ms8000002131411968, createdTime=Tue Feb 01 19:46:44 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1186705, encodeId=ccb01186e0566, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=204, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/KVHctYzJg2NRamomawmLicXkx2wOqTxoncJfTCraj1ff7K7gG5lr8u9wyzCUVMMW5T6JPibpuKF6OPicV5YiaWFqew/132, createdBy=65c65253420, createdName=Lee4204, createdTime=Fri Jan 21 08:50:46 CST 2022, time=2022-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185058, encodeId=87191185058b5, content=赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=189, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Mon Jan 17 07:03:52 CST 2022, time=2022-01-17, status=1, ipAttribution=)]
    2022-03-05 1de43ceem32(暂无匿称)

    非常適合，謝謝

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1212981, encodeId=f6971212981e2, content=学习啦, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01a65193898, createdName=14721ddbm39暂无昵称, createdTime=Wed Apr 20 22:02:10 CST 2022, time=2022-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199779, encodeId=ec701199e791b, content=非常適合，謝謝, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d4d61685031, createdName=1de43ceem32(暂无匿称), createdTime=Sat Mar 05 23:27:44 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189574, encodeId=3e2211895e4bf, content=基层医院赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee616470317, createdName=ms8000002131411968, createdTime=Tue Feb 01 19:46:44 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1186705, encodeId=ccb01186e0566, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=204, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/KVHctYzJg2NRamomawmLicXkx2wOqTxoncJfTCraj1ff7K7gG5lr8u9wyzCUVMMW5T6JPibpuKF6OPicV5YiaWFqew/132, createdBy=65c65253420, createdName=Lee4204, createdTime=Fri Jan 21 08:50:46 CST 2022, time=2022-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185058, encodeId=87191185058b5, content=赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=189, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Mon Jan 17 07:03:52 CST 2022, time=2022-01-17, status=1, ipAttribution=)]
    2022-02-01 ms8000002131411968

    基层医院赶不上指南

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1212981, encodeId=f6971212981e2, content=学习啦, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01a65193898, createdName=14721ddbm39暂无昵称, createdTime=Wed Apr 20 22:02:10 CST 2022, time=2022-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199779, encodeId=ec701199e791b, content=非常適合，謝謝, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d4d61685031, createdName=1de43ceem32(暂无匿称), createdTime=Sat Mar 05 23:27:44 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189574, encodeId=3e2211895e4bf, content=基层医院赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee616470317, createdName=ms8000002131411968, createdTime=Tue Feb 01 19:46:44 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1186705, encodeId=ccb01186e0566, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=204, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/KVHctYzJg2NRamomawmLicXkx2wOqTxoncJfTCraj1ff7K7gG5lr8u9wyzCUVMMW5T6JPibpuKF6OPicV5YiaWFqew/132, createdBy=65c65253420, createdName=Lee4204, createdTime=Fri Jan 21 08:50:46 CST 2022, time=2022-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185058, encodeId=87191185058b5, content=赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=189, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Mon Jan 17 07:03:52 CST 2022, time=2022-01-17, status=1, ipAttribution=)]
    2022-01-21 Lee4204

    学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1212981, encodeId=f6971212981e2, content=学习啦, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01a65193898, createdName=14721ddbm39暂无昵称, createdTime=Wed Apr 20 22:02:10 CST 2022, time=2022-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1199779, encodeId=ec701199e791b, content=非常適合，謝謝, beContent=null, objectType=guider, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d4d61685031, createdName=1de43ceem32(暂无匿称), createdTime=Sat Mar 05 23:27:44 CST 2022, time=2022-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1189574, encodeId=3e2211895e4bf, content=基层医院赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee616470317, createdName=ms8000002131411968, createdTime=Tue Feb 01 19:46:44 CST 2022, time=2022-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1186705, encodeId=ccb01186e0566, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=204, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/KVHctYzJg2NRamomawmLicXkx2wOqTxoncJfTCraj1ff7K7gG5lr8u9wyzCUVMMW5T6JPibpuKF6OPicV5YiaWFqew/132, createdBy=65c65253420, createdName=Lee4204, createdTime=Fri Jan 21 08:50:46 CST 2022, time=2022-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1185058, encodeId=87191185058b5, content=赶不上指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=189, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220625/6f4f075937de4c5d9fc7ab3a1bc6d8c2/13a8a29e67044698af1fb74276589093.jpg, createdBy=b5c55099112, createdName=D-House, createdTime=Mon Jan 17 07:03:52 CST 2022, time=2022-01-17, status=1, ipAttribution=)]
    2022-01-17 D-House

    赶不上指南

    0

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