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Titolo:
Eradicating chancroid
Autore:
Steen, R;
Indirizzi:
Family Hlth Int, Arlington, VA 22201 USA Family Hlth Int Arlington VA USA22201 Hlth Int, Arlington, VA 22201 USA
Titolo Testata:
BULLETIN OF THE WORLD HEALTH ORGANIZATION
fascicolo: 9, volume: 79, anno: 2001,
pagine: 818 - 826
SICI:
0042-9686(2001)79:9<818:EC>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENITAL ULCER DISEASE; SEXUALLY-TRANSMITTED DISEASES; HUMAN-IMMUNODEFICIENCY-VIRUS; SUB-SAHARAN AFRICA; HAEMOPHILUS-DUCREYI; HIV-INFECTION; CLINICAL-DIAGNOSIS; HEMOPHILUS DUCREYI; SOUTH-AFRICA; YOUNG MEN;
Keywords:
chancroid/history/epidemiology/prevention and control; HIV infections/transmission; prostitution;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
86
Recensione:
Indirizzi per estratti:
Indirizzo: Steen, R Family Hlth Int, 2101 Wilson Blvd,Suite 700, Arlington, VA 22201 USA Family Hlth Int 2101 Wilson Blvd,Suite 700 Arlington VA USA 22201
Citazione:
R. Steen, "Eradicating chancroid", B WHO, 79(9), 2001, pp. 818-826

Abstract

Genital ulcers are important cofactors of HIV transmission in the countries most severely affected by HIV/AIDS. Chancroid is a common cause of genital ulcer in all 18 countries where adult HIV prevalence surpasses 8% and is rare in countries with low-level HIV epidemics. Haemophilus ducreyi, the causative organism of chancroid, is biologically vulnerable and occupies a precarious epidemiological niche, Both simple, topical hygiene and male circumcision greatly reduce risk of infection and several classes of antibiotics - some of which can be administered in single-dose treatment regimens - provide rapid cure. H. ducreyi depends on sexual networks with high rates of partner change for its survival, thriving in environments characterized by male mobility and intensive commercial sex activity. Elimination of H, ducreyi infection from vulnerable groups results indisappearance of chancroid from the larger community,Once endemic in Europe and North America, chancroid began a steady declineearly in the twentieth century, well before the discovery of antibiotics. Social changes - resulting in changing patterns of commercial sex probably disrupted the conditions needed to sustain chancroid as an endemic disease,Sporadic outbreaks are now easily controlled when effective curative and preventive services are made available to sex workers and their clients. More recently, chancroid prevalence has declined markedly in countries such asthe Philippines, Senegal, and Thailand, a development that may contribute to stabilization of the HIV epidemics in these countries. Eradication of chancroid is a feasible public health objective. Protecting sex workers and their clients from exposure to sexually transmitted diseases (STDs) and improving curative services for STDs are among the proven strategies that couldbe employed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 12:55:58