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  

Interpretation of Sexually Transmitted Infections Treatment Guidelines,2021(by Centers for Disease Control and Prevention)in Vulvovaginal Candidiasis

作　　者：李萌[1,2] 张琼琼 廖秦平[2] LI Meng;ZHANG Qiong-qiong;LIAO Qin-ping(School of Clinical Medicine,Tsinghua University,Beijing 100084,China;不详)

机构地区：[1]清华大学临床医学院,北京100084 [2]清华大学附属北京清华长庚医院,北京102218

出　　处：《中国微生态学杂志》2021年第11期1290-1293,共4页Chinese Journal of Microecology

基　　金：国家自然科学基金(81671409);北京市自然科学基金(7202239)。

摘　　要：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600mg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。The Centers for Disease Control and Prevention(CDC)released the latest version of Sexually Transmitted Infections Treatment Guidelines,2021 with some renewal to vulvovaginal candidiasis(VVC).This article will interpret the updated portion and compared it with the 2015CDC guidelines,aiming to provide reference for clinicians to standardize the diagnosis and treatment of VVC and the revision of the new guidelines in China.The major update is that the diagnosis of recurrent vulvovaginal candidiasis(RVVC)changes from four or more episodes of VVC a year to three or more a year.The guidelines do not recommend the use of probiotics in uncomplicated VVC.In addition,for patients with non-albicans vulvovaginal candidiasis,vaginal administration of 600mg boric acid capsule once daily is recommended,for an extended period from 2to 3weeks.

关 键 词：外阴阴道假丝酵母菌病 诊断 治疗 指南 

分 类 号：R711.31[医药卫生—妇产科学]