{"id":149991,"date":"2026-01-14T01:28:16","date_gmt":"2026-01-14T01:28:16","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e8%87%a8%e5%ba%8a%e6%a4%9c%e6%9f%bb%e3%83%a9%e3%83%9c%e3%81%ae%e3%82%a8%e3%83%83%e3%82%b8%ef%bc%9a%e3%82%88%e3%82%8a%e8%89%af%e3%81%84%e8%87%a8%e5%ba%8a%e5%88%a4%e6%96%ad%e3%81%ae%e3%81%9f%e3%82%81\/"},"modified":"2026-03-15T07:16:30","modified_gmt":"2026-03-15T07:16:30","slug":"the-laboratory-edge-optimising-sti-diagnostics-for-better-clinical-decisions","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ja\/disease-area\/womens-health\/the-laboratory-edge-optimising-sti-diagnostics-for-better-clinical-decisions\/","title":{"rendered":"\u81e8\u5e8a\u691c\u67fb\u30e9\u30dc\u306e\u30a8\u30c3\u30b8\uff1a\u3088\u308a\u826f\u3044\u81e8\u5e8a\u5224\u65ad\u306e\u305f\u3081\u306eSTI\u8a3a\u65ad\u306e\u6700\u9069\u5316"},"content":{"rendered":"<p>\u6027\u611f\u67d3\u75c7(STI)\u306e\u4e16\u754c\u7684\u306a\u8513\u5ef6\u306f\u3001\u516c\u8846\u885b\u751f\u4e0a\u306e\u5927\u304d\u306a\u8ab2\u984c\u3067\u3059\u3002STI\u306f\u3001\u4e16\u754c\u4e2d\u3067\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u6700\u3082\u4e00\u822c\u7684\u306a\u611f\u67d3\u75c7\u306e1\u3064\u3067\u3059[1]\u30021\u65e5\u306b100\u4e07\u4ef6\u3092\u8d85\u3048\u308bSTI\u304c\u7f79\u60a3\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u5272\u5408\u306f\u591a\u304f\u306e\u5730\u57df\u3067\u4e0a\u6607\u3057\u7d9a\u3051\u3066\u3044\u307e\u3059[2]\u3002\u81a8\u5927\u306a\u4eba\u7684\u5f71\u97ff\u3092\u8d85\u3048\u3001\u3053\u306e\u611f\u67d3\u62e1\u5927\u306f\u3001\u7279\u306b\u8cc7\u6e90\u304c\u9650\u3089\u308c\u305f\u4f4e\u4e2d\u6240\u5f97\u56fd\u306b\u304a\u3044\u3066\u3001\u533b\u7642\u5236\u5ea6\u306b\u5927\u304d\u306a\u8ca0\u62c5\u3092\u304b\u3051\u3066\u3044\u307e\u3059[3,4]\u3002\u6700\u3082\u4e00\u822c\u7684\u306aSTI\u306f\u4e88\u9632\u53ef\u80fd\u304b\u3064\u6cbb\u7652\u53ef\u80fd\u3067\u3042\u308b\u305f\u3081\u3001\u75c7\u5019\u7fa4\u7ba1\u7406\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u75c7\u72b6\u30d9\u30fc\u30b9\u306e\u8a3a\u65ad\u304c\u4e3b\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3068\u3057\u3066\u9577\u3044\u9593\u884c\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u3053\u308c\u306b\u3088\u308a\u3001STI\u304c\u7591\u308f\u308c\u308b\u60a3\u8005\u306f\u3001\u3088\u308a\u65e9\u304f\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u3088\u308a\u901f\u304f\u306a\u308b\u3053\u3068\u306f\u3001\u3088\u308a\u826f\u304f\u306a\u308b\u3053\u3068\u3068\u540c\u3058\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u75c7\u5019\u7fa4\u7ba1\u7406\u306f\u3001\u904e\u5270\u6cbb\u7642\u3001\u8aa4\u3063\u305f\u6cbb\u7642\u3001\u53ca\u3073\u898b\u9003\u3055\u308c\u305f\u8a3a\u65ad\u306e3\u3064\u306e\u91cd\u8981\u306a\u554f\u984c\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[5]\u3002\u3053\u308c\u3089\u306e\u7d50\u679c\u306e\u5404\u3005\u306f\u3001\u3088\u308a\u60aa\u3044\u60a3\u8005\u306e\u8ee2\u5e30\u3092\u3082\u305f\u3089\u3057\u5f97\u307e\u3059\u3002[6] \u81e8\u5e8a\u691c\u67fb\u304c\u73fe\u5728\u3001STI\u3092\u6b63\u78ba\u306b\u8a3a\u65ad\u3059\u308b\u6700\u826f\u306e\u65b9\u6cd5\u3067\u3001\u7279\u306b\u7121\u75c7\u72b6\u306e\u60a3\u8005\u3067\u6700\u3082\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u306b\u306f\u3001\u4e3b\u8981\u306a\u533b\u7642\u6a5f\u95a2\u306e\u610f\u898b\u304c\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059\u3002\u6838\u9178\u5897\u5e45\u691c\u67fb(NAAT)\u306a\u3069\u306e\u691c\u67fb\u65b9\u6cd5\u306f\u3001\u533b\u7642\u5f93\u4e8b\u8005\u304c\u60c5\u5831\u306b\u57fa\u3065\u3044\u305f\u6cbb\u7642\u6c7a\u5b9a\u3092\u4e0b\u3059\u3053\u3068\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u3001\u60a3\u8005\u304c\u9069\u5207\u306a\u30b1\u30a2\u3092\u8fc5\u901f\u306b\u53d7\u3051\u3089\u308c\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u91cd\u8981\u306a\u70b9\u3068\u3057\u3066\u3001\u85ac\u5264\u8010\u6027\u83cc(AMR)\u306e\u8105\u5a01\u306e\u9ad8\u307e\u308a\u3078\u306e\u5bfe\u51e6\u3082\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u306b\u304a\u3051\u308bSTI\u306e\u91cd\u8377<\/h2>\n<p>\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u3067\u306fSTI\u306e\u767a\u751f\u7387\u304c\u9ad8\u3044\u3067\u3059\u30022020\u5e74\u3060\u3051\u3067\u3082\u3001\u30af\u30e9\u30df\u30b8\u30a2\u30fb\u30c8\u30e9\u30b3\u30de\u30c1\u30b9 Chlamydia trachomatis\uff08\u30af\u30e9\u30df\u30b8\u30a2\uff09\u3001\u6dcb\u83ccNeisseria gonorrhoeae\uff08\u6dcb\u83cc\u611f\u67d3\u75c7\uff09\u3001\u6885\u6bd2\u30c8\u30ec\u30dd\u30cd\u30fc\u30de treponema pallidum\uff08\u6885\u6bd2\uff09\u53ca\u3073\u30c8\u30ea\u30b3\u30e2\u30ca\u30b9\u75c7\u306e4\u3064\u306eSTI\u306e\u65b0\u898f\u75c7\u4f8b\u6570\u304c\u304a\u3088\u305d8600\u4e07\u4eba\u3067\u3057\u305f[7]\u3002\u3053\u306e\u5730\u57df\u306b\u304a\u3051\u308b\u3053\u308c\u3089\u306eSTI\u306e\u6709\u75c5\u7387\u306f\u3001\u4e16\u754c\u7684\u306a\u50be\u5411\u3068\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059[2]\u3002\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u3067\u306f\u3001\u793e\u4f1a\u7684\u3001\u7d4c\u6e08\u7684\u3001\u304a\u3088\u3073\u5168\u8eab\u7684\u306a\u8981\u56e0\u306b\u3088\u3063\u3066STI\u691c\u67fb\u3078\u306e\u30a2\u30af\u30bb\u30b9\u304c\u59a8\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u30af\u30e9\u30df\u30b8\u30a2\u3001\u6dcb\u83cc\u611f\u67d3\u75c7\u3001\u6885\u6bd2\u53ca\u3073\u30c8\u30ea\u30b3\u30e2\u30ca\u30b9\u75c7\u306f\u5168\u3066\u3001\u6bd4\u8f03\u7684\u975e\u4fb5\u8972\u7684\u306a\u51e6\u7f6e\u7d4c\u8def\u3092\u6709\u3059\u308b\u6cbb\u7652\u53ef\u80fd\u306a\u611f\u67d3\u75c7\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u6b63\u3057\u3044\u6cbb\u7642\u3092\u53d7\u3051\u308b\u306b\u306f\u307e\u305a\u691c\u67fb\u3092\u53d7\u3051\u3001\u6b63\u78ba\u306b\u8a3a\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u591a\u304f\u306eSTI\u75c7\u4f8b\u306f\u7121\u75c7\u5019\u6027\u3067\u3042\u308a[5]\u3001\u5065\u5eb7\u30ea\u30c6\u30e9\u30b7\u30fc\u304c\u4f4e\u3044\u3053\u3068\u3068\u76f8\u307e\u3063\u3066\u3001\u75c7\u72b6\u304c\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u60a3\u8005\u304c\u81ea\u8eab\u306e\u611f\u67d3\u30ea\u30b9\u30af\u3092\u7406\u89e3\u3057\u306b\u304f\u304f\u3001\u305d\u306e\u7d50\u679c\u3001\u691c\u67fb\u3092\u53d7\u3051\u308b\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u3053\u306e\u4ed6\u306b\u3082\u3001\u91cd\u5927\u306a\u793e\u4f1a\u7684\u4e0d\u540d\u8a89\u3001\u4f4e\u30ea\u30b9\u30af\u306e\u8a8d\u8b58\u3001\u8cea\u306e\u9ad8\u3044\u691c\u67fb\u3092\u53d7\u3051\u308b\u4e0d\u4fbf\u3055\u3068\u30a2\u30af\u30bb\u30b9\u306e\u6b20\u5982\u306a\u3069\u3001STI\u691c\u67fb\u306e\u4e00\u822c\u7684\u306a\u969c\u58c1\u3068\u306a\u3063\u3066\u3044\u307e\u3059[8]\u3002<\/p>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">STI\u691c\u67fb\u304c\u91cd\u8981\u306a\u7406\u7531<\/h2>\n<p>\u81e8\u5e8a\u7684\u53ca\u3073\u7d4c\u6e08\u7684\u306bSTI\u304c\u53ca\u307c\u3059\u5b9f\u8cea\u7684\u306a\u5f71\u97ff\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u691c\u67fb\u304c\u9375\u3068\u306a\u308a\u307e\u3059\u3002\u6b63\u78ba\u306a\u8a3a\u65ad\u306b\u3088\u308a\u3001\u533b\u7642\u5f93\u4e8b\u8005\u306f\u30bf\u30a4\u30e0\u30ea\u30fc\u306b\u6b63\u3057\u3044\u6cbb\u7642\u904e\u7a0b\u3092\u51e6\u65b9\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u60a3\u8005\u306e\u8ee2\u5e30\u3092\u6539\u5584\u3057\u3001\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u306b\u5bfe\u3059\u308b\u7d4c\u6e08\u7684\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\uff08\u63a5\u89e6\u8ffd\u8de1\u3092\u4ecb\u3057\u305f\uff09\u6027\u7684\u30d1\u30fc\u30c8\u30ca\u30fc\u3078\u306e\u958b\u793a\u3082\u53ef\u80fd\u306b\u3057\u3001\u305d\u308c\u306b\u3088\u3063\u3066\u611f\u67d3\u4f1d\u64ad\u306e\u9023\u9396\u3092\u4e2d\u65ad\u3057\u307e\u3059[9]\u3002\u75c7\u5019\u7fa4\u7ba1\u7406\u306f\u3001\u75c7\u72b6\u306b\u57fa\u3065\u304f\u6cbb\u7642\u3092\u5373\u6642\u306b\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u3001\u5168\u304f\u6cbb\u7642\u3092\u63d0\u4f9b\u3057\u306a\u3044\u3088\u308a\u3082\u304b\u306a\u308a\u826f\u3044\u3001\u30ea\u30bd\u30fc\u30b9\u304c\u9650\u3089\u308c\u305f\u74b0\u5883\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u73fe\u5b9f\u7684\u306a\u30c4\u30fc\u30eb\u306e\u307e\u307e\u3067\u3059\u304c\u3001\u3053\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u7d14\u7c8b\u306b\u983c\u308b\u3053\u3068\u306f\u307e\u3059\u307e\u3059\u4e0d\u5341\u5206\u3067\u3059\u3002\u7121\u75c7\u5019\u6027\u611f\u67d3\u3092\u691c\u51fa\u3067\u304d\u306a\u3044\u3053\u3068\u3084\u8aa4\u8a3a\u306e\u30ea\u30b9\u30af\u306a\u3069\u306e\u75c7\u5019\u6027\u7ba1\u7406\u306e\u56fa\u6709\u306e\u5236\u9650\u306f\u3001\u8aa4\u3063\u305f\u6cbb\u7642\u3084\u60a3\u8005\u306e\u305f\u3081\u306e\u91cd\u5ea6\u3067\u6301\u7d9a\u7684\u306a\u5408\u4f75\u75c7\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u6cbb\u7642\u305b\u305a\u306b\u653e\u7f6e\u3059\u308b\u3068\u3001\u30af\u30e9\u30df\u30b8\u30a2\u3084\u6dcb\u75c5\u306a\u3069\u306e\u611f\u67d3\u75c7\u306f\u3001\u4e0d\u598a\u75c7\u3084\u9aa8\u76e4\u5185\u708e\u75c7\u6027\u75be\u60a3\u306a\u3069\u306e\u30ea\u30d7\u30ed\u30c0\u30af\u30c6\u30a3\u30d6\u30d8\u30eb\u30b9\u306e\u554f\u984c\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[10,11]\u3002\u5f8c\u671f\u6885\u6bd2\u306f\u3001\u91cd\u8981\u306a\u81d3\u5668\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u795e\u7d4c\u5b66\u7684\u304a\u3088\u3073\u5fc3\u8840\u7ba1\u7684\u72b6\u614b\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u6b7b\u4ea1\u3059\u308b\u3053\u3068\u3055\u3048\u3042\u308a\u307e\u3059[12]\u3002\u9069\u5207\u306b\u6cbb\u7642\u3055\u308c\u3066\u3044\u306a\u3044STI\u306f\u3001\u6bcd\u5b50\u611f\u67d3\u3092\u4ecb\u3057\u3066\u5e83\u304c\u308a\u3001\u65b0\u751f\u5150\u306e\u5148\u5929\u6027STI\u3092\u542b\u3080\u598a\u5a20\u306e\u6709\u5bb3\u306a\u8ee2\u5e30\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[13]\u3002\u591a\u304f\u306eSTI\u306f\u307e\u305f\u3001\u30d2\u30c8\u514d\u75ab\u4e0d\u5168\u30a6\u30a4\u30eb\u30b9(HIV)\u3092\u53ce\u7e2e\u53ca\u3073\u62e1\u6563\u3059\u308b\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u307e\u3059[14]\u3002<strong><em>STI\u306b\u304a\u3051\u308b\u6297\u83cc\u85ac\u8010\u6027\u306e\u8105\u5a01\u306e\u9ad8\u307e\u308a\u306f\u3001\u81e8\u5e8a\u691c\u67fb\u3067\u78ba\u8a8d\u3055\u308c\u305f\u8a3a\u65ad\u306a\u3057\u306bSTI\u3092\u75c7\u5019\u7fa4\u7684\u306b\u6cbb\u7642\u3059\u308b\u3053\u3068\u3067\u3042\u308a<\/em><\/strong>\u3001\u516c\u8846\u885b\u751f\u306b\u91cd\u5927\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u3068\u308a\u308f\u3051\u3001\u85ac\u5264\u8010\u6027\u83cc(AMR)\u3078\u306e\u5bfe\u5fdc\u306b\u8ca2\u732e\u3057\u307e\u3059\u3002AMR\u306f\u3001\u7d30\u83cc\u3001\u30a6\u30a4\u30eb\u30b9\u53ca\u3073\u305d\u306e\u4ed6\u306e\u5fae\u751f\u7269\u304c\u9032\u5316\u3057\u3001\u305d\u308c\u3089\u3092\u6cbb\u7642\u3059\u308b\u3088\u3046\u306b\u8a2d\u8a08\u3055\u308c\u305f\u6297\u83cc\u85ac\u306b\u5fdc\u7b54\u3057\u306a\u304f\u306a\u3063\u305f\u3068\u304d\u306b\u767a\u751f\u3057\u307e\u3059[15]\u3002STI\u306e\u5834\u5408\u3001AMR\u306e\u8105\u5a01\u306f\u7279\u306b\u6025\u6027\u3067\u3042\u308a\u3001\u7279\u306bN\u3067\u6025\u6027\u3067\u3059\u3002\u6dcb\u83cc\u306e\u53cc\u65b9\u3092\u5897\u5e45\u3057\u3001\u691c\u51fa\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u75c5\u539f\u4f53\u306f\u3001\u5e83\u7bc4\u306a\u6297\u751f\u7269\u8cea\u30af\u30e9\u30b9\u306b\u5bfe\u3059\u308b\u8010\u6027\u3092\u767a\u9054\u3055\u305b\u3001moniker\u300c\u30b9\u30fc\u30d1\u30fc\u6dcb\u75c5\u300d\u3092\u7372\u5f97\u3057\u3066\u3044\u307e\u3059[16\u300117]\u3002\u6dcb\u75c5\u306e\u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u8010\u6027\u53ca\u3073\u30da\u30cb\u30b7\u30ea\u30f3\u8010\u6027\u682a\u306f\u3001\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u3092\u901a\u3057\u3066\u7279\u306b\u4e00\u822c\u7684\u3067\u3059[18]\u3002\u3053\u306e\u5371\u6a5f\u306e\u6700\u5927\u306e\u8981\u56e0\u306f\u3001\u5e83\u7bc4\u306b\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u8aa4\u7528\u3084\u5e83\u57df\u6297\u83cc\u85ac\u306e\u904e\u5270\u4f7f\u7528\uff08\u3057\u3070\u3057\u3070\u691c\u8a3c\u7684\u691c\u67fb\u306a\u3057\u3067\u7d4c\u9a13\u7684\u306b\u6295\u4e0e\u3055\u308c\u308b\uff09\u3067\u3059[15]\u3002\u6b63\u78ba\u306a\u81e8\u5e8a\u691c\u67fb\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u3001\u60a3\u8005\u304c\u6b63\u3057\u3044\u6cbb\u7642\u3092\u53d7\u3051\u3089\u308c\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u8010\u6027\u30d1\u30bf\u30fc\u30f3\u306b\u95a2\u3059\u308b\u5fc5\u9808\u306e\u76e3\u8996\u30c7\u30fc\u30bf\u3082\u5f97\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u30c7\u30fc\u30bf\u306f\u3001\u81e8\u5e8a\u533b\u304a\u3088\u3073\u653f\u7b56\u7acb\u6848\u8005\u304c\u52b9\u679c\u7684\u306a\u6297\u83cc\u85ac\u9069\u6b63\u4f7f\u7528\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u5b9f\u65bd\u3057\u3001\u6700\u7d42\u9078\u629e\u306e\u85ac\u7269\u7642\u6cd5\u306e\u6709\u52b9\u6027\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3057\u307e\u3059[15]\u3002<\/p>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">NAAT:STI\u691c\u67fb\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9<\/h2>\n<p>\u6838\u9178\u5897\u5e45\u691c\u67fb(NAAT)\u306f\u3001\u611f\u5ea6\u304a\u3088\u3073\u7279\u7570\u5ea6\u304c\u9ad8\u3044\u3053\u3068\u3067\u77e5\u3089\u308c\u308b\u5206\u5b50\u30d9\u30fc\u30b9\u306e\u8a3a\u65ad\u691c\u67fb\u3067\u3059\u3002\u30a6\u30a4\u30eb\u30b9\u3084\u7d30\u83cc\u3068\u3044\u3063\u305f\u75c5\u539f\u4f53\u306e\u907a\u4f1d\u7269\u8cea\u3092\u6a19\u672c\u3067\u5206\u6790\u3059\u308b\u3053\u3068\u3067\u52b9\u679c\u3092\u767a\u63ee\u3057\u307e\u3059\u3002NAAT\u306f\u3001\u691c\u4f53\u4e2d\u3067\u75c5\u539f\u4f53\u306e\u30c7\u30aa\u30ad\u30b7\u30ea\u30dc\u6838\u9178(DNA)\u307e\u305f\u306f\u30ea\u30dc\u6838\u9178(RNA)\u3092\u691c\u51fa\u3059\u308b\u3068\u3001\u3057\u3070\u3057\u3070\u305d\u306e\u907a\u4f1d\u7269\u8cea\u3092\u30dd\u30ea\u30e1\u30e9\u30fc\u30bc\u9023\u9396\u53cd\u5fdc(PCR)\u6cd5\u3067\u5897\u5e45\u3057\u307e\u3059\u3002\u8fd1\u5e74\u3001NAAT\u304cC\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u691c\u67fb\u6cd5\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u30c8\u30e9\u30b3\u30de\u30c1\u30b9\u304a\u3088\u3073N.\u4ed6\u306e\u75c5\u539f\u4f53\u306e\u4e2d\u3067\u3082\u6dcb\u83cc[19]\u3002NAAT\u306f\u3001\u5c11\u6570\u3057\u304b\u5b58\u5728\u3057\u306a\u3044\u5834\u5408\u3001\u30b5\u30f3\u30d7\u30eb\u4e2d\u306e\u75c5\u539f\u4f53\u306e\u907a\u4f1d\u7269\u8cea\u3092\u691c\u51fa\u3067\u304d\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059[6,20]\u3002\u3053\u306e\u9ad8\u611f\u5ea6\u304a\u3088\u3073\u7279\u7570\u5ea6\u306f\u3001\u60a3\u8005\u304c\u6b63\u78ba\u306a\u8a3a\u65ad\u304a\u3088\u3073\u9069\u5207\u306a\u6cbb\u7642\u3092\u78ba\u5b9f\u306b\u53d7\u3051\u3089\u308c\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u307e\u305f\u3001NAAT\u306f\u3001\u305d\u3046\u3067\u306a\u3051\u308c\u3070\u898b\u9003\u3055\u308c\u3066\u3044\u305f\u304b\u3082\u3057\u308c\u306a\u3044\u7121\u75c7\u5019\u6027\u611f\u67d3\u75c7\u306e\u52b9\u679c\u7684\u306a\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c4\u30fc\u30eb\u306b\u3082\u306a\u308a\u307e\u3059\u3002NAAT\u6280\u8853\u304c\u666e\u53ca\u3059\u308b\u4ee5\u524d\u306f\u3001\u30af\u30e9\u30df\u30b8\u30a2\u3084\u6dcb\u75c5\u306a\u3069\u306eSTI\u306e\u4e3b\u306a\u691c\u67fb\u6cd5\u306f\u3001\u7d30\u80de\u57f9\u990a\u3092\u884c\u3046\u3053\u3068\u3067\u3057\u305f[21,22]\u3002\u3053\u308c\u306f\u3001\u4fb5\u8972\u7684\u3067\u30ea\u30bd\u30fc\u30b9\u96c6\u7d04\u7684\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3057\u305f\u3002\u591a\u304f\u306e\u5834\u5408\u3001\u5b50\u5bae\u9838\u90e8\u3001\u5c3f\u9053\u307e\u305f\u306f\u76f4\u8178\u304b\u3089\u30b9\u30ef\u30d6\u8a66\u6599\u3092\u624b\u4f5c\u696d\u3067\u53ce\u96c6\u3057\u3001\u53b3\u683c\u306a\u8f38\u9001\u65b9\u6cd5\u3092\u4f7f\u7528\u3057\u3066\u691c\u67fb\u5ba4\u306b\u9001\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3057\u305f[22]\u3002\u75c7\u72b6\u306e\u306a\u3044\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u3067\u306f\u3001\u3053\u308c\u3089\u306e\u691c\u67fb\u306e\u4fb5\u8972\u6027\u304c\u5927\u304d\u306a\u969c\u58c1\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[23]\u3002\u6bd4\u8f03\u3059\u308b\u3068\u3001NAAT\u306f\u5b9f\u8cea\u7684\u306b\u4fb5\u8972\u6027\u304c\u4f4e\u3044\u3067\u3059\u3002C\u306e\u691c\u67fb\u3002\u30c8\u30e9\u30b3\u30de\u30c1\u30b9\u304a\u3088\u3073N.\u3053\u308c\u306b\u3088\u308a\u591a\u304f\u306e\u60a3\u8005\u3067\u3001\u5185\u8a3a\uff08\u5973\u6027\uff09\u3084\u5c3f\u9053\u30b9\u30ef\u30d6\uff08\u7537\u6027\uff09\u3092\u884c\u3046\u5fc5\u8981\u304c\u306a\u304f\u306a\u308a\u307e\u3059[24]\u3002\u5973\u6027\u306e\u5834\u5408\u3001\u611f\u5ea6\u304c\u9ad8\u304f\u4f7f\u3044\u3084\u3059\u3044\u305f\u3081\u3001\u81ea\u5df1\u63a1\u53d6\u306e\u81a3\u30b9\u30ef\u30d6\u304c\u597d\u307e\u3057\u3044\u691c\u4f53\u3067\u3042\u308b\u304c\u3001\u30b9\u30ef\u30d6\u304c\u5229\u7528\u3067\u304d\u306a\u3044\u304b\u5b9f\u65bd\u3067\u304d\u306a\u3044\u5834\u5408\u306b\u306f\u3001\u521d\u5c3f\u304c\u975e\u5e38\u306b\u8a31\u5bb9\u3055\u308c\u5f97\u308b\u4ee3\u66ff\u7269\u306e\u307e\u307e\u3067\u3059[24,28]\u3002\u7537\u6027\u3067\u306f\u3001\u521d\u5c3f\u306f\u975e\u4fb5\u8972\u7684\u691c\u67fb\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u3068\u306a\u3063\u3066\u304a\u308a\u3001\u5c3f\u9053\u30b9\u30ef\u30d6\u306b\u3088\u308b\u4e0d\u5feb\u611f\u3092\u4f34\u308f\u305a\u306b\u975e\u5e38\u306b\u6b63\u78ba\u306a\u7d50\u679c\u304c\u5f97\u3089\u308c\u307e\u3059[29]\u3002\u3053\u308c\u3089\u306e\u81ea\u5df1\u53ce\u96c6\u65b9\u6cd5\u306b\u79fb\u884c\u3059\u308b\u3053\u3068\u3067\u3001\u533b\u7642\u5f93\u4e8b\u8005\u306fSTI\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u300c\u53c2\u52a0\u3078\u306e\u969c\u58c1\u300d\u3092\u6e1b\u3089\u3057\u3001\u30ea\u30b9\u30af\u306e\u3042\u308b\u96c6\u56e3\u3067\u3088\u308a\u983b\u7e41\u306a\u691c\u67fb\u3092\u5968\u52b1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)\u3001\u7c73\u56fd\u75be\u75c5\u4e88\u9632\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc(CDC)\u3001\u82f1\u56fd\u6027\u7684\u5065\u5eb7\u30fbHIV\u5354\u4f1a(BASHH)\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2HIV\u533b\u5b66\u4f1a(ASHM)\u306a\u3069\u306e\u5927\u624b\u516c\u8846\u885b\u751f\u6a5f\u95a2\u306f\u3001\u73fe\u5728\u3001\u591a\u304f\u306e\u75c7\u5019\u6027\u53ca\u3073\u7121\u75c7\u5019\u6027STI\u306b\u5bfe\u3057\u3066NAAT\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059[25\u300126\u300127\u300128\u300129]\u3002<em><strong>\u691c\u67fb\u306e\u6226\u7565\u7684\u306a\u914d\u7f6e\uff1a\u96c6\u4e2d\u578bvs\u5206\u6563\u578b<\/strong><\/em> NAAT\u691c\u67fb\u306f\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u3067\u3059\u304c\u3001\u516c\u8846\u885b\u751f\u3078\u306e\u6700\u5927\u306e\u5f71\u97ff\u306f\u3001\u691c\u67fb\u6226\u7565\u304c\u5730\u57df\u306e\u30a4\u30f3\u30d5\u30e9\u3001\u6709\u75c5\u7387\u3001\u60a3\u8005\u30a2\u30af\u30bb\u30b9\u306e\u30cb\u30fc\u30ba\u306b\u5408\u3063\u305f\u5834\u5408\u306b\u306e\u307f\u5b9f\u73fe\u3055\u308c\u307e\u3059\u3002\u5730\u7406\u7684\u306b\u591a\u69d8\u306a\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u5168\u4f53\u306eNAAT\u306e\u5f71\u97ff\u3092\u6700\u5927\u5316\u3059\u308b\u306b\u306f\u3001\u305d\u306e\u9ad8\u3044\u611f\u5ea6\u3068\u67d4\u8edf\u6027\u3092\u6d3b\u7528\u3057\u3066\u3001\u73fe\u5730\u306e\u30cb\u30fc\u30ba\u306b\u5408\u308f\u305b\u3066\u6226\u7565\u7684\u306b\u5c55\u958b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u6280\u8853\u7684\u512a\u4f4d\u6027\u3068\u904b\u7528\u73fe\u5b9f\u306e\u878d\u5408\u306f\u3001\u653f\u7b56\u7acb\u6848\u8005\u3068\u691c\u67fb\u7ba1\u7406\u8005\u306e\u4e3b\u8981\u306a\u610f\u601d\u6c7a\u5b9a\u306b\u76f4\u63a5\u7e4b\u304c\u308a\u307e\u3059\u3002\u30cf\u30a4\u30b9\u30eb\u30fc\u30d7\u30c3\u30c8\u3067\u8cbb\u7528\u52b9\u7387\u306e\u9ad8\u3044\u96c6\u4e2d\u30e2\u30c7\u30eb\u3092\u9078\u629e\u3059\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u3068\u3001\u8fc5\u901f\u3067\u60a3\u8005\u4e2d\u5fc3\u306e\u5206\u6563\u578b\uff08\u30dd\u30a4\u30f3\u30c8\u30aa\u30d6\u30b1\u30a2\u307e\u305f\u306fPOC\uff09\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u9078\u629e\u3059\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u3059\u3002\u3053\u306e\u9078\u629e\u306f\u76f8\u4e92\u306b\u6392\u4ed6\u7684\u306a\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u30bf\u30fc\u30f3\u30a2\u30e9\u30a6\u30f3\u30c9\u30bf\u30a4\u30e0\u3068\u30a2\u30af\u30bb\u30b9\u306e\u30af\u30ea\u30c6\u30a3\u30ab\u30eb\u306a\u6307\u6a19\u3092\u6700\u9069\u5316\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u88dc\u5b8c\u7684\u306a\u3082\u306e\u3067\u3059\u3002\u5e741\u56de\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3001\u7121\u75c7\u72b6\u8005\u304b\u3089\u306e\u30b5\u30f3\u30d7\u30eb\u306a\u3069\u3001\u7dca\u6025\u3067\u306f\u306a\u3044\u30b5\u30f3\u30d7\u30eb\u306e\u5206\u6790\u306b\u306f\u3001\u96c6\u4e2d\u691c\u67fb\u5ba4\u304c\u6700\u5584\u3067\u3059\u3002\u691c\u67fb\u5ba4\u306b\u306f\u4e00\u822c\u7684\u306b\u3001\u8907\u6570\u306e\u75c5\u539f\u4f53\u306b\u5bfe\u3059\u308b\u8907\u96d1\u307e\u305f\u306f\u591a\u91cd\u30d1\u30cd\u30eb\u691c\u67fb\u3092\u51e6\u7406\u3057\u3001\u6700\u9ad8\u6c34\u6e96\u306e\u54c1\u8cea\u4fdd\u8a3c\u3092\u63d0\u4f9b\u3059\u308b\u8a2d\u5099\u304c\u5099\u308f\u3063\u3066\u3044\u307e\u3059\u3002STI\u306e\u72b6\u6cc1\u3067\u306f\u3001\u96c6\u4e2d\u578b\u30e2\u30c7\u30eb\u306f\u3001\u30af\u30e9\u30df\u30b8\u30a2\u3084\u6dcb\u75c5\u306a\u3069\u306e\u4e00\u822c\u7684\u306a\u611f\u67d3\u75c7\u306e\u96c6\u56e3\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u7406\u60f3\u7684\u3067\u3059\u3002\u5927\u91cf\u306e\u691c\u67fb\u306e\u65b9\u304c\u5b89\u4fa1\u3067\u3059\u3002\u307e\u305f\u3001\u5305\u62ec\u7684\u306a\u516c\u8846\u885b\u751f\u76e3\u8996\u3082\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002\u5404\u56fd\u653f\u5e9c\u304c\u7279\u5b9a\u306eSTI\u3092\u901a\u77e5\u53ef\u80fd\u306a\u611f\u67d3\u75c7\u3068\u3057\u3066\u5206\u985e\u3057\u3066\u3044\u308b\u56fd\u3067\u306f\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3001\u4e2d\u56fd\u3001\u65e5\u672c\u3084\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u306e\u4ed6\u306e\u3044\u304f\u3064\u304b\u306e\u56fd\u3067\u4e0d\u53ef\u6b20\u3067\u3059[30\u300131\u300132]\u3002\u4e2d\u592e\u96c6\u4e2d\u691c\u67fb\u306e\u7d50\u679c\u306f\u3001\u30bf\u30fc\u30f3\u30a2\u30e9\u30a6\u30f3\u30c9\u30bf\u30a4\u30e0\u304c\u9577\u304f\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\u5e73\u5747\u3057\u3066\u3001STI\u691c\u67fb\u7d50\u679c\u306f1\u9031\u9593\u3067\u63d0\u4f9b\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059[33\u300134\u300135]\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u306b\u306f\u8fc5\u901f\u304b\u3064\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u4ecb\u5165\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u3053\u306e\u7279\u5b9a\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3001\u9069\u5207\u306a\u6cbb\u7642\u306e\u958b\u59cb\u3092\u9045\u3089\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u96c6\u4e2d\u691c\u67fb\u306f\u30b5\u30f3\u30d7\u30eb\u306e\u51e6\u7406\u306b\u306f\u3042\u307e\u308a\u9069\u3057\u3066\u3044\u307e\u305b\u3093\u3002\u5206\u6563\u578bPOC\u691c\u67fb\u306b\u3088\u308a\u3001\u8a3a\u65ad\u7d50\u679c\u3078\u306e\u8fc5\u901f\u306a\u30a2\u30af\u30bb\u30b9\u304c\u5bb9\u6613\u306b\u306a\u308a\u307e\u3059\u3002\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u304a\u3088\u3073\u7dca\u6025\u306e\u8a3a\u65ad\u304a\u3088\u3073\u30b1\u30a2\u3092\u5fc5\u8981\u3068\u3059\u308b\u9ad8\u30ea\u30b9\u30af\u96c6\u56e3\u306e\u60a3\u8005\u306b\u3068\u3063\u3066\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002POC\u691c\u67fb\u306f\u8fc5\u901f\u306a\u7d50\u679c\u3092\u751f\u6210\u3057\u3001\u6765\u9662\u5185\u3067\u81e8\u5e8a\u533b\u304c\u3088\u308a\u65e9\u304f\u6cbb\u7642\u3092\u958b\u59cb\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u307e\u305f\u3001AMR\u306b\u5bc4\u4e0e\u3057\u5f97\u308b\u5e83\u57df\u6297\u751f\u7269\u8cea\u306e\u5fc5\u8981\u6027\u3092\u6392\u9664\u3057\u307e\u3059\u3002\u96c6\u4e2d\u578b\u691c\u67fb\u3068\u306f\u7570\u306a\u308a\u3001POC\u691c\u67fb\u306f\u4e2d\u592e\u691c\u67fb\u5ba4\u306b\u8fd1\u63a5\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u3001\u9060\u9694\u3084\u8cc7\u6e90\u304c\u9650\u3089\u308c\u305f\u81e8\u5e8a\u73fe\u5834\u3067\u3088\u308a\u5229\u7528\u3057\u3084\u3059\u304f\u3001\u4f4e\u4e2d\u6240\u5f97\u56fd\u306b\u304a\u3051\u308bSTI\u691c\u67fb\u306e\u6700\u3082\u6ce8\u76ee\u3059\u3079\u304d\u969c\u58c1\u306e1\u3064\u3067\u3042\u308b\u533b\u7642\u30a4\u30f3\u30d5\u30e9\u306e\u6b20\u5982\u306b\u5bfe\u51e6\u3057\u3066\u3044\u307e\u3059[5]\u3002\u5404\u691c\u67fb\u3092\u500b\u5225\u306b\u5b9f\u884c\u3059\u308b\u3068\u3001\u5206\u6563\u578bPOC\u691c\u67fb\u306e\u691c\u67fb\u3042\u305f\u308a\u306e\u30b3\u30b9\u30c8\u304c\u4e0a\u6607\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u3053\u308c\u3089\u306e\u5b9f\u884c\u8a66\u9a13\u306f\u3001\u7d50\u679c\u304c\u6b63\u78ba\u3067\u3042\u308b\u3053\u3068\u3092\u78ba\u5b9f\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u8a2d\u5099\u3068\u54c1\u8cea\u7ba1\u7406\u30d7\u30ed\u30c8\u30b3\u30eb\u306e\u4e21\u65b9\u3067\u9ad8\u5ea6\u306b\u8a13\u7df4\u3055\u308c\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u73fe\u5728\u306ePOC\u691c\u67fb\u6280\u8853\u306f\u307e\u305f\u3001\u591a\u91cd\u5316\u30d1\u30cd\u30eb\u691c\u67fb\u307e\u305f\u306f\u9ad8\u5ea6\u306aAMR\u691c\u67fb\u3092\u5b9f\u884c\u3059\u308b\u80fd\u529b\u304c\u5236\u9650\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u6700\u9069\u5316\u3055\u308c\u305f\u691c\u67fb\u306e\u5909\u9769\u3078\u306e\u5f71\u97ff<\/h2>\n<p>STI\u306e\u6b63\u78ba\u304b\u3064\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u691c\u51fa\u306f\u3001\u3088\u308a\u826f\u3044\u60a3\u8005\u8ee2\u5e30\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306b\u91cd\u8981\u3067\u3059\u3002\u691c\u67fb\u30d7\u30ed\u30bb\u30b9\u3092\u6700\u9069\u5316\u3057\u3001\u6cbb\u7642\u307e\u3067\u306e\u6642\u9593\u3092\u77ed\u7e2e\u3059\u308b\u3053\u3068\u3067\u3001\u611f\u67d3\u4f1d\u64ad\u306e\u901f\u5ea6\u3092\u4f4e\u4e0b\u3055\u305b\u3001\u8ffd\u8de1\u6f0f\u308c\u3092\u6e1b\u3089\u3059\u306a\u3069\u3001STI\u306b\u95a2\u9023\u3059\u308b\u8ab2\u984c\u306b\u5bfe\u51e6\u3067\u304d\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6700\u7d42\u7684\u306b\u75be\u60a3\u306e\u8ca0\u62c5\u304c\u8efd\u6e1b\u3055\u308c\u307e\u3059\u3002\u30bf\u30fc\u30f3\u30a2\u30e9\u30a6\u30f3\u30c9\u30bf\u30a4\u30e0\u3060\u3051\u3067\u306a\u304f\u3001STI\u691c\u67fb\u3092\u6700\u9069\u5316\u3059\u308b\u3053\u3068\u306f\u3001\u81e8\u5e8a\u30cb\u30fc\u30ba\u306b\u6700\u3082\u9069\u3057\u305f\u691c\u67fb\u9078\u629e\u80a2\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u6b63\u78ba\u306a\u7d50\u679c\u3092\u8fc5\u901f\u306b\u63d0\u4f9b\u3059\u308b\u5206\u6563\u578b\u691c\u67fb\u306f\u3001\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u306b\u6700\u9069\u3067\u3059\u3002\u4e00\u65b9\u3001\u4e2d\u592e\u691c\u67fb\u306f\u3001\u6bce\u5e74\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001\u60a3\u8005\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3001\u7121\u75c7\u5019\u6027\u60a3\u8005\u691c\u4f53\u3001\u75ab\u5b66\u7684\u76e3\u8996\u306b\u7279\u306b\u6709\u7528\u3067\u3042\u308a\u3001\u653f\u5e9c\u306f\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u30c7\u30fc\u30bf\u306b\u5f93\u3063\u3066\u30ea\u30bd\u30fc\u30b9\u3092\u5272\u308a\u5f53\u3066\u3001\u4ecb\u5165\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u6210\u529f\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n<h2 style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">STI\u7ba1\u7406\u306e\u5c06\u6765\uff1a\u691c\u67fb\u5ba4\u306b\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u30b1\u30a2<\/h2>\n<p>\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u306b\u304a\u3051\u308bSTI\u306e\u8ca0\u62c5\u306e\u5897\u5927\u306f\u3001AMR\u306e\u8105\u5a01\u3068\u76f8\u307e\u3063\u3066\u3001\u5f93\u6765\u306e\u691c\u67fb\u304a\u3088\u3073\u7ba1\u7406\u304b\u3089\u3001\u691c\u67fb\u5ba4\u304c\u4e3b\u5c0e\u3059\u308b\u6c7a\u5b9a\u304a\u3088\u3073\u6a19\u7684\u6cbb\u7642\u3078\u306e\u8fc5\u901f\u304b\u3064\u7a4d\u6975\u7684\u306a\u79fb\u884c\u3092\u5fc5\u8981\u3068\u3057\u307e\u3059\u3002\u7d30\u80de\u57f9\u990a\u3084\u5e83\u57df\u6cbb\u7642\u306a\u3069\u306e\u691c\u67fb\u65b9\u6cd5\u3092\u6226\u7565\u7684\u306b\u6bb5\u968e\u7684\u306b\u5ec3\u6b62\u3059\u308b\u3053\u3068\u304c\u3001STI\u4f1d\u64ad\u3092\u963b\u6b62\u3057\u3001\u516c\u8846\u885b\u751f\u3092\u4fdd\u8b77\u3059\u308b\u6700\u3082\u52b9\u679c\u7684\u306a\u65b9\u6cd5\u3067\u3059\u3002NAAT\u306e\u3088\u3046\u306a\u5148\u9032\u7684\u306a\u691c\u67fb\u6cd5\u306f\u611f\u5ea6\u304c\u9ad8\u304f\u3001\u67d4\u8edf\u306a\u691c\u4f53\u306e\u63a1\u53d6\u304c\u53ef\u80fd\u3067\u3059\u3002\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u306f\u3001NAAT\u306e\u4f7f\u7528\u3092\u7fa9\u52d9\u4ed8\u3051\u305f\u6700\u65b0\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u63a1\u7528\u3057\u3001\u9069\u5207\u306a\u691c\u67fb\u30aa\u30d7\u30b7\u30e7\u30f3\u306e\u6226\u7565\u7684\u306a\u5c55\u958b\u3092\u4fc3\u9032\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3064\u307e\u308a\u3001\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u7528\u306e\u96c6\u4e2d\u691c\u67fb\u5ba4NAAT\u306e\u30cf\u30a4\u30b9\u30eb\u30fc\u30d7\u30c3\u30c8\u52b9\u7387\u3068\u3001\u9ad8\u30ea\u30b9\u30af\u304a\u3088\u3073\u9060\u9694\u74b0\u5883\u306b\u304a\u3051\u308bPOC\u691c\u67fb\u306e\u8fc5\u901f\u3067\u60a3\u8005\u4e2d\u5fc3\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u3068\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u691c\u67fb\u5ba4\u3067\u60c5\u5831\u3092\u5f97\u305f\u30b1\u30a2\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u3088\u308a\u3001\u6700\u7d42\u7684\u306b\u60a3\u8005\u306e\u8ffd\u8de1\u4e0d\u80fd\u304c\u6700\u5c0f\u9650\u306b\u6291\u3048\u3089\u308c\u3001\u6297\u751f\u7269\u8cea\u6cbb\u7642\u306e\u6709\u52b9\u6027\u304c\u4fdd\u8b77\u3055\u308c\u307e\u3059\u3002\u3053\u3046\u3057\u305f\u5909\u5316\u306f\u3001\u9ad8\u30ea\u30b9\u30af\u306e\u96c6\u56e3\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5553\u767a\u30ad\u30e3\u30f3\u30da\u30fc\u30f3\u3068\u7d44\u307f\u5408\u308f\u305b\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u5b9a\u671f\u7684\u306b\u691c\u8a3a\u3092\u53d7\u3051\u3001\u524d\u5411\u304d\u306a\u5065\u5eb7\u72b6\u614b\u3092\u9078\u629e\u3059\u308b\u3088\u3046\u7a4d\u6975\u7684\u306b\u50cd\u304d\u304b\u3051\u308b\u3079\u304d\u3067\u3059\u3002\u7a76\u6975\u7684\u306b\u306f\u3001\u3053\u306e\u5909\u9769\u306f\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u4ee5\u4e0a\u306e\u3082\u306e\u3067\u3059\u3002\u3088\u308a\u5065\u5eb7\u306a\u672a\u6765\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306b\u3001\u5b9f\u8df5\u3092\u5909\u3048\u3001\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u306b\u529b\u3092\u4e0e\u3048\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n<hr \/>\n<p><em>\u53c2\u8003\u6587\u732e<\/em><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.frontiersin.org\/journals\/medicine\/articles\/10.3389\/fmed.2022.851635\/full\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Fu, L.et al. (2022) \u2018Incidence trends of five common sexually transmitted infections excluding HIV from 1990 to 2019 at the Global, regional, and national levels: Results from the global burden of disease study 2019\u2019, Frontiers in Medicine, 9.<\/span><span style=\"font-weight: 400;\">doi:10.3389\/fmed.2022.851635.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news\/item\/21-05-2024-new-report-flags-major-increase-in-sexually-transmitted-infections---amidst-challenges-in-hiv-and-hepatitis\" target=\"_blank\" rel=\"noopener\">[2]<\/a> World Health Organization (WHO) (2024)<\/span><i><span style=\"font-weight: 400;\">\u65b0\u305f\u306a\u5831\u544a\u306f\u3001HIV\u3068\u809d\u708e\u306e\u8ab2\u984c\u306e\u4e2d\u3067\u3001\u6027\u611f\u67d3\u75c7\u306e\u5927\u5e45\u306a\u5897\u52a0\u3092\u793a\u3057\u3066\u3044\u307e\u3059<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/news\/item\/21-05-2024-new-report-flags-major-increase-in-sexually-transmitted-infections&#8212;amidst-challenges-in-hiv-and-hepatitis<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670816\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30212101\/\" target=\"_blank\" rel=\"noopener\">[3]<\/a> Chesson, H.W., Mayaud, P.and Aral, S.O. (2017) \u2018Sexually transmitted infections: Impact and cost-effectiveness of prevention\u2019, in <\/span><i><span style=\"font-weight: 400;\">Disease Control Priorities, Third Edition (Volume 6): Major Infectious Diseases<\/span><\/i><span style=\"font-weight: 400;\">, pp. 203-232. <\/span><span style=\"font-weight: 400;\">doi:10.1596\/978-1-4648-0524-0_ch10.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/link.springer.com\/article\/10.1186\/s12889-025-21962-7\" target=\"_blank\" rel=\"noopener\">[4]<\/a> Yamani, L.N. et al. (2025) \u2019Associations between socio-demographics, sexual knowledge and behavior and sexually transmitted infections among reproductive-age women in Southeast Asia: Demographic health survey results\u2019, BMC Public Health, 25(1). <\/span><span style=\"font-weight: 400;\">doi:10.1186\/s12889-025-21962-7.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/sexually-transmitted-infections-(stis)\" target=\"_blank\" rel=\"noopener\">[5]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(2025)<\/span><i><span style=\"font-weight: 400;\">\u6027\u611f\u67d3\u75c7(STI)<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/sexually-transmitted-infections-(stis<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670816\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\">[6] \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO) (2023) <\/span><i><span style=\"font-weight: 400;\">Laboratory and point-of-care diagnostic testing for sexually transmitted infections, including HIV<\/span><\/i><span style=\"font-weight: 400;\">, 4th edn, Geneva: World Health Organization.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/westernpacific\/health-topics\/sexually-transmitted-infections\" target=\"_blank\" rel=\"noopener\">[7]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(n.d.) <\/span><i><span style=\"font-weight: 400;\">\u897f\u592a\u5e73\u6d0b\u306b\u304a\u3051\u308b\u6027\u611f\u67d3\u75c7(STI)<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/westernpacific\/health-topics\/sexually-transmitted-infections<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670816\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.mdpi.com\/2227-9032\/11\/8\/1093\" target=\"_blank\" rel=\"noopener\">[8]<\/a> Balakrishnan,V.et al. (2023) \u2018A Scoping Review of Knowledge, Awareness, Perceptions, Attitudes, and Risky Behaviors of Sexually Transmitted Infections in Southeast Asia\u2019, Healthcare, 11(8), 1093. <\/span><span style=\"font-weight: 400;\">doi: 10.3390\/healthcare11081093.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/stis\/treatment-care\" target=\"_blank\" rel=\"noopener\">[9]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(n.d.) <\/span><i><span style=\"font-weight: 400;\">Global Sexually Transmitted Infections Program<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3\u7248]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/stis\/treatment-care<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7411\u67087\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/chlamydia\" target=\"_blank\" rel=\"noopener\">[10]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(2024)<\/span><i><span style=\"font-weight: 400;\">Chlamydia<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/chlamydia<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670820\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/gonorrhoea-(neisseria-gonorrhoeae-infection)\" target=\"_blank\" rel=\"noopener\">[11]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(2025)<\/span><i><span style=\"font-weight: 400;\">Gonorrhoeae(Neisseria gonorrhoeae infection)<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/gonorrhoea-(neisseria-gonorrhoeae-infection<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670820\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/syphilis\" target=\"_blank\" rel=\"noopener\">[12]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(2025)<\/span><i><span style=\"font-weight: 400;\">Syphilis<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/syphilis<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7411\u67087\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.racgp.org.au\/getattachment\/0c4e7741-ce6c-44ab-86ea-4edc20f1e14f\/20040901ooi.pdf\" target=\"_blank\" rel=\"noopener\">[13]<\/a> RACGP (2004) <\/span><i><span style=\"font-weight: 400;\">STIs in pregnancy: an update for GP<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.racgp.org.au\/getattachment\/0c4e7741-ce6c-44ab-86ea-4edc20f1e14f\/20040901ooi.pdf<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7411\u67087\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/health-topics\/sexually-transmitted-infections\" target=\"_blank\" rel=\"noopener\">[14]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(2025)<\/span><i><span style=\"font-weight: 400;\">\u6027\u611f\u67d3\u75c7(STI)<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/health-topics\/sexually-transmitted-infections<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670820\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/antimicrobial-resistance\" target=\"_blank\" rel=\"noopener\">[15]<\/a> World Health Organization (WHO) (2023) <\/span><i><span style=\"font-weight: 400;\">Antimicrobial resistance<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/antimicrobial-resistance<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670820\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1093\/jac\/dkaf109\" target=\"_blank\" rel=\"noopener\">[16]<\/a> Fifer,H.and Johnson,A\u3002(2025) \u2018The continuing evolution of antibiotic resistance in <\/span><i><span style=\"font-weight: 400;\">Neisseria gonorrhoeae<\/span><\/i><span style=\"font-weight: 400;\">: past, present and future threats to effective treatment\u2019, Journal of Antimicrobial Chemotherapy, 80(5), pp.1213-1219.<\/span> <span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1093\/jac\/dkaf109<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/campaigns\/world-amr-awareness-week\/2018\/features-from-around-the-world\/super-gonorrhoea-q-a-with-dr.-teodora-wi\" target=\"_blank\" rel=\"noopener\">[17]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(n.d.) <\/span><i><span style=\"font-weight: 400;\">\u30b9\u30fc\u30d1\u30fc\u30b4\u30ce\u30ec\u30a2\u306e\u4f55\u304c\u91cd\u8981\u3067\u3059\u304b\uff1fDr Teodora Wi<\/span><\/i><span style=\"font-weight: 400;\">\uff08\u30aa\u30f3\u30e9\u30a4\u30f3\uff09\u3068\u306eQ&amp;A\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/campaigns\/world-amr-awareness-week\/2018\/features-from-around-the-world\/super-gonorrhoea-q-a-with-dr.-teodora-wi<\/span><span style=\"font-weight: 400;\"> (Accessed: [Not Stated in Original]).<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.who.int\/westernpacific\/health-topics\/sexually-transmitted-infections\/gonococcal-antimicrobial-resistance-in-the-western-pacific-region\" target=\"_blank\" rel=\"noopener\">[18]<\/a> \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)(n.d.) <\/span><i><span style=\"font-weight: 400;\">\u897f\u592a\u5e73\u6d0b\u5730\u57df\u306b\u304a\u3051\u308b\u6dcb\u83cc\u6027\u6297\u83cc\u85ac\u8010\u6027<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.who.int\/westernpacific\/health-topics\/sexually-transmitted-infections\/gonococcal-antimicrobial-resistance-in-the-western-pacific-region<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670820\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/journals.asm.org\/doi\/10.1128\/jcm.00185-12\" target=\"_blank\" rel=\"noopener\">[19]<\/a> Cosentino, L.A. et al. (2012) \u2018Use of nucleic acid amplification testing for diagnosis of anorectal sexually transmitted infections\u2019, Journal of Clinical Microbiology, 50(6), pp. 2005-2008. <\/span><span style=\"font-weight: 400;\">doi:10.1128\/jcm.00185-12.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"http:\/\/doi.org\/10.11604\/pamj.2020.36.299.20777\" target=\"_blank\" rel=\"noopener\">[20]<\/a> Tobin, L.et al. (2020) \u2018Is it time to use nucleic acid amplification tests for identification of persons with sexually transmitted infections?: evidence from seroprevalence and behavioral epidemiology risk surveys in men with chlamydia and gonorrhea\u2019, The Pan African Medical Journal, 36, 299. <\/span><span style=\"font-weight: 400;\">doi.org\/10.11604\/pamj.2020.36.299.20777<\/span><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1016\/j.diagmicrobio.2015.08.005\" target=\"_blank\" rel=\"noopener\">[21]<\/a> Serra-Pladevall,J.et al. (2015) \u2019Comparison between conventional culture and NAATs for the microbiological diagnosis in gonococcal infection\u2019, Diagnostic Microbiology and Infectious Disease, 83(4), pp. 341-343\u3002 <\/span><span style=\"font-weight: 400;\">doi:10.1016\/j.diagmicrobio.2015.08.005<\/span><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.google.com\/search?q=https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2022\/06\/chlamydia-laboratory-case-definition\" target=\"_blank\" rel=\"noopener\">[22]<\/a> Public Health Laboratory Network(n.d.) <\/span><i><span style=\"font-weight: 400;\">\u30af\u30e9\u30df\u30b8\u30a2\uff08\u30af\u30e9\u30df\u30b8\u30a2\u30fb\u30c8\u30e9\u30b3\u30de\u30c1\u30b9\uff09 \u2013 \u81e8\u5e8a\u691c\u67fb\u306e\u75c7\u4f8b\u5b9a\u7fa9<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2022\/06\/chlamydia-laboratory-case-definition<\/span><span style=\"font-weight: 400;\">_0.pdf \uff08Accessed: 2025\u5e7410\u670820\u65e5\uff09.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1111\/1753-6405.12680\" target=\"_blank\" rel=\"noopener\"> [23]<\/a> Denison, H.J. (2018) \u2019Barriers to sexually transmitted infection testing in New Zealand: a qualitative study\u2019, Australian and New Zealand Journal of Public Health, 41(4), pp. 432-437.<\/span> <span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1111\/1753-6405.12680<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"http:\/\/doi.org\/10.1016\/j.idc.2005.03.006\" target=\"_blank\" rel=\"noopener\">[24]<\/a> Gaydos, C.A. (2005) \u2019Nucleic acid amplification tests for gonorrhea and chlamydia: practice and applications\u2019, Infectious Disease Clinics of North America, 19(2), pp. 367-386\u3002 <\/span><span style=\"font-weight: 400;\">doi.org\/10.1016\/j.idc.2005.03.006.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">[25] \u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO) (2023) <\/span><i><span style=\"font-weight: 400;\">Point-of-care tests for sexually transmitted infections: Target product profiles<\/span><\/i><span style=\"font-weight: 400;\">, Geneva: World Health Organization.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.cdc.gov\/std\/treatment-guidelines\/chlamydia.htm\" target=\"_blank\" rel=\"noopener\">[26]<\/a> \u7c73\u56fd\u75be\u75c5\u4e88\u9632\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc(CDC) (2021) <\/span><i><span style=\"font-weight: 400;\">Chlamydial infections<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.cdc.gov\/std\/treatment-guidelines\/chlamydia.htm<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7411\u67087\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\">[27] Coleman,H.et al. (2023) <\/span><i><span style=\"font-weight: 400;\">BASHH Summary guidance on testing for sexually transmitted infections<\/span><\/i><span style=\"font-weight: 400;\">, 2nd edn, London: British Association for Sexual Health and HIV (BASHH).<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/sti.guidelines.org.au\/sexually-transmissible-infections\/chlamydia\/\" target=\"_blank\" rel=\"noopener\">[28]<\/a> Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) (2024) <\/span><i><span style=\"font-weight: 400;\">Chlamydia<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/sti.guidelines.org.au\/sexually-transmissible-infections\/chlamydia\/<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7411\u67087\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/sti.guidelines.org.au\/sexually-transmissible-infections\/gonorrhoea\/\" target=\"_blank\" rel=\"noopener\">[29]<\/a> Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) (2024) <\/span><i><span style=\"font-weight: 400;\">Gonorrhea<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/sti.guidelines.org.au\/sexually-transmissible-infections\/gonorrhoea\/<\/span><span style=\"font-weight: 400;\"> (Accessed: [Not Stated in Original]).<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.health.gov.au\/our-work\/nndss\" target=\"_blank\" rel=\"noopener\">[30]<\/a> Australian Department of Health, Disability and Aging (2025) <\/span><i><span style=\"font-weight: 400;\">National notifiable diseases surveillance system (NNDSS)<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.health.gov.au\/our-work\/nndss<\/span><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7410\u670820\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.mdpi.com\/2071-1050\/9\/10\/1784\" target=\"_blank\" rel=\"noopener\">[31]<\/a> Zhu,B.et al. (2017) \u2018Notifiable Sexually Transmitted Infections in China: Epidemiologic Trends and Spatial Changing Patterns\u2019, Sustainability, 9(10), 1784. doi.org\/10.3390\/su9101784.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31992256\/\" target=\"_blank\" rel=\"noopener\">[32]<\/a> Kawado,M.et al. (2020) \u2018Estimating nationwide cases of sexually transmitted diseases in 2015 from Sentinel Surveillance Data in Japan\u2019, BMC Infectious Diseases, 20(1). <\/span><span style=\"font-weight: 400;\">doi:10.1186\/s12879-020-4801-x.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.staystifree.org.au\/about-stis\" target=\"_blank\" rel=\"noopener\">[33]<\/a> STI\u306a\u3057(n.d.) <\/span><i><span style=\"font-weight: 400;\">STI<\/span><\/i><span style=\"font-weight: 400;\"> [\u30aa\u30f3\u30e9\u30a4\u30f3]\u306b\u3064\u3044\u3066\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.staystifree.org.au\/about-stis<\/span><span style=\"font-weight: 400;\"> (Accessed: [Not Stated in Original]).<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.mshc.org.au\/clinics-services\/accessing-our-sti-clinic\/make-a-booking\" target=\"_blank\" rel=\"noopener\">[34]<\/a> Melbourne Sexual Health Center(n.d.) <\/span><i><span style=\"font-weight: 400;\">STI\u30af\u30ea\u30cb\u30c3\u30af\u306b\u30a2\u30af\u30bb\u30b9\u3059\u308b\/\u4e88\u7d04<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span><a href=\"https:\/\/www.mshc.org.au\/clinics-services\/accessing-our-sti-clinic\/make-a-booking\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">https:\/\/www.mshc.org.au\/clinics-services\/accessing-our-sti-clinic\/make-a-booking<\/span><\/a><span style=\"font-weight: 400;\"> \uff08Accessed: 2025\u5e7412\u67083\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.nsc.com.sg\/dsc\/our-services-for-patients-and-visitors\/dsc-services\/Clinical-STI-Testing\/Pages\/default.aspx\" target=\"_blank\" rel=\"noopener\"> [35]<\/a> DSC Clinic, National Skin Centre, Singapore (n.d.) <\/span><i><span style=\"font-weight: 400;\">Clinical STI Testing<\/span><\/i><span style=\"font-weight: 400;\"> [Online].\u4ee5\u4e0b\u3088\u308a\u5165\u624b\uff1a<\/span><a href=\"https:\/\/www.nsc.com.sg\/dsc\/our-services-for-patients-and-visitors\/dsc-services\/Clinical-STI-Testing\/Pages\/default.aspx\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">https:\/\/www.nsc.com.sg\/dsc\/our-services-for-patients-and-visitors\/dsc-services\/Clinical-STI-Testing\/Pages\/default.aspx<\/span><\/a><span style=\"font-weight: 400;\"> \uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7412\u67083\u65e5\uff09<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.bumrungrad.com\/lab-service-guide\/labs\/c-trachomatis-and-n-gonorrhoeae-by-naat-(urethral-swab)\" target=\"_blank\" rel=\"noopener\">[36]<\/a> Bumrungrad Hospital, Thailand (n.d.) <\/span><i><span style=\"font-weight: 400;\">C. trachomatis and N.nat\u306b\u3088\u308b\u6dcb\u83cc\uff08\u5c3f\u9053\u30b9\u30ef\u30d6\uff09<\/span><\/i><span style=\"font-weight: 400;\">[\u30aa\u30f3\u30e9\u30a4\u30f3]\u3002\u4ee5\u4e0b\u3088\u308a\u5165\u624b\u53ef\u80fd\uff1a<\/span> <span style=\"font-weight: 400;\">https:\/\/www.bumrungrad.com\/lab-service-guide\/labs\/c-trachomatis-and-n-gonorrhoeae-by-naat-(urethral-swab<\/span><span style=\"font-weight: 400;\">\uff08\u30a2\u30af\u30bb\u30b9\uff1a2025\u5e7412\u67083\u65e5\uff09<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6027\u611f\u67d3\u75c7(STI)\u306e\u4e16\u754c\u7684\u306a\u8513\u5ef6\u306f\u3001\u516c\u8846\u885b\u751f\u4e0a\u306e\u5927\u304d\u306a\u8ab2\u984c\u3067\u3059\u3002STI\u306f\u3001\u4e16\u754c\u4e2d\u3067\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u6700\u3082\u4e00\u822c\u7684\u306a\u611f\u67d3\u75c7\u306e1\u3064\u3067\u3059[1]\u30021\u65e5\u306b100\u4e07\u4ef6\u3092\u8d85\u3048\u308bSTI\u304c\u7f79\u60a3\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u5272\u5408\u306f\u591a\u304f\u306e\u5730\u57df\u3067\u4e0a\u6607\u3057\u7d9a\u3051\u3066\u3044\u307e\u3059[2]\u3002\u81a8\u5927\u306a\u4eba\u7684\u5f71\u97ff\u3092\u8d85\u3048\u3001\u3053\u306e\u611f\u67d3\u62e1\u5927\u306f\u3001\u7279\u306b\u8cc7\u6e90\u304c\u9650\u3089\u308c\u305f\u4f4e\u4e2d\u6240\u5f97\u56fd\u306b\u304a\u3044\u3066\u3001\u533b\u7642\u5236\u5ea6\u306b\u5927\u304d\u306a\u8ca0\u62c5\u3092\u304b\u3051\u3066\u3044\u307e\u3059[3,4]\u3002\u6700\u3082\u4e00\u822c\u7684\u306aSTI\u306f\u4e88\u9632\u53ef\u80fd\u304b\u3064\u6cbb\u7652\u53ef\u80fd\u3067\u3042\u308b\u305f\u3081\u3001\u75c7\u5019\u7fa4\u7ba1\u7406\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u75c7\u72b6\u30d9\u30fc\u30b9\u306e\u8a3a\u65ad\u304c\u4e3b\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3068\u3057\u3066\u9577\u3044\u9593\u884c\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u3053\u308c\u306b\u3088\u308a\u3001STI\u304c\u7591\u308f\u308c\u308b\u60a3\u8005\u306f\u3001\u3088\u308a\u65e9\u304f\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u3088\u308a\u901f\u304f\u306a\u308b\u3053\u3068\u306f\u3001\u3088\u308a\u826f\u304f\u306a\u308b\u3053\u3068\u3068\u540c\u3058\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u75c7\u5019\u7fa4\u7ba1\u7406\u306f\u3001\u904e\u5270\u6cbb\u7642\u3001\u8aa4\u3063\u305f\u6cbb\u7642\u3001\u53ca\u3073\u898b\u9003\u3055\u308c\u305f\u8a3a\u65ad\u306e3\u3064\u306e\u91cd\u8981\u306a\u554f\u984c\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[5]\u3002\u3053\u308c\u3089\u306e\u7d50\u679c\u306e\u5404\u3005\u306f\u3001\u3088\u308a\u60aa\u3044\u60a3\u8005\u306e\u8ee2\u5e30\u3092\u3082\u305f\u3089\u3057\u5f97\u307e\u3059\u3002[6] \u81e8\u5e8a\u691c\u67fb\u304c\u73fe\u5728\u3001STI\u3092\u6b63\u78ba\u306b\u8a3a\u65ad\u3059\u308b\u6700\u826f\u306e\u65b9\u6cd5\u3067\u3001\u7279\u306b\u7121\u75c7\u72b6\u306e\u60a3\u8005\u3067\u6700\u3082\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u306b\u306f\u3001\u4e3b\u8981\u306a\u533b\u7642\u6a5f\u95a2\u306e\u610f\u898b\u304c\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059\u3002\u6838\u9178\u5897\u5e45\u691c\u67fb(NAAT)\u306a\u3069\u306e\u691c\u67fb\u65b9\u6cd5\u306f\u3001\u533b\u7642\u5f93\u4e8b\u8005\u304c\u60c5\u5831\u306b\u57fa\u3065\u3044\u305f\u6cbb\u7642\u6c7a\u5b9a\u3092\u4e0b\u3059\u3053\u3068\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u3001\u60a3\u8005\u304c\u9069\u5207\u306a\u30b1\u30a2\u3092\u8fc5\u901f\u306b\u53d7\u3051\u3089\u308c\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u91cd\u8981\u306a\u70b9\u3068\u3057\u3066\u3001\u85ac\u5264\u8010\u6027\u83cc(AMR)\u306e\u8105\u5a01\u306e\u9ad8\u307e\u308a\u3078\u306e\u5bfe\u51e6\u3082\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u306b\u304a\u3051\u308bSTI\u306e\u91cd\u8377 \u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u3067\u306fSTI\u306e\u767a\u751f\u7387\u304c\u9ad8\u3044\u3067\u3059\u30022020\u5e74\u3060\u3051\u3067\u3082\u3001\u30af\u30e9\u30df\u30b8\u30a2\u30fb\u30c8\u30e9\u30b3\u30de\u30c1\u30b9 Chlamydia trachomatis\uff08\u30af\u30e9\u30df\u30b8\u30a2\uff09\u3001\u6dcb\u83ccNeisseria gonorrhoeae\uff08\u6dcb\u83cc\u611f\u67d3\u75c7\uff09\u3001\u6885\u6bd2\u30c8\u30ec\u30dd\u30cd\u30fc\u30de treponema pallidum\uff08\u6885\u6bd2\uff09\u53ca\u3073\u30c8\u30ea\u30b3\u30e2\u30ca\u30b9\u75c7\u306e4\u3064\u306eSTI\u306e\u65b0\u898f\u75c7\u4f8b\u6570\u304c\u304a\u3088\u305d8600\u4e07\u4eba\u3067\u3057\u305f[7]\u3002\u3053\u306e\u5730\u57df\u306b\u304a\u3051\u308b\u3053\u308c\u3089\u306eSTI\u306e\u6709\u75c5\u7387\u306f\u3001\u4e16\u754c\u7684\u306a\u50be\u5411\u3068\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059[2]\u3002\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u3067\u306f\u3001\u793e\u4f1a\u7684\u3001\u7d4c\u6e08\u7684\u3001\u304a\u3088\u3073\u5168\u8eab\u7684\u306a\u8981\u56e0\u306b\u3088\u3063\u3066STI\u691c\u67fb\u3078\u306e\u30a2\u30af\u30bb\u30b9\u304c\u59a8\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u30af\u30e9\u30df\u30b8\u30a2\u3001\u6dcb\u83cc\u611f\u67d3\u75c7\u3001\u6885\u6bd2\u53ca\u3073\u30c8\u30ea\u30b3\u30e2\u30ca\u30b9\u75c7\u306f\u5168\u3066\u3001\u6bd4\u8f03\u7684\u975e\u4fb5\u8972\u7684\u306a\u51e6\u7f6e\u7d4c\u8def\u3092\u6709\u3059\u308b\u6cbb\u7652\u53ef\u80fd\u306a\u611f\u67d3\u75c7\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u6b63\u3057\u3044\u6cbb\u7642\u3092\u53d7\u3051\u308b\u306b\u306f\u307e\u305a\u691c\u67fb\u3092\u53d7\u3051\u3001\u6b63\u78ba\u306b\u8a3a\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u591a\u304f\u306eSTI\u75c7\u4f8b\u306f\u7121\u75c7\u5019\u6027\u3067\u3042\u308a[5]\u3001\u5065\u5eb7\u30ea\u30c6\u30e9\u30b7\u30fc\u304c\u4f4e\u3044\u3053\u3068\u3068\u76f8\u307e\u3063\u3066\u3001\u75c7\u72b6\u304c\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u60a3\u8005\u304c\u81ea\u8eab\u306e\u611f\u67d3\u30ea\u30b9\u30af\u3092\u7406\u89e3\u3057\u306b\u304f\u304f\u3001\u305d\u306e\u7d50\u679c\u3001\u691c\u67fb\u3092\u53d7\u3051\u308b\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u3053\u306e\u4ed6\u306b\u3082\u3001\u91cd\u5927\u306a\u793e\u4f1a\u7684\u4e0d\u540d\u8a89\u3001\u4f4e\u30ea\u30b9\u30af\u306e\u8a8d\u8b58\u3001\u8cea\u306e\u9ad8\u3044\u691c\u67fb\u3092\u53d7\u3051\u308b\u4e0d\u4fbf\u3055\u3068\u30a2\u30af\u30bb\u30b9\u306e\u6b20\u5982\u306a\u3069\u3001STI\u691c\u67fb\u306e\u4e00\u822c\u7684\u306a\u969c\u58c1\u3068\u306a\u3063\u3066\u3044\u307e\u3059[8]\u3002 STI\u691c\u67fb\u304c\u91cd\u8981\u306a\u7406\u7531 \u81e8\u5e8a\u7684\u53ca\u3073\u7d4c\u6e08\u7684\u306bSTI\u304c\u53ca\u307c\u3059\u5b9f\u8cea\u7684\u306a\u5f71\u97ff\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u691c\u67fb\u304c\u9375\u3068\u306a\u308a\u307e\u3059\u3002\u6b63\u78ba\u306a\u8a3a\u65ad\u306b\u3088\u308a\u3001\u533b\u7642\u5f93\u4e8b\u8005\u306f\u30bf\u30a4\u30e0\u30ea\u30fc\u306b\u6b63\u3057\u3044\u6cbb\u7642\u904e\u7a0b\u3092\u51e6\u65b9\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u60a3\u8005\u306e\u8ee2\u5e30\u3092\u6539\u5584\u3057\u3001\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u306b\u5bfe\u3059\u308b\u7d4c\u6e08\u7684\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\uff08\u63a5\u89e6\u8ffd\u8de1\u3092\u4ecb\u3057\u305f\uff09\u6027\u7684\u30d1\u30fc\u30c8\u30ca\u30fc\u3078\u306e\u958b\u793a\u3082\u53ef\u80fd\u306b\u3057\u3001\u305d\u308c\u306b\u3088\u3063\u3066\u611f\u67d3\u4f1d\u64ad\u306e\u9023\u9396\u3092\u4e2d\u65ad\u3057\u307e\u3059[9]\u3002\u75c7\u5019\u7fa4\u7ba1\u7406\u306f\u3001\u75c7\u72b6\u306b\u57fa\u3065\u304f\u6cbb\u7642\u3092\u5373\u6642\u306b\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u3001\u5168\u304f\u6cbb\u7642\u3092\u63d0\u4f9b\u3057\u306a\u3044\u3088\u308a\u3082\u304b\u306a\u308a\u826f\u3044\u3001\u30ea\u30bd\u30fc\u30b9\u304c\u9650\u3089\u308c\u305f\u74b0\u5883\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u73fe\u5b9f\u7684\u306a\u30c4\u30fc\u30eb\u306e\u307e\u307e\u3067\u3059\u304c\u3001\u3053\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u7d14\u7c8b\u306b\u983c\u308b\u3053\u3068\u306f\u307e\u3059\u307e\u3059\u4e0d\u5341\u5206\u3067\u3059\u3002\u7121\u75c7\u5019\u6027\u611f\u67d3\u3092\u691c\u51fa\u3067\u304d\u306a\u3044\u3053\u3068\u3084\u8aa4\u8a3a\u306e\u30ea\u30b9\u30af\u306a\u3069\u306e\u75c7\u5019\u6027\u7ba1\u7406\u306e\u56fa\u6709\u306e\u5236\u9650\u306f\u3001\u8aa4\u3063\u305f\u6cbb\u7642\u3084\u60a3\u8005\u306e\u305f\u3081\u306e\u91cd\u5ea6\u3067\u6301\u7d9a\u7684\u306a\u5408\u4f75\u75c7\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u6cbb\u7642\u305b\u305a\u306b\u653e\u7f6e\u3059\u308b\u3068\u3001\u30af\u30e9\u30df\u30b8\u30a2\u3084\u6dcb\u75c5\u306a\u3069\u306e\u611f\u67d3\u75c7\u306f\u3001\u4e0d\u598a\u75c7\u3084\u9aa8\u76e4\u5185\u708e\u75c7\u6027\u75be\u60a3\u306a\u3069\u306e\u30ea\u30d7\u30ed\u30c0\u30af\u30c6\u30a3\u30d6\u30d8\u30eb\u30b9\u306e\u554f\u984c\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[10,11]\u3002\u5f8c\u671f\u6885\u6bd2\u306f\u3001\u91cd\u8981\u306a\u81d3\u5668\u306b\u5f71\u97ff\u3092\u53ca\u307c\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u795e\u7d4c\u5b66\u7684\u304a\u3088\u3073\u5fc3\u8840\u7ba1\u7684\u72b6\u614b\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u6b7b\u4ea1\u3059\u308b\u3053\u3068\u3055\u3048\u3042\u308a\u307e\u3059[12]\u3002\u9069\u5207\u306b\u6cbb\u7642\u3055\u308c\u3066\u3044\u306a\u3044STI\u306f\u3001\u6bcd\u5b50\u611f\u67d3\u3092\u4ecb\u3057\u3066\u5e83\u304c\u308a\u3001\u65b0\u751f\u5150\u306e\u5148\u5929\u6027STI\u3092\u542b\u3080\u598a\u5a20\u306e\u6709\u5bb3\u306a\u8ee2\u5e30\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[13]\u3002\u591a\u304f\u306eSTI\u306f\u307e\u305f\u3001\u30d2\u30c8\u514d\u75ab\u4e0d\u5168\u30a6\u30a4\u30eb\u30b9(HIV)\u3092\u53ce\u7e2e\u53ca\u3073\u62e1\u6563\u3059\u308b\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u307e\u3059[14]\u3002STI\u306b\u304a\u3051\u308b\u6297\u83cc\u85ac\u8010\u6027\u306e\u8105\u5a01\u306e\u9ad8\u307e\u308a\u306f\u3001\u81e8\u5e8a\u691c\u67fb\u3067\u78ba\u8a8d\u3055\u308c\u305f\u8a3a\u65ad\u306a\u3057\u306bSTI\u3092\u75c7\u5019\u7fa4\u7684\u306b\u6cbb\u7642\u3059\u308b\u3053\u3068\u3067\u3042\u308a\u3001\u516c\u8846\u885b\u751f\u306b\u91cd\u5927\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u3068\u308a\u308f\u3051\u3001\u85ac\u5264\u8010\u6027\u83cc(AMR)\u3078\u306e\u5bfe\u5fdc\u306b\u8ca2\u732e\u3057\u307e\u3059\u3002AMR\u306f\u3001\u7d30\u83cc\u3001\u30a6\u30a4\u30eb\u30b9\u53ca\u3073\u305d\u306e\u4ed6\u306e\u5fae\u751f\u7269\u304c\u9032\u5316\u3057\u3001\u305d\u308c\u3089\u3092\u6cbb\u7642\u3059\u308b\u3088\u3046\u306b\u8a2d\u8a08\u3055\u308c\u305f\u6297\u83cc\u85ac\u306b\u5fdc\u7b54\u3057\u306a\u304f\u306a\u3063\u305f\u3068\u304d\u306b\u767a\u751f\u3057\u307e\u3059[15]\u3002STI\u306e\u5834\u5408\u3001AMR\u306e\u8105\u5a01\u306f\u7279\u306b\u6025\u6027\u3067\u3042\u308a\u3001\u7279\u306bN\u3067\u6025\u6027\u3067\u3059\u3002\u6dcb\u83cc\u306e\u53cc\u65b9\u3092\u5897\u5e45\u3057\u3001\u691c\u51fa\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u75c5\u539f\u4f53\u306f\u3001\u5e83\u7bc4\u306a\u6297\u751f\u7269\u8cea\u30af\u30e9\u30b9\u306b\u5bfe\u3059\u308b\u8010\u6027\u3092\u767a\u9054\u3055\u305b\u3001moniker\u300c\u30b9\u30fc\u30d1\u30fc\u6dcb\u75c5\u300d\u3092\u7372\u5f97\u3057\u3066\u3044\u307e\u3059[16\u300117]\u3002\u6dcb\u75c5\u306e\u30b7\u30d7\u30ed\u30d5\u30ed\u30ad\u30b5\u30b7\u30f3\u8010\u6027\u53ca\u3073\u30da\u30cb\u30b7\u30ea\u30f3\u8010\u6027\u682a\u306f\u3001\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u3092\u901a\u3057\u3066\u7279\u306b\u4e00\u822c\u7684\u3067\u3059[18]\u3002\u3053\u306e\u5371\u6a5f\u306e\u6700\u5927\u306e\u8981\u56e0\u306f\u3001\u5e83\u7bc4\u306b\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u8aa4\u7528\u3084\u5e83\u57df\u6297\u83cc\u85ac\u306e\u904e\u5270\u4f7f\u7528\uff08\u3057\u3070\u3057\u3070\u691c\u8a3c\u7684\u691c\u67fb\u306a\u3057\u3067\u7d4c\u9a13\u7684\u306b\u6295\u4e0e\u3055\u308c\u308b\uff09\u3067\u3059[15]\u3002\u6b63\u78ba\u306a\u81e8\u5e8a\u691c\u67fb\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u3001\u60a3\u8005\u304c\u6b63\u3057\u3044\u6cbb\u7642\u3092\u53d7\u3051\u3089\u308c\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u8010\u6027\u30d1\u30bf\u30fc\u30f3\u306b\u95a2\u3059\u308b\u5fc5\u9808\u306e\u76e3\u8996\u30c7\u30fc\u30bf\u3082\u5f97\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u30c7\u30fc\u30bf\u306f\u3001\u81e8\u5e8a\u533b\u304a\u3088\u3073\u653f\u7b56\u7acb\u6848\u8005\u304c\u52b9\u679c\u7684\u306a\u6297\u83cc\u85ac\u9069\u6b63\u4f7f\u7528\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u5b9f\u65bd\u3057\u3001\u6700\u7d42\u9078\u629e\u306e\u85ac\u7269\u7642\u6cd5\u306e\u6709\u52b9\u6027\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3057\u307e\u3059[15]\u3002 NAAT:STI\u691c\u67fb\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9 \u6838\u9178\u5897\u5e45\u691c\u67fb(NAAT)\u306f\u3001\u611f\u5ea6\u304a\u3088\u3073\u7279\u7570\u5ea6\u304c\u9ad8\u3044\u3053\u3068\u3067\u77e5\u3089\u308c\u308b\u5206\u5b50\u30d9\u30fc\u30b9\u306e\u8a3a\u65ad\u691c\u67fb\u3067\u3059\u3002\u30a6\u30a4\u30eb\u30b9\u3084\u7d30\u83cc\u3068\u3044\u3063\u305f\u75c5\u539f\u4f53\u306e\u907a\u4f1d\u7269\u8cea\u3092\u6a19\u672c\u3067\u5206\u6790\u3059\u308b\u3053\u3068\u3067\u52b9\u679c\u3092\u767a\u63ee\u3057\u307e\u3059\u3002NAAT\u306f\u3001\u691c\u4f53\u4e2d\u3067\u75c5\u539f\u4f53\u306e\u30c7\u30aa\u30ad\u30b7\u30ea\u30dc\u6838\u9178(DNA)\u307e\u305f\u306f\u30ea\u30dc\u6838\u9178(RNA)\u3092\u691c\u51fa\u3059\u308b\u3068\u3001\u3057\u3070\u3057\u3070\u305d\u306e\u907a\u4f1d\u7269\u8cea\u3092\u30dd\u30ea\u30e1\u30e9\u30fc\u30bc\u9023\u9396\u53cd\u5fdc(PCR)\u6cd5\u3067\u5897\u5e45\u3057\u307e\u3059\u3002\u8fd1\u5e74\u3001NAAT\u304cC\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u691c\u67fb\u6cd5\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u30c8\u30e9\u30b3\u30de\u30c1\u30b9\u304a\u3088\u3073N.\u4ed6\u306e\u75c5\u539f\u4f53\u306e\u4e2d\u3067\u3082\u6dcb\u83cc[19]\u3002NAAT\u306f\u3001\u5c11\u6570\u3057\u304b\u5b58\u5728\u3057\u306a\u3044\u5834\u5408\u3001\u30b5\u30f3\u30d7\u30eb\u4e2d\u306e\u75c5\u539f\u4f53\u306e\u907a\u4f1d\u7269\u8cea\u3092\u691c\u51fa\u3067\u304d\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059[6,20]\u3002\u3053\u306e\u9ad8\u611f\u5ea6\u304a\u3088\u3073\u7279\u7570\u5ea6\u306f\u3001\u60a3\u8005\u304c\u6b63\u78ba\u306a\u8a3a\u65ad\u304a\u3088\u3073\u9069\u5207\u306a\u6cbb\u7642\u3092\u78ba\u5b9f\u306b\u53d7\u3051\u3089\u308c\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u307e\u305f\u3001NAAT\u306f\u3001\u305d\u3046\u3067\u306a\u3051\u308c\u3070\u898b\u9003\u3055\u308c\u3066\u3044\u305f\u304b\u3082\u3057\u308c\u306a\u3044\u7121\u75c7\u5019\u6027\u611f\u67d3\u75c7\u306e\u52b9\u679c\u7684\u306a\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30c4\u30fc\u30eb\u306b\u3082\u306a\u308a\u307e\u3059\u3002NAAT\u6280\u8853\u304c\u666e\u53ca\u3059\u308b\u4ee5\u524d\u306f\u3001\u30af\u30e9\u30df\u30b8\u30a2\u3084\u6dcb\u75c5\u306a\u3069\u306eSTI\u306e\u4e3b\u306a\u691c\u67fb\u6cd5\u306f\u3001\u7d30\u80de\u57f9\u990a\u3092\u884c\u3046\u3053\u3068\u3067\u3057\u305f[21,22]\u3002\u3053\u308c\u306f\u3001\u4fb5\u8972\u7684\u3067\u30ea\u30bd\u30fc\u30b9\u96c6\u7d04\u7684\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3057\u305f\u3002\u591a\u304f\u306e\u5834\u5408\u3001\u5b50\u5bae\u9838\u90e8\u3001\u5c3f\u9053\u307e\u305f\u306f\u76f4\u8178\u304b\u3089\u30b9\u30ef\u30d6\u8a66\u6599\u3092\u624b\u4f5c\u696d\u3067\u53ce\u96c6\u3057\u3001\u53b3\u683c\u306a\u8f38\u9001\u65b9\u6cd5\u3092\u4f7f\u7528\u3057\u3066\u691c\u67fb\u5ba4\u306b\u9001\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3057\u305f[22]\u3002\u75c7\u72b6\u306e\u306a\u3044\u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u3067\u306f\u3001\u3053\u308c\u3089\u306e\u691c\u67fb\u306e\u4fb5\u8972\u6027\u304c\u5927\u304d\u306a\u969c\u58c1\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059[23]\u3002\u6bd4\u8f03\u3059\u308b\u3068\u3001NAAT\u306f\u5b9f\u8cea\u7684\u306b\u4fb5\u8972\u6027\u304c\u4f4e\u3044\u3067\u3059\u3002C\u306e\u691c\u67fb\u3002\u30c8\u30e9\u30b3\u30de\u30c1\u30b9\u304a\u3088\u3073N.\u3053\u308c\u306b\u3088\u308a\u591a\u304f\u306e\u60a3\u8005\u3067\u3001\u5185\u8a3a\uff08\u5973\u6027\uff09\u3084\u5c3f\u9053\u30b9\u30ef\u30d6\uff08\u7537\u6027\uff09\u3092\u884c\u3046\u5fc5\u8981\u304c\u306a\u304f\u306a\u308a\u307e\u3059[24]\u3002\u5973\u6027\u306e\u5834\u5408\u3001\u611f\u5ea6\u304c\u9ad8\u304f\u4f7f\u3044\u3084\u3059\u3044\u305f\u3081\u3001\u81ea\u5df1\u63a1\u53d6\u306e\u81a3\u30b9\u30ef\u30d6\u304c\u597d\u307e\u3057\u3044\u691c\u4f53\u3067\u3042\u308b\u304c\u3001\u30b9\u30ef\u30d6\u304c\u5229\u7528\u3067\u304d\u306a\u3044\u304b\u5b9f\u65bd\u3067\u304d\u306a\u3044\u5834\u5408\u306b\u306f\u3001\u521d\u5c3f\u304c\u975e\u5e38\u306b\u8a31\u5bb9\u3055\u308c\u5f97\u308b\u4ee3\u66ff\u7269\u306e\u307e\u307e\u3067\u3059[24,28]\u3002\u7537\u6027\u3067\u306f\u3001\u521d\u5c3f\u306f\u975e\u4fb5\u8972\u7684\u691c\u67fb\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u3068\u306a\u3063\u3066\u304a\u308a\u3001\u5c3f\u9053\u30b9\u30ef\u30d6\u306b\u3088\u308b\u4e0d\u5feb\u611f\u3092\u4f34\u308f\u305a\u306b\u975e\u5e38\u306b\u6b63\u78ba\u306a\u7d50\u679c\u304c\u5f97\u3089\u308c\u307e\u3059[29]\u3002\u3053\u308c\u3089\u306e\u81ea\u5df1\u53ce\u96c6\u65b9\u6cd5\u306b\u79fb\u884c\u3059\u308b\u3053\u3068\u3067\u3001\u533b\u7642\u5f93\u4e8b\u8005\u306fSTI\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u300c\u53c2\u52a0\u3078\u306e\u969c\u58c1\u300d\u3092\u6e1b\u3089\u3057\u3001\u30ea\u30b9\u30af\u306e\u3042\u308b\u96c6\u56e3\u3067\u3088\u308a\u983b\u7e41\u306a\u691c\u67fb\u3092\u5968\u52b1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO)\u3001\u7c73\u56fd\u75be\u75c5\u4e88\u9632\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc(CDC)\u3001\u82f1\u56fd\u6027\u7684\u5065\u5eb7\u30fbHIV\u5354\u4f1a(BASHH)\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2HIV\u533b\u5b66\u4f1a(ASHM)\u306a\u3069\u306e\u5927\u624b\u516c\u8846\u885b\u751f\u6a5f\u95a2\u306f\u3001\u73fe\u5728\u3001\u591a\u304f\u306e\u75c7\u5019\u6027\u53ca\u3073\u7121\u75c7\u5019\u6027STI\u306b\u5bfe\u3057\u3066NAAT\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059[25\u300126\u300127\u300128\u300129]\u3002\u691c\u67fb\u306e\u6226\u7565\u7684\u306a\u914d\u7f6e\uff1a\u96c6\u4e2d\u578bvs\u5206\u6563\u578b NAAT\u691c\u67fb\u306f\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u3067\u3059\u304c\u3001\u516c\u8846\u885b\u751f\u3078\u306e\u6700\u5927\u306e\u5f71\u97ff\u306f\u3001\u691c\u67fb\u6226\u7565\u304c\u5730\u57df\u306e\u30a4\u30f3\u30d5\u30e9\u3001\u6709\u75c5\u7387\u3001\u60a3\u8005\u30a2\u30af\u30bb\u30b9\u306e\u30cb\u30fc\u30ba\u306b\u5408\u3063\u305f\u5834\u5408\u306b\u306e\u307f\u5b9f\u73fe\u3055\u308c\u307e\u3059\u3002\u5730\u7406\u7684\u306b\u591a\u69d8\u306a\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u5168\u4f53\u306eNAAT\u306e\u5f71\u97ff\u3092\u6700\u5927\u5316\u3059\u308b\u306b\u306f\u3001\u305d\u306e\u9ad8\u3044\u611f\u5ea6\u3068\u67d4\u8edf\u6027\u3092\u6d3b\u7528\u3057\u3066\u3001\u73fe\u5730\u306e\u30cb\u30fc\u30ba\u306b\u5408\u308f\u305b\u3066\u6226\u7565\u7684\u306b\u5c55\u958b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u6280\u8853\u7684\u512a\u4f4d\u6027\u3068\u904b\u7528\u73fe\u5b9f\u306e\u878d\u5408\u306f\u3001\u653f\u7b56\u7acb\u6848\u8005\u3068\u691c\u67fb\u7ba1\u7406\u8005\u306e\u4e3b\u8981\u306a\u610f\u601d\u6c7a\u5b9a\u306b\u76f4\u63a5\u7e4b\u304c\u308a\u307e\u3059\u3002\u30cf\u30a4\u30b9\u30eb\u30fc\u30d7\u30c3\u30c8\u3067\u8cbb\u7528\u52b9\u7387\u306e\u9ad8\u3044\u96c6\u4e2d\u30e2\u30c7\u30eb\u3092\u9078\u629e\u3059\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u3068\u3001\u8fc5\u901f\u3067\u60a3\u8005\u4e2d\u5fc3\u306e\u5206\u6563\u578b\uff08\u30dd\u30a4\u30f3\u30c8\u30aa\u30d6\u30b1\u30a2\u307e\u305f\u306fPOC\uff09\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u9078\u629e\u3059\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u3059\u3002\u3053\u306e\u9078\u629e\u306f\u76f8\u4e92\u306b\u6392\u4ed6\u7684\u306a\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u30bf\u30fc\u30f3\u30a2\u30e9\u30a6\u30f3\u30c9\u30bf\u30a4\u30e0\u3068\u30a2\u30af\u30bb\u30b9\u306e\u30af\u30ea\u30c6\u30a3\u30ab\u30eb\u306a\u6307\u6a19\u3092\u6700\u9069\u5316\u3059\u308b\u305f\u3081\u306b\u8a2d\u8a08\u3055\u308c\u305f\u88dc\u5b8c\u7684\u306a\u3082\u306e\u3067\u3059\u3002\u5e741\u56de\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3001\u7121\u75c7\u72b6\u8005\u304b\u3089\u306e\u30b5\u30f3\u30d7\u30eb\u306a\u3069\u3001\u7dca\u6025\u3067\u306f\u306a\u3044\u30b5\u30f3\u30d7\u30eb\u306e\u5206\u6790\u306b\u306f\u3001\u96c6\u4e2d\u691c\u67fb\u5ba4\u304c\u6700\u5584\u3067\u3059\u3002\u691c\u67fb\u5ba4\u306b\u306f\u4e00\u822c\u7684\u306b\u3001\u8907\u6570\u306e\u75c5\u539f\u4f53\u306b\u5bfe\u3059\u308b\u8907\u96d1\u307e\u305f\u306f\u591a\u91cd\u30d1\u30cd\u30eb\u691c\u67fb\u3092\u51e6\u7406\u3057\u3001\u6700\u9ad8\u6c34\u6e96\u306e\u54c1\u8cea\u4fdd\u8a3c\u3092\u63d0\u4f9b\u3059\u308b\u8a2d\u5099\u304c\u5099\u308f\u3063\u3066\u3044\u307e\u3059\u3002STI\u306e\u72b6\u6cc1\u3067\u306f\u3001\u96c6\u4e2d\u578b\u30e2\u30c7\u30eb\u306f\u3001\u30af\u30e9\u30df\u30b8\u30a2\u3084\u6dcb\u75c5\u306a\u3069\u306e\u4e00\u822c\u7684\u306a\u611f\u67d3\u75c7\u306e\u96c6\u56e3\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u7406\u60f3\u7684\u3067\u3059\u3002\u5927\u91cf\u306e\u691c\u67fb\u306e\u65b9\u304c\u5b89\u4fa1\u3067\u3059\u3002\u307e\u305f\u3001\u5305\u62ec\u7684\u306a\u516c\u8846\u885b\u751f\u76e3\u8996\u3082\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002\u5404\u56fd\u653f\u5e9c\u304c\u7279\u5b9a\u306eSTI\u3092\u901a\u77e5\u53ef\u80fd\u306a\u611f\u67d3\u75c7\u3068\u3057\u3066\u5206\u985e\u3057\u3066\u3044\u308b\u56fd\u3067\u306f\u3001\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3001\u4e2d\u56fd\u3001\u65e5\u672c\u3084\u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u306e\u4ed6\u306e\u3044\u304f\u3064\u304b\u306e\u56fd\u3067\u4e0d\u53ef\u6b20\u3067\u3059[30\u300131\u300132]\u3002\u4e2d\u592e\u96c6\u4e2d\u691c\u67fb\u306e\u7d50\u679c\u306f\u3001\u30bf\u30fc\u30f3\u30a2\u30e9\u30a6\u30f3\u30c9\u30bf\u30a4\u30e0\u304c\u9577\u304f\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\u5e73\u5747\u3057\u3066\u3001STI\u691c\u67fb\u7d50\u679c\u306f1\u9031\u9593\u3067\u63d0\u4f9b\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059[33\u300134\u300135]\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u306b\u306f\u8fc5\u901f\u304b\u3064\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u4ecb\u5165\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u3053\u306e\u7279\u5b9a\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3001\u9069\u5207\u306a\u6cbb\u7642\u306e\u958b\u59cb\u3092\u9045\u3089\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u96c6\u4e2d\u691c\u67fb\u306f\u30b5\u30f3\u30d7\u30eb\u306e\u51e6\u7406\u306b\u306f\u3042\u307e\u308a\u9069\u3057\u3066\u3044\u307e\u305b\u3093\u3002\u5206\u6563\u578bPOC\u691c\u67fb\u306b\u3088\u308a\u3001\u8a3a\u65ad\u7d50\u679c\u3078\u306e\u8fc5\u901f\u306a\u30a2\u30af\u30bb\u30b9\u304c\u5bb9\u6613\u306b\u306a\u308a\u307e\u3059\u3002\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u304a\u3088\u3073\u7dca\u6025\u306e\u8a3a\u65ad\u304a\u3088\u3073\u30b1\u30a2\u3092\u5fc5\u8981\u3068\u3059\u308b\u9ad8\u30ea\u30b9\u30af\u96c6\u56e3\u306e\u60a3\u8005\u306b\u3068\u3063\u3066\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002POC\u691c\u67fb\u306f\u8fc5\u901f\u306a\u7d50\u679c\u3092\u751f\u6210\u3057\u3001\u6765\u9662\u5185\u3067\u81e8\u5e8a\u533b\u304c\u3088\u308a\u65e9\u304f\u6cbb\u7642\u3092\u958b\u59cb\u3067\u304d\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u307e\u305f\u3001AMR\u306b\u5bc4\u4e0e\u3057\u5f97\u308b\u5e83\u57df\u6297\u751f\u7269\u8cea\u306e\u5fc5\u8981\u6027\u3092\u6392\u9664\u3057\u307e\u3059\u3002\u96c6\u4e2d\u578b\u691c\u67fb\u3068\u306f\u7570\u306a\u308a\u3001POC\u691c\u67fb\u306f\u4e2d\u592e\u691c\u67fb\u5ba4\u306b\u8fd1\u63a5\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u3001\u9060\u9694\u3084\u8cc7\u6e90\u304c\u9650\u3089\u308c\u305f\u81e8\u5e8a\u73fe\u5834\u3067\u3088\u308a\u5229\u7528\u3057\u3084\u3059\u304f\u3001\u4f4e\u4e2d\u6240\u5f97\u56fd\u306b\u304a\u3051\u308bSTI\u691c\u67fb\u306e\u6700\u3082\u6ce8\u76ee\u3059\u3079\u304d\u969c\u58c1\u306e1\u3064\u3067\u3042\u308b\u533b\u7642\u30a4\u30f3\u30d5\u30e9\u306e\u6b20\u5982\u306b\u5bfe\u51e6\u3057\u3066\u3044\u307e\u3059[5]\u3002\u5404\u691c\u67fb\u3092\u500b\u5225\u306b\u5b9f\u884c\u3059\u308b\u3068\u3001\u5206\u6563\u578bPOC\u691c\u67fb\u306e\u691c\u67fb\u3042\u305f\u308a\u306e\u30b3\u30b9\u30c8\u304c\u4e0a\u6607\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u3053\u308c\u3089\u306e\u5b9f\u884c\u8a66\u9a13\u306f\u3001\u7d50\u679c\u304c\u6b63\u78ba\u3067\u3042\u308b\u3053\u3068\u3092\u78ba\u5b9f\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u8a2d\u5099\u3068\u54c1\u8cea\u7ba1\u7406\u30d7\u30ed\u30c8\u30b3\u30eb\u306e\u4e21\u65b9\u3067\u9ad8\u5ea6\u306b\u8a13\u7df4\u3055\u308c\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u73fe\u5728\u306ePOC\u691c\u67fb\u6280\u8853\u306f\u307e\u305f\u3001\u591a\u91cd\u5316\u30d1\u30cd\u30eb\u691c\u67fb\u307e\u305f\u306f\u9ad8\u5ea6\u306aAMR\u691c\u67fb\u3092\u5b9f\u884c\u3059\u308b\u80fd\u529b\u304c\u5236\u9650\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u6700\u9069\u5316\u3055\u308c\u305f\u691c\u67fb\u306e\u5909\u9769\u3078\u306e\u5f71\u97ff STI\u306e\u6b63\u78ba\u304b\u3064\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u691c\u51fa\u306f\u3001\u3088\u308a\u826f\u3044\u60a3\u8005\u8ee2\u5e30\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306b\u91cd\u8981\u3067\u3059\u3002\u691c\u67fb\u30d7\u30ed\u30bb\u30b9\u3092\u6700\u9069\u5316\u3057\u3001\u6cbb\u7642\u307e\u3067\u306e\u6642\u9593\u3092\u77ed\u7e2e\u3059\u308b\u3053\u3068\u3067\u3001\u611f\u67d3\u4f1d\u64ad\u306e\u901f\u5ea6\u3092\u4f4e\u4e0b\u3055\u305b\u3001\u8ffd\u8de1\u6f0f\u308c\u3092\u6e1b\u3089\u3059\u306a\u3069\u3001STI\u306b\u95a2\u9023\u3059\u308b\u8ab2\u984c\u306b\u5bfe\u51e6\u3067\u304d\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u6700\u7d42\u7684\u306b\u75be\u60a3\u306e\u8ca0\u62c5\u304c\u8efd\u6e1b\u3055\u308c\u307e\u3059\u3002\u30bf\u30fc\u30f3\u30a2\u30e9\u30a6\u30f3\u30c9\u30bf\u30a4\u30e0\u3060\u3051\u3067\u306a\u304f\u3001STI\u691c\u67fb\u3092\u6700\u9069\u5316\u3059\u308b\u3053\u3068\u306f\u3001\u81e8\u5e8a\u30cb\u30fc\u30ba\u306b\u6700\u3082\u9069\u3057\u305f\u691c\u67fb\u9078\u629e\u80a2\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u6b63\u78ba\u306a\u7d50\u679c\u3092\u8fc5\u901f\u306b\u63d0\u4f9b\u3059\u308b\u5206\u6563\u578b\u691c\u67fb\u306f\u3001\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u306b\u6700\u9069\u3067\u3059\u3002\u4e00\u65b9\u3001\u4e2d\u592e\u691c\u67fb\u306f\u3001\u6bce\u5e74\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3001\u60a3\u8005\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3001\u7121\u75c7\u5019\u6027\u60a3\u8005\u691c\u4f53\u3001\u75ab\u5b66\u7684\u76e3\u8996\u306b\u7279\u306b\u6709\u7528\u3067\u3042\u308a\u3001\u653f\u5e9c\u306f\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u30c7\u30fc\u30bf\u306b\u5f93\u3063\u3066\u30ea\u30bd\u30fc\u30b9\u3092\u5272\u308a\u5f53\u3066\u3001\u4ecb\u5165\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u6210\u529f\u3092\u6e2c\u5b9a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002 STI\u7ba1\u7406\u306e\u5c06\u6765\uff1a\u691c\u67fb\u5ba4\u306b\u60c5\u5831\u3092\u63d0\u4f9b\u3059\u308b\u30b1\u30a2 \u30a2\u30b8\u30a2\u592a\u5e73\u6d0b\u5730\u57df\u306b\u304a\u3051\u308bSTI\u306e\u8ca0\u62c5\u306e\u5897\u5927\u306f\u3001AMR\u306e\u8105\u5a01\u3068\u76f8\u307e\u3063\u3066\u3001\u5f93\u6765\u306e\u691c\u67fb\u304a\u3088\u3073\u7ba1\u7406\u304b\u3089\u3001\u691c\u67fb\u5ba4\u304c\u4e3b\u5c0e\u3059\u308b\u6c7a\u5b9a\u304a\u3088\u3073\u6a19\u7684\u6cbb\u7642\u3078\u306e\u8fc5\u901f\u304b\u3064\u7a4d\u6975\u7684\u306a\u79fb\u884c\u3092\u5fc5\u8981\u3068\u3057\u307e\u3059\u3002\u7d30\u80de\u57f9\u990a\u3084\u5e83\u57df\u6cbb\u7642\u306a\u3069\u306e\u691c\u67fb\u65b9\u6cd5\u3092\u6226\u7565\u7684\u306b\u6bb5\u968e\u7684\u306b\u5ec3\u6b62\u3059\u308b\u3053\u3068\u304c\u3001STI\u4f1d\u64ad\u3092\u963b\u6b62\u3057\u3001\u516c\u8846\u885b\u751f\u3092\u4fdd\u8b77\u3059\u308b\u6700\u3082\u52b9\u679c\u7684\u306a\u65b9\u6cd5\u3067\u3059\u3002NAAT\u306e\u3088\u3046\u306a\u5148\u9032\u7684\u306a\u691c\u67fb\u6cd5\u306f\u611f\u5ea6\u304c\u9ad8\u304f\u3001\u67d4\u8edf\u306a\u691c\u4f53\u306e\u63a1\u53d6\u304c\u53ef\u80fd\u3067\u3059\u3002\u533b\u7642\u30b7\u30b9\u30c6\u30e0\u306f\u3001NAAT\u306e\u4f7f\u7528\u3092\u7fa9\u52d9\u4ed8\u3051\u305f\u6700\u65b0\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u63a1\u7528\u3057\u3001\u9069\u5207\u306a\u691c\u67fb\u30aa\u30d7\u30b7\u30e7\u30f3\u306e\u6226\u7565\u7684\u306a\u5c55\u958b\u3092\u4fc3\u9032\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3064\u307e\u308a\u3001\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u7528\u306e\u96c6\u4e2d\u691c\u67fb\u5ba4NAAT\u306e\u30cf\u30a4\u30b9\u30eb\u30fc\u30d7\u30c3\u30c8\u52b9\u7387\u3068\u3001\u9ad8\u30ea\u30b9\u30af\u304a\u3088\u3073\u9060\u9694\u74b0\u5883\u306b\u304a\u3051\u308bPOC\u691c\u67fb\u306e\u8fc5\u901f\u3067\u60a3\u8005\u4e2d\u5fc3\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u3068\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u691c\u67fb\u5ba4\u3067\u60c5\u5831\u3092\u5f97\u305f\u30b1\u30a2\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u3088\u308a\u3001\u6700\u7d42\u7684\u306b\u60a3\u8005\u306e\u8ffd\u8de1\u4e0d\u80fd\u304c\u6700\u5c0f\u9650\u306b\u6291\u3048\u3089\u308c\u3001\u6297\u751f\u7269\u8cea\u6cbb\u7642\u306e\u6709\u52b9\u6027\u304c\u4fdd\u8b77\u3055\u308c\u307e\u3059\u3002\u3053\u3046\u3057\u305f\u5909\u5316\u306f\u3001\u9ad8\u30ea\u30b9\u30af\u306e\u96c6\u56e3\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5553\u767a\u30ad\u30e3\u30f3\u30da\u30fc\u30f3\u3068\u7d44\u307f\u5408\u308f\u305b\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u5b9a\u671f\u7684\u306b\u691c\u8a3a\u3092\u53d7\u3051\u3001\u524d\u5411\u304d\u306a\u5065\u5eb7\u72b6\u614b\u3092\u9078\u629e\u3059\u308b\u3088\u3046\u7a4d\u6975\u7684\u306b\u50cd\u304d\u304b\u3051\u308b\u3079\u304d\u3067\u3059\u3002\u7a76\u6975\u7684\u306b\u306f\u3001\u3053\u306e\u5909\u9769\u306f\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u4ee5\u4e0a\u306e\u3082\u306e\u3067\u3059\u3002\u3088\u308a\u5065\u5eb7\u306a\u672a\u6765\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306b\u3001\u5b9f\u8df5\u3092\u5909\u3048\u3001\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u306b\u529b\u3092\u4e0e\u3048\u308b\u3053\u3068\u3067\u3059\u3002 \u53c2\u8003\u6587\u732e [1] Fu, L.et al. (2022) \u2018Incidence trends of five common sexually transmitted infections excluding HIV from 1990 to 2019 at the Global, regional, and national levels: Results from the global burden of disease study 2019\u2019, Frontiers [&hellip;]<\/p>\n","protected":false},"author":97,"featured_media":142088,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"tags":[],"pillarandcategory":[288,282],"reporter":[13395],"class_list":["post-149991","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","pillarandcategory-womens-health","pillarandcategory-disease-area","reporter-andrea-wijeweera"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/acf_article\/149991","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/acf_article"}],"about":[{"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/types\/acf_article"}],"author":[{"embeddable":true,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/users\/97"}],"version-history":[{"count":2,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/acf_article\/149991\/revisions"}],"predecessor-version":[{"id":150079,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/acf_article\/149991\/revisions\/150079"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/media\/142088"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/media?parent=149991"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/tags?post=149991"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/pillarandcategory?post=149991"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/ja\/wp-json\/wp\/v2\/reporter?post=149991"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}