梅毒血清固定临床管理专家共识(2023)  

Expert consensus on clinical management of serofast state in syphilis(2023)

作　　者：中国医师协会皮肤科医师分会性传播疾病专业委员会 周平玉 徐金华 王千秋 Committee on Sexually Transmitted Diseases,China Dermatologist Association;Zhou Pingyu;Xu Jinhua;Wang Qianqiu

机构地区：[1]不详

出　　处：《中华皮肤科杂志》2023年第5期383-388,共6页Chinese Journal of Dermatology

摘　　要：梅毒血清固定是指梅毒患者经过正规驱梅治疗后临床症状消失,但非梅毒螺旋体抗原血清试验持续不转阴的一种特殊血清学现象。梅毒血清固定的正确判断在临床上事关过度治疗和/或相对治疗不足。为进一步认识梅毒血清固定并建立和完善梅毒血清固定临床管理方案,解决临床医生对梅毒血清固定的疑惑,减轻梅毒血清固定人群的心理负担、改善其生活质量,中国医师协会皮肤科医师分会性传播疾病专业委员会组织国内有关专家研讨,在梅毒血清固定的定义、流行病学、可能的相关因素及规范化管理等方面达成共识。Serofast state in syphilis refers to a special serological reaction in syphilis patients,whose clinical symptoms have disappeared after regular anti-syphilitic treatment,but the non-Treponema pallidum antigen-based serologic test remains positive.Accurate estimation of serofast state in syphilis is important for the avoidance of overtreatment and/or relative undertreatment in clinical practice.In order to further understand the serofast state in syphilis,establish and improve its clinical management strategies,solve clinicians'doubts about serofast syphilis,and reduce the psychological burden and improve the quality of life of the population with serofast syphilis,the Committee on Sexually Transmitted Diseases,China Dermatologist Association organized relevant Chinese experts to discuss and reach a consensus on the definition,epidemiological features,possible relevant factors and standardized management of serofast state in syphilis.

关 键 词：梅毒 梅毒血清诊断 梅毒血清固定 非梅毒螺旋体抗原血清试验 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]