핵산증폭검사 질염

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  • 트리코모나스감염의 진단에 있어서 핵산증폭검사는 습식도말현미경검사에 비해 3-5배 더 높은 민감도를 보였다.[1][2][3][4][5](근거수준 1)
A     트리코모나스검사로는 핵산증폭검사가 권장된다.

병인별 검사결과 비교

Vaginitis 3.1.5.png
  • 질경 검사를 통해 자궁경부염증을 확인한 후 질분비물을 수집한다.
  • 그람염색은 화농성 자궁경부 염증과 임질을 진단하는데 도움이 된다.
  • 세균배양은 급성 질염의 경우 필요하지 않다.
  1. Hollman D, Coupey SM, Fox AS, et al. Screening for Trichomonas vaginalis in high-risk adolescent females with a new transcription- mediated nucleic acid amplification test (NAAT): associations with ethnicity, symptoms, and prior and current STIs. J Pediatr Adolesc Gynecol 2010;23:312–6.
  2. Roth AM, Williams JA, Ly R, et al. Changing sexually transmitted infection screening protocol will result in improved case finding for Trichomonas vaginalis among high-risk female populations. Sex Transm Dis 2011;38:398–400.
  3. Schwebke JR, Hobbs MM, Taylor SN, et al. Molecular testing for Trichomonas vaginalis in women: results from a prospective U.S. clinical trial. J Clin Microbiol 2011;49:4106–11.
  4. Nye MB, Schwebke JR, Body BA. Comparison of APTIMA Trichomonas vaginalis transcription-mediated amplification to wet mount microscopy, culture, and polymerase chain reaction for diagnosis of trichomoniasis in men and women. Am J Obstet Gynecol 2009;200:e181–7.
  5. Huppert JS, Mortensen JE, Reed JL, et al. Rapid antigen testing compares favorably with transcription-mediated amplification assay for the detection of Trichomonas vaginalis in young women. Clin Infect Dis 2007;45:194–8.