Rising rates of reported sexually transmitted infections (STIs) in the US and Europe are a public health priority and require a public health response. The diagnosis and treatment of STIs have been the cornerstone of STI control and prevention for many decades and, historically, publicly funded STI clinics have played a central role in the provision of STI care. Innovations in non‐invasive diagnostic techniques, especially nucleic acid amplification tests in the mid‐1990s, have facilitated the expansion of STI testing and treatment outside traditional STI clinics, including primary care, family planning, school‐based health, outreach, corrections, emergency departments and HIV prevention and care settings. As a result, the continued need for categorical STI clinics has been debated. In this Commentary, we discuss how practice can be improved at each level of STI care.

中文翻译：

---

改善性传播感染的护理


美国和欧洲性传播感染 (STI) 报告率的上升是一个公共卫生优先事项，需要采取公共卫生应对措施。几十年来，性传播感染的诊断和治疗一直是性传播感染控制和预防的基石，从历史上看，公共资助的性传播感染诊所在提供性传播感染护理方面发挥着核心作用。非侵入性诊断技术的创新，特别是 20 世纪 90 年代中期的核酸扩增检测，促进了性传播感染检测和治疗在传统性传播感染诊所之外的扩展，包括初级保健、计划生育、学校卫生、外展、矫正、紧急情况部门和艾滋病毒预防和护理机构。因此，是否继续需要分类性传播感染诊所一直存在争议。在本评论中，我们讨论如何改进性传播感染护理各个级别的实践。