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Vol. 22. Núm. 7.
Páginas 392-411 (Agosto 2004)
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Vol. 22. Núm. 7.
Páginas 392-411 (Agosto 2004)
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Actualización en infecciones de transmisión sexual: epidemiología, diagnóstico y tratamiento
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Fernando Vázqueza,1
Autor para correspondencia
fvazquez@uniovi.es

Dr. F. Vázquez.Departamento de Biología Funcional. Área de Microbiología.Facultad de Medicina.Julián Clavería, s/n. 33006 Oviedo. España.
, Luis Oterob, José Ordásc, María Luisa Junquerad, José Antonio Varelae
a Servicio de Microbiología. Hospital Monte Naranco. Departamento de Biología Funcional. Área de Microbiología. Facultad de Medicina. Oviedo
b Servicio de Microbiología. Hospital de Cabueñes. Gijón
c Servicio de Microbiología. Hospital Central de Asturias. Oviedo
d Servicio de Dermatología y Venereología. Unidad de ITS. Hospital Monte Naranco. Oviedo
e Servicio de Dermatología y Venereología. Unidad de ITS. Ambulatorio de Pumarín. Gijón. España
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En los últimos años ha habido importantes novedades en el campo de las infecciones de transmisión sexual como la secuenciación del genoma de Treponema pallidum, de Chlamydia trachomatis o de Mycoplasma genitalium; la reclasificación taxonómica de Calymmatobacterium granulomatis; la implantación de sistemas comerciales de diagnóstico basados en la amplificación de ácidos nucleicos; la aparición de resistencias a quinolonas en Neisseria gonorrhoeae; nuevos esquemas de actuación en las candidiasis vulvovaginales que incluyen compuestos como el ácido bórico; la demostración que valaciclovir reduce la transmisibilidad del herpes genital o el empleo de inmunomoduladores en las verrugas genitales, y que constituyen el objetivo entre otros de esta revisión. Por razones de espacio, y por constituir unidades con cierta independencia, no se abordan cuestiones relativas al virus de la inmunodeficiencia humana ni a las hepatitis virales.

Palabras clave:
Infecciones de transmisión sexual
Epidemiología
Diagnóstico
Tratamiento

In the last years, there have been important advances in sexually transmitted infections such as genome sequencing of Treponema pallidum, Chlamydia trachomatis or Mycoplasma genitalium; the new taxonomic position of Calymmatobacterium granulomatis; commercial diagnostic systems based on nucleic acid amplification; the emergence of quinolone resistance in Neisseria gonorrhoeae; new therapeutic approaches in vulvovaginal candidiasis that include boric acid; the demonstration that valacyclovir reduces the risk of transmission of genital herpes or the availability of immune-response modifier in the treatment of genital warts, and that are questions in the goal of this review. Viral hepatitis and HIV were no reviewed by space reasons.

Key words:
Sexually transmitted infections
Epidemiology
Diagnosis
Treatment
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