{"id":149771,"date":"2026-01-14T01:28:16","date_gmt":"2026-01-14T01:28:16","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%ea%b2%80%ec%82%ac%ec%8b%a4%ec%9d%98-%ea%b0%95%ec%a0%90-%eb%8d%94-%eb%82%98%ec%9d%80-%ec%9e%84%ec%83%81-%ea%b2%b0%ec%a0%95%ec%9d%84-%ec%9c%84%ed%95%9c-sti-%ec%a7%84%eb%8b%a8-%ec%b5%9c%ec%a0%81\/"},"modified":"2026-01-14T01:28:16","modified_gmt":"2026-01-14T01:28:16","slug":"the-laboratory-edge-optimising-sti-diagnostics-for-better-clinical-decisions","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ko\/disease-area\/womens-health\/the-laboratory-edge-optimising-sti-diagnostics-for-better-clinical-decisions\/","title":{"rendered":"\uac80\uc0ac\uc2e4\uc758 \uac15\uc810: \ub354 \ub098\uc740 \uc784\uc0c1 \uacb0\uc815\uc744 \uc704\ud55c STI \uc9c4\ub2e8 \ucd5c\uc801\ud654"},"content":{"rendered":"

\uc131\ub9e4\uac1c \uac10\uc5fc(STI)\uc758 \uc804 \uc138\uacc4\uc801\uc778 \uc720\ud589\uc740 \uc8fc\uc694 \uacf5\uc911 \ubcf4\uac74 \uacfc\uc81c\uc785\ub2c8\ub2e4. STI\ub294 \uc804 \uc138\uacc4\uc801\uc73c\ub85c \ubcf4\uace0\ub418\ub294 \uac00\uc7a5 \ud754\ud55c \uac10\uc5fc\ubcd1 \uc911 \ud558\ub098\uc785\ub2c8\ub2e4 [1]. \ub9e4\uc77c 100\ub9cc \uac74 \uc774\uc0c1\uc758 STI \uac10\uc5fc\uc774 \ubc1c\uc0dd\ud558\uba70, \ub9ce\uc740 \uc9c0\uc5ed\uc5d0\uc11c \ubc1c\uc0dd\ub960\uc774 \uacc4\uc18d\ud574\uc11c \uc0c1\uc2b9\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4 [2]. \ub9c9\ub300\ud55c \uc778\uc801 \uc601\ud5a5 \uc678\uc5d0\ub3c4, \uc774\ub7ec\ud55c \ubc1c\uc0dd\ub960\uc740 \ubcf4\uac74 \uc2dc\uc2a4\ud15c\uc5d0 \ud070 \ubd80\ub2f4\uc744 \uc8fc\uba70, \ud2b9\ud788 \uc790\uc6d0\uc774 \uc81c\ud55c\ub41c \uc800\uc18c\ub4dd \ubc0f \uc911\ub4f1\ub3c4 \uc18c\ub4dd \uad6d\uac00\uc5d0\uc11c \uadf8 \ubd80\ub2f4\uc774 \uc0c1\ub2f9\ud569\ub2c8\ub2e4 [3, 4]. \uac00\uc7a5 \ud754\ud55c STI\ub294 \uc608\ubc29\uacfc \uc644\uce58\uac00 \ubaa8\ub450 \uac00\ub2a5\ud558\uae30 \ub54c\ubb38\uc5d0, \uc624\ub7ab\ub3d9\uc548 ‘\uc99d\ud6c4\uad70 \uad00\ub9ac’\ub85c \uc54c\ub824\uc9c4 \uc99d\uc0c1 \uae30\ubc18 \uc9c4\ub2e8\uc774 \uc8fc\ub41c \uc811\uadfc \ubc29\uc2dd\uc774\uc5c8\uc2b5\ub2c8\ub2e4. \uc774\ub97c \ud1b5\ud574 STI \uc758\uc2ec \ud658\uc790\ub294 \ub354 \ube68\ub9ac \uce58\ub8cc\ub97c \uc2dc\uc791\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud558\uc9c0\ub9cc \ub354 \ube60\ub974\ub2e4\uace0 \ud574\uc11c \ubc18\ub4dc\uc2dc \ub354 \ub098\uc740 \uac83\uc740 \uc544\ub2d9\ub2c8\ub2e4. \uc99d\ud6c4\uad70 \uad00\ub9ac\ub294 \uacfc\uc789 \uce58\ub8cc, \uc798\ubabb\ub41c \uce58\ub8cc, \uc9c4\ub2e8 \ub204\ub77d\uc774\ub77c\ub294 \uc138 \uac00\uc9c0 \uc8fc\uc694 \ubb38\uc81c\ub85c \uc774\uc5b4\uc9c8 \uc218 \uc788\uc2b5\ub2c8\ub2e4 [5]. \uc774\ub7ec\ud55c \uacb0\uacfc\ub294 \ud658\uc790\uc758 \uc608\ud6c4\ub97c \uc545\ud654\uc2dc\ud0ac \uc218 \uc788\uc2b5\ub2c8\ub2e4 [6]. \uc8fc\uc694 \ubcf4\uac74 \uae30\uad6c\ub4e4\uc740 \uc774\uc81c \ud2b9\ud788 \ubb34\uc99d\uc0c1\uc790\uc758 \uc131\ub9e4\uac1c \uac10\uc5fc\uc744 \uc815\ud655\ud558\uac8c \uc9c4\ub2e8\ud558\ub294 \uac00\uc7a5 \uc88b\uc740 \ubc29\ubc95\uc774 \uac80\uc0ac\uc2e4 \uac80\uc0ac\ub77c\ub294 \uc810\uc5d0 \ub3d9\uc758\ud569\ub2c8\ub2e4. \ud575\uc0b0 \uc99d\ud3ed \uac80\uc0ac(NAAT)\uc640 \uac19\uc740 \uac80\uc0ac\ubc95\uc740 \uc758\ub8cc \uc804\ubb38\uac00\uac00 \uc815\ubcf4\uc5d0 \uae30\ubc18\ud55c \uce58\ub8cc \uacb0\uc815\uc744 \ub0b4\ub9ac\ub3c4\ub85d \uc9c0\uc6d0\ud558\uba70, \ud658\uc790\uac00 \uc801\uc808\ud55c \uce58\ub8cc\ub97c \ub354 \ube68\ub9ac \ubc1b\uc744 \uc218 \uc788\uac8c \ud569\ub2c8\ub2e4. \uacb0\uc815\uc801\uc73c\ub85c, \uc774\ub7ec\ud55c \uac80\uc0ac\ub4e4\uc740 \uc99d\uac00\ud558\ub294 \ud56d\uc0dd\uc81c \ub0b4\uc131(AMR) \uc704\ud611\uc5d0\ub3c4 \ub300\uc751\ud560 \uc218 \uc788\uac8c \ud574\uc90d\ub2c8\ub2e4. <\/p>\n

\uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc9c0\uc5ed\uc758 STI \ubd80\ub2f4<\/h2>\n

\uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc9c0\uc5ed\uc740 STI \ubc1c\uc0dd\ub960\uc774 \ub192\uc2b5\ub2c8\ub2e4. 2020\ub144 \ud55c \ud574\uc5d0\ub9cc \ud2b8\ub77c\ucf54\ub9c8\ud2f0\uc2a4(\ud074\ub77c\ubbf8\ub514\uc544), \uc784\uade0(\uc784\uc9c8), \ud2b8\ub808\ud3ec\ub124\ub9c8 \ud314\ub9ac\ub460(\ub9e4\ub3c5) \ubc0f \ud2b8\ub9ac\ucf54\ubaa8\ub098\uc2a4\uc99d \ub4f1 4\ub300 STI\uc758 \uc2e0\uaddc \uac10\uc5fc \uc0ac\ub840\uac00 \uc57d 8,600\ub9cc \uac74 \ubc1c\uc0dd\ud588\uc2b5\ub2c8\ub2e4 [7]. \uc774 \uc9c0\uc5ed\uc758 STI \uc720\ubcd1\ub960\uc740 \uc804 \uc138\uacc4\uc801\uc778 \ucd94\uc138\uc640 \uc77c\uce58\ud569\ub2c8\ub2e4 [2]. \uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc9c0\uc5ed\uc5d0\uc11c\ub294 \uc0ac\ud68c\uc801, \uacbd\uc81c\uc801, \uad6c\uc870\uc801 \uc694\uc778\ub4e4\uc774 STI \uac80\uc0ac\uc5d0 \ub300\ud55c \uc811\uadfc\uc744 \uc800\ud574\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ud074\ub77c\ubbf8\ub514\uc544, \uc784\uc9c8, \ub9e4\ub3c5 \ubc0f \ud2b8\ub9ac\ucf54\ubaa8\ub098\uc2a4\uc99d\uc740 \ubaa8\ub450 \ube44\uad50\uc801 \ube44\uce68\uc2b5\uc801\uc778 \uce58\ub8cc \uacfc\uc815\uc744 \ud1b5\ud574 \uc644\uce58\uac00 \uac00\ub2a5\ud55c \uac10\uc5fc\ubcd1\uc785\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \uc62c\ubc14\ub978 \uce58\ub8cc\ub97c \ubc1b\uc73c\ub824\uba74 \ubb34\uc5c7\ubcf4\ub2e4 \uba3c\uc800 \uac80\uc0ac\ub97c \ud1b5\ud574 \uc815\ud655\ud55c \uc9c4\ub2e8\uc744 \ubc1b\uc544\uc57c \ud569\ub2c8\ub2e4. \ub9ce\uc740 STI \uc0ac\ub840\uac00 \ubb34\uc99d\uc0c1\uc774\uba70 [5], \ub0ae\uc740 \uac74\uac15 \ubb38\ud574\ub825\uacfc \uacb9\uccd0 \uc99d\uc0c1\uc774 \uc5c6\uc73c\uba74 \uac10\uc5fc \uc704\ud5d8\uc744 \uc778\uc9c0\ud558\uc9c0 \ubabb\ud558\uac8c \ub418\uace0, \uacb0\uacfc\uc801\uc73c\ub85c \uac80\uc0ac\ub97c \ubc1b\uc744 \ud655\ub960\uc774 \ub0ae\uc544\uc9d1\ub2c8\ub2e4. \uc2ec\uac01\ud55c \uc0ac\ud68c\uc801 \ub099\uc778, \ub0ae\uc740 \uc704\ud5d8 \uc778\uc9c0 \uc218\uc900, \uadf8\ub9ac\uace0 \uac80\uc0ac\uc758 \ubd88\ud3b8\ud568\uacfc \uc591\uc9c8\uc758 \uac80\uc0ac \uc11c\ube44\uc2a4 \ubd80\uc871 \ub4f1\uc774 STI \uac80\uc0ac\ub97c \uac00\ub85c\ub9c9\ub294 \uc8fc\uc694 \uc7a5\ubcbd\uc785\ub2c8\ub2e4 [8]. <\/p>\n

STI \uac80\uc0ac\uac00 \uc911\uc694\ud55c \uc774\uc720<\/h2>\n

\uac80\uc0ac\ub294 STI\ub85c \uc778\ud574 \ubc1c\uc0dd\ud558\ub294 \uc0c1\ub2f9\ud55c \uc784\uc0c1\uc801, \uacbd\uc81c\uc801 \ud30c\uae09 \ud6a8\uacfc\ub97c \ucc28\ub2e8\ud558\ub294 \ud575\uc2ec \uc5f4\uc1e0\uc785\ub2c8\ub2e4. \uc815\ud655\ud55c \uc9c4\ub2e8\uc774 \uc788\uc5b4\uc57c \uc758\ub8cc\uc9c4\uc774 \uc801\uc808\ud55c \uce58\ub8cc \uacfc\uc815\uc744 \uc801\uae30\uc5d0 \ucc98\ubc29\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub294 \ud658\uc790\uc758 \uc608\ud6c4\ub97c \uac1c\uc120\ud558\uace0 \ubcf4\uac74 \uc2dc\uc2a4\ud15c\uc758 \uc7ac\uc815\uc801 \ubd80\ub2f4\uc744 \uc904\uc77c \ubfd0\ub9cc \uc544\ub2c8\ub77c, (\uc811\ucd09\uc790 \ucd94\uc801\uc744 \ud1b5\ud574) \uc131 \ud30c\ud2b8\ub108\uc5d0\uac8c \uac10\uc5fc \uc0ac\uc2e4\uc744 \uc54c\ub824 \uac10\uc5fc\uc758 \uace0\ub9ac\ub97c \ub04a\uc744 \uc218 \uc788\uac8c \ud569\ub2c8\ub2e4 [9]. \uc790\uc6d0\uc774 \ubd80\uc871\ud55c \ud658\uacbd\uc5d0\uc11c \uc989\uac01\uc801\uc778 \uc99d\uc0c1 \uae30\ubc18 \uce58\ub8cc\ub97c \uc81c\uacf5\ud558\ub294 ‘\uc99d\ud6c4\uad70 \uad00\ub9ac’\ub294 \uc544\ubb34\ub7f0 \uce58\ub8cc\ub3c4 \ud558\uc9c0 \uc54a\ub294 \uac83\ubcf4\ub2e4 \ud6e8\uc52c \ub098\uc740 \uc2e4\uc6a9\uc801\uc778 \uc218\ub2e8\uc774\uc9c0\ub9cc, \uc774 \ubc29\uc2dd\uc5d0\ub9cc \uc758\uc874\ud558\ub294 \uac83\uc740 \uc810\uc810 \ub354 \ud55c\uacc4\uc5d0 \ubd80\ub52a\ud788\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ubb34\uc99d\uc0c1 \uac10\uc5fc\uc744 \uac10\uc9c0\ud558\uc9c0 \ubabb\ud558\uace0 \uc624\uc9c4\uc758 \uc704\ud5d8\uc774 \uc788\ub294 \uc99d\ud6c4\uad70 \uad00\ub9ac\uc758 \ub0b4\uc7ac\uc801 \ud55c\uacc4\ub294 \uc798\ubabb\ub41c \uce58\ub8cc\ub85c \uc774\uc5b4\uc838 \ud658\uc790\uc5d0\uac8c \uc2ec\uac01\ud558\uace0 \uc9c0\uc18d\uc801\uc778 \ud569\ubcd1\uc99d\uc744 \uc720\ubc1c\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uce58\ub8cc\ud558\uc9c0 \uc54a\uace0 \ubc29\uce58\ud560 \uacbd\uc6b0 \ud074\ub77c\ubbf8\ub514\uc544\ub098 \uc784\uc9c8 \uac19\uc740 \uac10\uc5fc\uc740 \ubd88\uc784, \uace8\ubc18 \uc5fc\uc99d\uc131 \uc9c8\ud658\uc744 \ud3ec\ud568\ud55c \uc0dd\uc2dd \uac74\uac15 \ubb38\uc81c\ub97c \uc77c\uc73c\ud0ac \uc218 \uc788\uc2b5\ub2c8\ub2e4 [10, 11]. \ub9d0\uae30 \ub9e4\ub3c5\uc740 \uc8fc\uc694 \uc7a5\uae30\uc5d0 \uc601\ud5a5\uc744 \uc8fc\uc5b4 \uc2e0\uacbd\uacc4 \ubc0f \uc2ec\ud608\uad00 \uc9c8\ud658\uc744 \uc720\ubc1c\ud558\uace0 \uc2ec\uc9c0\uc5b4 \uc0ac\ub9dd\uc5d0 \uc774\ub974\uac8c \ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4 [12]. \uc801\uc808\ud788 \uce58\ub8cc\ub418\uc9c0 \uc54a\uc740 STI\ub294 \ubaa8\uc790 \uac10\uc5fc\uc744 \ud1b5\ud574 \uc804\ud30c\ub418\uc5b4, \uc2e0\uc0dd\uc544\uc758 \uc120\ucc9c\uc131 STI\ub97c \ud3ec\ud568\ud55c \ubd80\uc815\uc801\uc778 \uc784\uc2e0 \uacb0\uacfc\ub97c \ucd08\ub798\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4 [13]. \ub9ce\uc740 \uc131\ub9e4\uac1c \uac10\uc5fc\uc740 \uc778\uccb4 \uba74\uc5ed\uacb0\ud54d \ubc14\uc774\ub7ec\uc2a4(HIV)\uc5d0 \uac10\uc5fc\ub418\uac70\ub098 \uc774\ub97c \uc804\ud30c\ud560 \uc704\ud5d8\uc744 \ub192\uc785\ub2c8\ub2e4 [14]. \uc131\ub9e4\uac1c \uac10\uc5fc\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 \ud56d\uc0dd\uc81c \ub0b4\uc131\uc758 \uc704\ud611<\/em><\/strong> \uac80\uc0ac\uc2e4\uc758 \ud655\uc9c4 \uc5c6\uc774 \uc99d\uc0c1\ub9cc\uc73c\ub85c STI\ub97c \uce58\ub8cc\ud558\ub294 \uac83\uc740 \uacf5\uc911 \ubcf4\uac74\uc5d0 \uc911\ub300\ud55c \uc601\ud5a5\uc744 \ubbf8\uce69\ub2c8\ub2e4. \ubb34\uc5c7\ubcf4\ub2e4\ub3c4, \uc774\ub7ec\ud55c \ubc29\uc2dd\uc740 \ud56d\uc0dd\uc81c \ub0b4\uc131(AMR)\uc744 \uac00\uc18d\ud654\ud569\ub2c8\ub2e4. \ud56d\uc0dd\uc81c \ub0b4\uc131\uc740 \ubc15\ud14c\ub9ac\uc544\ub098 \ubc14\uc774\ub7ec\uc2a4 \uac19\uc740 \ubbf8\uc0dd\ubb3c\uc774 \uc9c4\ud654\ud558\uc5ec, \uc774\ub97c \uce58\ub8cc\ud558\uae30 \uc704\ud574 \uc124\uacc4\ub41c \ud56d\uade0\uc81c\uc5d0 \ub354 \uc774\uc0c1 \ubc18\uc751\ud558\uc9c0 \uc54a\uc744 \ub54c \ubc1c\uc0dd\ud569\ub2c8\ub2e4 [15]. \uc131\ub9e4\uac1c \uac10\uc5fc\uc758 \uacbd\uc6b0 \ud56d\uc0dd\uc81c \ub0b4\uc131\uc758 \uc704\ud611\uc774 \ud2b9\ud788 \uc2ec\uac01\ud558\uba70, \ud2b9\ud788 \uc784\uc9c8\uade0\uc5d0\uc11c \ub450\ub4dc\ub7ec\uc9d1\ub2c8\ub2e4.\uc784\uc9c8\uade0. \uc774 \ubcd1\uc6d0\uade0\uc740 \uad11\ubc94\uc704\ud55c \uacc4\uc5f4\uc758 \ud56d\uc0dd\uc81c\uc5d0 \ub0b4\uc131\uc744 \uac16\uac8c \ub418\uc5b4 ‘\uc288\ud37c \uc784\uc9c8’\uc774\ub77c\ub294 \ubcc4\uba85\uc744 \uc5bb\uc5c8\uc2b5\ub2c8\ub2e4 [16, 17]. \uc2dc\ud504\ub85c\ud50c\ub85d\uc0ac\uc2e0 \ubc0f \ud398\ub2c8\uc2e4\ub9b0 \ub0b4\uc131 \uc784\uc9c8 \uade0\uc8fc\ub294 \uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc804\uc5ed\uc5d0 \ud2b9\ud788 \ub110\ub9ac \ud37c\uc838 \uc788\uc2b5\ub2c8\ub2e4 [18]. \ud655\uc9c4 \uac80\uc0ac \uc5c6\uc774 \uacbd\ud5d8\uc801\uc73c\ub85c \ucc98\ubc29\ub418\ub294 \uad11\ubc94\uc704 \ud56d\uc0dd\uc81c\uc758 \uc624\ub0a8\uc6a9\uc740 \uc774\ub7ec\ud55c \uc704\uae30\ub97c \ucd08\ub798\ud558\ub294 \uac00\uc7a5 \ud070 \uc6d0\uc778\uc785\ub2c8\ub2e4 [15]. \uc815\ud655\ud55c \uac80\uc0ac\uc2e4 \uac80\uc0ac\ub97c \uc2dc\ud589\ud558\uba74 \ud658\uc790\uac00 \uc801\uc808\ud55c \uce58\ub8cc\ub97c \ubc1b\uc744 \uc218 \uc788\uc744 \ubfd0\ub9cc \uc544\ub2c8\ub77c, \ub0b4\uc131 \ud328\ud134\uc5d0 \ub300\ud55c \ud544\uc218\uc801\uc778 \uac10\uc2dc \ub370\uc774\ud130\ub97c \ud655\ubcf4\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub7ec\ud55c \ub370\uc774\ud130\ub294 \uc784\uc0c1\uc758\uc640 \uc815\ucc45 \uc785\uc548\uc790\uac00 \ud6a8\uacfc\uc801\uc778 \ud56d\uc0dd\uc81c \uc801\uc815 \uc0ac\uc6a9 \ud504\ub85c\uadf8\ub7a8\uc744 \uc2e4\ud589\ud558\uace0 \ucd5c\ud6c4\uc758 \uc218\ub2e8\uc778 \uc57d\ubb3c \uc694\ubc95\uc758 \ud6a8\ub2a5\uc744 \ubcf4\uc874\ud560 \uc218 \uc788\uac8c \ud574\uc90d\ub2c8\ub2e4 [15]. <\/p>\n

NAATs: STI \uac80\uc0ac\uc758 \ud45c\uc900<\/h2>\n

\ud575\uc0b0 \uc99d\ud3ed \uac80\uc0ac(NAAT)\ub294 \ub192\uc740 \ubbfc\uac10\ub3c4\uc640 \ud2b9\uc774\ub3c4\ub85c \uc798 \uc54c\ub824\uc9c4 \ubd84\uc790 \uc9c4\ub2e8 \uac80\uc0ac\uc785\ub2c8\ub2e4. \uc774 \uac80\uc0ac\ub294 \uac80\uccb4 \ub0b4\uc5d0 \ud3ec\ud568\ub41c \ubc14\uc774\ub7ec\uc2a4\ub098 \ubc15\ud14c\ub9ac\uc544 \uac19\uc740 \ubcd1\uc6d0\uade0\uc758 \uc720\uc804 \ubb3c\uc9c8\uc744 \ubd84\uc11d\ud558\ub294 \ubc29\uc2dd\uc73c\ub85c \uc791\ub3d9\ud569\ub2c8\ub2e4. NAAT\uac00 \uc0d8\ud50c\uc5d0\uc11c \ubcd1\uc6d0\uccb4\uc758 \ub370\uc625\uc2dc\ub9ac\ubcf4\ud575\uc0b0(DNA) \ub610\ub294 \ub9ac\ubcf4\ud575\uc0b0(RNA)\uc744 \ubc1c\uacac\ud558\uba74 \uc885\uc885 \uc911\ud569\ud6a8\uc18c \uc5f0\uc1c4 \ubc18\uc751(PCR)\uc744 \ud1b5\ud574 \uc774 \uc720\uc804 \ubb3c\uc9c8\uc744 \uc99d\ud3ed\uc2dc\ud0b5\ub2c8\ub2e4. \ucd5c\uadfc \uba87 \ub144 \ub3d9\uc548 NAAT\ub294 \ub2e4\ub978 \ubcd1\uc6d0\uade0\ub4e4 \uc911\uc5d0\uc11c\ub3c4 \ud2b9\ud788 \ud074\ub77c\ubbf8\ub514\uc544\ubc0f \uc784\uc9c8\uade0\uc5d0\ub300\ud55c \ud45c\uc900 \uac80\uc0ac\ubc95\uc774 \ub418\uc5c8\uc2b5\ub2c8\ub2e4 [19]. NAAT\ub294 \uc0d8\ud50c \ub0b4\uc5d0 \ubcd1\uc6d0\uade0\uc774 \uc544\uc8fc \uc801\uc740 \uc218\ub9cc \uc874\uc7ac\ud558\ub354\ub77c\ub3c4 \uadf8 \uc720\uc804 \ubb3c\uc9c8\uc744 \uac80\ucd9c\ud574\ub0bc \uc218 \uc788\ub294 \uacbd\uc6b0\uac00 \ub9ce\uc2b5\ub2c8\ub2e4 [6, 20]. \uc774\ub7ec\ud55c \ub192\uc740 \ubbfc\uac10\ub3c4\uc640 \ud2b9\uc774\ub3c4\ub294 \ud658\uc790\uac00 \uc815\ud655\ud55c \uc9c4\ub2e8\uacfc \uc801\uc808\ud55c \uce58\ub8cc\ub97c \ubc1b\uc744 \uc218 \uc788\ub3c4\ub85d \ubcf4\uc7a5\ud569\ub2c8\ub2e4. \ub610\ud55c NAAT\ub294 \uc790\uce6b \ub193\uce60 \uc218 \uc788\ub294 \ubb34\uc99d\uc0c1 \uac10\uc5fc\uc5d0 \ub300\ud55c \ud6a8\uacfc\uc801\uc778 \uc120\ubcc4 \uac80\uc0ac \ub3c4\uad6c\uac00 \ub429\ub2c8\ub2e4. NAAT \uae30\uc220\uc774 \ub3c4\uc785\ub418\uae30 \uc804, \ud074\ub77c\ubbf8\ub514\uc544\ub098 \uc784\uc9c8 \uac19\uc740 STI\uc758 \uc8fc\uc694 \uac80\uc0ac \ubc29\ubc95\uc740 \uc138\ud3ec \ubc30\uc591\uc774\uc5c8\uc2b5\ub2c8\ub2e4 [21, 22]. \uc774\ub294 \uce68\uc2b5\uc801\uc774\uace0 \uc790\uc6d0\uc774 \ub9ce\uc774 \uc18c\ubaa8\ub418\ub294 \uacfc\uc815\uc774\uc5c8\uc2b5\ub2c8\ub2e4. \uc758\ub8cc\uc9c4\uc774 \uc9c1\uc811 \uc790\uad81\uacbd\ubd80, \uc694\ub3c4 \ub610\ub294 \uc9c1\uc7a5\uc5d0\uc11c \uba74\ubd09\uc73c\ub85c \uac80\uccb4\ub97c \ucc44\ucde8\ud574\uc57c \ud588\uc73c\uba70, \uc5c4\uaca9\ud55c \uc6b4\uc1a1 \ubc29\ubc95\uc744 \ud1b5\ud574 \uc2e4\ud5d8\uc2e4\ub85c \ubcf4\ub0b4\uc57c \ud588\uc2b5\ub2c8\ub2e4 [22]. \uc99d\uc0c1\uc774 \uc5c6\ub294 \uace0\uc704\ud5d8\uad70\uc5d0\uac8c \uc774\ub7ec\ud55c \uac80\uc0ac\uc758 \uce68\uc2b5\uc801 \ud2b9\uc131\uc740 \uac80\uc0ac\ub97c \uac00\ub85c\ub9c9\ub294 \ud070 \uc7a5\ubcbd\uc774 \ub420 \uc218 \uc788\uc5c8\uc2b5\ub2c8\ub2e4 [23]. \uadf8\uc5d0 \ube44\ud574 NAAT\ub294 \ud6e8\uc52c \ub35c \uce68\uc2b5\uc801\uc785\ub2c8\ub2e4. \ud074\ub77c\ubbf8\ub514\uc544 \ubc0f\uc784\uc9c8\uade0 \uac80\uc0ac\ub294 \uc790\uac00 \ucc44\ucde8\ud55c \uc18c\ubcc0 \uc0d8\ud50c\uc744 \uc0ac\uc6a9\ud558\uc5ec \uc218\ud589\ud560 \uc218 \uc788\uc73c\uba70, \uc774\ub294 \ub9ce\uc740 \ud658\uc790\ub4e4\uc5d0\uac8c \uace8\ubc18 \uac80\uc0ac(\uc5ec\uc131)\ub098 \uc694\ub3c4 \uba74\ubd09 \ucc44\ucde8(\ub0a8\uc131)\uc758 \ud544\uc694\uc131\uc744 \uc904\uc5ec\uc90d\ub2c8\ub2e4 [24]. \uc5ec\uc131\uc758 \uacbd\uc6b0 \ub192\uc740 \ubbfc\uac10\ub3c4\uc640 \uc0ac\uc6a9 \ud3b8\uc758\uc131 \ub355\ubd84\uc5d0 \uc790\uac00 \ucc44\ucde8 \uc9c8 \uba74\ubd09\uc774 \uc120\ud638\ub418\ub294 \uac80\uccb4\uc774\uc9c0\ub9cc, \uba74\ubd09 \uc0ac\uc6a9\uc774 \ubd88\uac00\ub2a5\ud55c \uacbd\uc6b0 \uccab \uc18c\ubcc0\ub3c4 \ucda9\ubd84\ud788 \ud6cc\ub96d\ud55c \ub300\uc548\uc774 \ub429\ub2c8\ub2e4 [24, 28]. \ub0a8\uc131\uc758 \uacbd\uc6b0 \uccab \uc18c\ubcc0 \uac80\uc0ac\uac00 \ube44\uce68\uc2b5\uc801 \uac80\uc0ac\uc758 \ud45c\uc900\uc774 \ub418\uc5c8\uc73c\uba70, \uc694\ub3c4 \uba74\ubd09\uc758 \ubd88\ud3b8\ud568 \uc5c6\uc774 \ub9e4\uc6b0 \uc815\ud655\ud55c \uacb0\uacfc\ub97c \uc81c\uacf5\ud569\ub2c8\ub2e4 [29]. \uc774\ub7ec\ud55c \uc790\uac00 \ucc44\ucde8 \ubc29\uc2dd\uc73c\ub85c \uc804\ud658\ud568\uc73c\ub85c\uc368 \uc758\ub8cc\uc9c4\uc740 STI \uc120\ubcc4 \uac80\uc0ac\uc758 “\uc9c4\uc785 \uc7a5\ubcbd”\uc744 \ub0ae\ucd94\uace0, \uc704\ud5d8\uad70 \ub0b4\uc5d0\uc11c \ub354 \ube48\ubc88\ud55c \uac80\uc0ac\ub97c \ub3c5\ub824\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO), \ubbf8\uad6d \uc9c8\ubcd1\ud1b5\uc81c\uc608\ubc29\uc13c\ud130(CDC) \ub4f1 \uc8fc\uc694 \uacf5\uc911 \ubcf4\uac74 \uae30\uad6c\ub4e4\uc740 \uc774\uc81c \ub9ce\uc740 \uc720\uc99d\uc0c1 \ubc0f \ubb34\uc99d\uc0c1 STI\uc5d0 \ub300\ud574 NAAT \uac80\uc0ac\ub97c \uad8c\uc7a5\ud569\ub2c8\ub2e4 [25, 26, 27, 28, 29]. \uac80\uc0ac \ubc30\uce58\uc758 \uc804\ub7b5\uc801 \uc811\uadfc: \uc911\uc559 \uc9d1\uc911\ud615 vs \ubd84\uc0b0\ud615<\/strong><\/em> NAAT \uac80\uc0ac\uac00 \ud45c\uc900(Gold standard)\uc774\uae30\ub294 \ud558\uc9c0\ub9cc, \uadf8 \uacf5\uc911 \ubcf4\uac74 \ud6a8\uacfc\ub97c \uadf9\ub300\ud654\ud558\ub824\uba74 \uac80\uc0ac \uc804\ub7b5\uc774 \uc9c0\uc5ed \uc778\ud504\ub77c, \uc720\ubcd1\ub960 \ubc0f \ud658\uc790\uc758 \uc811\uadfc\uc131 \uc694\uad6c\uc640 \uc77c\uce58\ud574\uc57c \ud569\ub2c8\ub2e4. \uc9c0\ub9ac\uc801\uc73c\ub85c \ub2e4\uc591\ud55c \uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc9c0\uc5ed\uc5d0\uc11c NAAT\uc758 \ud6a8\uacfc\ub97c \uadf9\ub300\ud654\ud558\ub824\uba74, \ub192\uc740 \ubbfc\uac10\ub3c4\uc640 \uc720\uc5f0\uc131\uc744 \ud65c\uc6a9\ud558\uc5ec \uc9c0\uc5ed\uc801 \uc694\uad6c\uc5d0 \ub9de\uac8c \uc804\ub7b5\uc801\uc73c\ub85c \ubc30\uce58\ud574\uc57c \ud569\ub2c8\ub2e4. \uae30\uc220\uc801 \uc6b0\uc218\uc131\uacfc \uc6b4\uc601 \ud604\uc2e4\uc758 \uacb0\ud569\uc740 \uc815\ucc45 \uc785\uc548\uc790\uc640 \uc2e4\ud5d8\uc2e4 \uad00\ub9ac\uc790\uc5d0\uac8c \ud575\uc2ec\uc801\uc778 \uacb0\uc815\uc73c\ub85c \uc774\uc5b4\uc9d1\ub2c8\ub2e4. \uc989, \ub300\ub7c9 \uac80\uc0ac\uac00 \uac00\ub2a5\ud558\uace0 \ube44\uc6a9 \ud6a8\uc728\uc801\uc778 \uc911\uc559 \uc9d1\uc911\ud615 \ubaa8\ub378\uc744 \uc120\ud0dd\ud560 \ub54c\uc640, \uc2e0\uc18d\ud558\uace0 \ud658\uc790 \uc911\uc2ec\uc801\uc778 \ubd84\uc0b0\ud615(\ud604\uc7a5 \uac80\uc0ac \ub610\ub294 POC) \uc811\uadfc \ubc29\uc2dd\uc744 \uc120\ud0dd\ud560 \ub54c\ub97c \uacb0\uc815\ud558\ub294 \uac83\uc774\uc5c8\uc2b5\ub2c8\ub2e4. \ub450 \uc120\ud0dd\uc740 \uc0c1\ud638 \ubc30\ud0c0\uc801\uc774\uc9c0 \uc54a\uc73c\uba70, \uacb0\uacfc \ud655\uc778 \uc2dc\uac04\uacfc \uc811\uadfc\uc131\uc774\ub77c\ub294 \ud575\uc2ec \uc9c0\ud45c\ub97c \ucd5c\uc801\ud654\ud558\uae30 \uc704\ud574 \uc0c1\ud638 \ubcf4\uc644\uc801\uc73c\ub85c \uc124\uacc4\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \uc911\uc559 \uc9d1\uc911\ud615 \uc2e4\ud5d8\uc2e4\uc740 \uc5f0\ub840 \uc120\ubcc4 \uac80\uc0ac, \ucd94\uc801 \uad00\ucc30 \ub610\ub294 \ubb34\uc99d\uc0c1\uc790\uc758 \uc0d8\ud50c\uacfc \uac19\uc774 \uae34\uae09\ud558\uc9c0 \uc54a\uc740 \uc0d8\ud50c\uc744 \ubd84\uc11d\ud558\ub294 \ub370 \uac00\uc7a5 \uc801\ud569\ud569\ub2c8\ub2e4. \uc2e4\ud5d8\uc2e4\uc740 \uc77c\ubc18\uc801\uc73c\ub85c \uc5ec\ub7ec \ubcd1\uc6d0\uade0\uc5d0 \ub300\ud55c \ubcf5\uc7a1 \ub610\ub294 \uba40\ud2f0\ud50c\ub809\uc2a4 \ud328\ub110 \uac80\uc0ac\ub97c \ucc98\ub9ac\ud558\uace0 \ud45c\uc900 \ud488\uc9c8 \ubcf4\uc99d\uc744 \uc81c\uacf5\ud560 \uc218 \uc788\ub294 \uc7a5\ube44\ub97c \uac16\ucd94\uace0 \uc788\uc2b5\ub2c8\ub2e4. STI \ub9e5\ub77d\uc5d0\uc11c \uc911\uc559 \uc9d1\uc911\ud615 \ubaa8\ub378\uc740 \ub300\ub7c9 \uac80\uc0ac \uc2dc \uac80\uc0ac\ub2f9 \ube44\uc6a9\uc774 \uc800\ub834\ud558\ubbc0\ub85c \ud074\ub77c\ubbf8\ub514\uc544 \ubc0f \uc784\uc9c8\uacfc \uac19\uc740 \uc77c\ubc18\uc801\uc778 \uac10\uc5fc\uc758 \uc778\uad6c \uc9d1\ub2e8 \uc120\ubcc4 \uac80\uc0ac\uc5d0 \uc774\uc0c1\uc801\uc785\ub2c8\ub2e4. \ub610\ud55c \ud3ec\uad04\uc801\uc778 \uacf5\uc911 \ubcf4\uac74 \uac10\uc2dc\ub97c \uac00\ub2a5\ud558\uac8c \ud569\ub2c8\ub2e4. \uc774\ub294 \ud638\uc8fc, \uc911\uad6d, \uc77c\ubcf8\uc744 \ud3ec\ud568\ud558\uc5ec \ud2b9\uc815 STI\ub97c \uc2e0\uace0 \uc758\ubb34 \uac10\uc5fc\ubcd1\uc73c\ub85c \ubd84\ub958\ud55c \uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc9c0\uc5ed \uad6d\uac00\ub4e4\uc5d0\uc11c \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4 [30, 31, 32]. \uc911\uc559 \uc9d1\uc911\ud615 \uac80\uc0ac \uacb0\uacfc\ub294 \ucc98\ub9ac \uc2dc\uac04\uc774 \ub354 \uae34 \uacbd\ud5a5\uc774 \uc788\uc2b5\ub2c8\ub2e4. \ud3c9\uade0\uc801\uc73c\ub85c STI \uac80\uc0ac \uacb0\uacfc\ub294 \uc885\uc885 \uc77c\uc8fc\uc77c \uc815\ub3c4 \uc18c\uc694\ub429\ub2c8\ub2e4 [33, 34, 35]. \uadf8\ub7ec\ub098 \uc720\uc99d\uc0c1 \ud658\uc790\uc5d0\uac8c\ub294 \uc2e0\uc18d\ud558\uace0 \uc801\uae30\uc778 \uac1c\uc785\uc774 \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4. \uc774 \ud2b9\uc815 \uadf8\ub8f9\uc758 \uacbd\uc6b0, \uc911\uc559 \uc9d1\uc911\ud615 \uac80\uc0ac\ub294 \uc801\uc808\ud55c \uce58\ub8cc \uc2dc\uc791\uc744 \uc9c0\uc5f0\uc2dc\ud0ac \uc218 \uc788\uc73c\ubbc0\ub85c \uc0d8\ud50c \ucc98\ub9ac\uc5d0 \ub35c \uc801\ud569\ud569\ub2c8\ub2e4. \ubd84\uc0b0\ud615 POC\ub294 \uc9c4\ub2e8 \uacb0\uacfc\uc5d0 \ub300\ud55c \ub354 \ube60\ub978 \uc811\uadfc\uc744 \uc6a9\uc774\ud558\uac8c \ud569\ub2c8\ub2e4. \uc774\ub294 \uc720\uc99d\uc0c1 \ud658\uc790\uc640 \uae34\uae09\ud55c \uc9c4\ub2e8 \ubc0f \uce58\ub8cc\uac00 \ud544\uc694\ud55c \uace0\uc704\ud5d8\uad70\uc5d0\uac8c \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4. POC \uac80\uc0ac\ub294 \uc9c4\ub8cc \ubc29\ubb38 \uc911\uc5d0 \uc2e0\uc18d\ud55c \uacb0\uacfc\ub97c \uc0dd\uc131\ud558\uc5ec, \uc784\uc0c1\uc758\uac00 \ub354 \ube68\ub9ac \uce58\ub8cc\ub97c \uc2dc\uc791\ud560 \uc218 \uc788\ub3c4\ub85d \ubcf4\uc7a5\ud569\ub2c8\ub2e4. \ub610\ud55c AMR\uc758 \uc6d0\uc778\uc774 \ub420 \uc218 \uc788\ub294 \uad11\ubc94\uc704 \ud56d\uc0dd\uc81c \ucc98\ubc29\uc758 \ud544\uc694\uc131\uc744 \uc81c\uac70\ud569\ub2c8\ub2e4. \uc911\uc559 \uc9d1\uc911\ud615 \uac80\uc0ac\uc640 \ub2ec\ub9ac, POC \uac80\uc0ac\ub294 \uc911\uc559 \uc2e4\ud5d8\uc2e4\uacfc \uc778\uc811\ud560 \ud544\uc694\uac00 \uc5c6\uc2b5\ub2c8\ub2e4. \ub530\ub77c\uc11c \uc6d0\uaca9\uc9c0\ub098 \uc790\uc6d0\uc774 \uc81c\ud55c\ub41c \uc784\uc0c1 \ud658\uacbd\uc5d0\uc11c \uc811\uadfc\uc131\uc774 \ub354 \ub192\uc73c\uba70, \uc800\uc18c\ub4dd \ubc0f \uc911\uc18c\ub4dd \uad6d\uac00\uc5d0\uc11c STI \uac80\uc0ac\ub97c \uac00\ub85c\ub9c9\ub294 \uac00\uc7a5 \ub450\ub4dc\ub7ec\uc9c4 \uc7a5\ubcbd \uc911 \ud558\ub098\uc778 \ubcf4\uac74 \uc778\ud504\ub77c \ubd80\uc871 \ubb38\uc81c\ub97c \ud574\uacb0\ud569\ub2c8\ub2e4 [5]. \uac01 \uac80\uc0ac\uac00 \uac1c\ubcc4\uc801\uc73c\ub85c \uc218\ud589\ub418\uae30 \ub54c\ubb38\uc5d0, \ubd84\uc0b0\ud615 POC \uac80\uc0ac\ub294 \uac80\uc0ac\ub2f9 \ube44\uc6a9\uc774 \ub354 \ub192\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \uacb0\uacfc\uc758 \uc815\ud655\uc131\uc744 \ubcf4\uc7a5\ud558\uae30 \uc704\ud574 \uac80\uc0ac\ub97c \uc218\ud589\ud558\ub294 \uc778\ub825\uc740 \uc7a5\ube44 \uc870\uc791\uacfc \ud488\uc9c8 \uad00\ub9ac \ud504\ub85c\ud1a0\ucf5c \ubaa8\ub450\uc5d0 \ub300\ud574 \uace0\ub3c4\ub85c \uc219\ub828\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. \ud604\uc7ac\uc758 POC \uac80\uc0ac \uae30\uc220\uc740 \ub2e4\uc911 \ud328\ub110 \uac80\uc0ac\ub098 \uace0\ub09c\ub3c4\uc758 AMR \uac80\uc0ac\ub97c \uc218\ud589\ud558\ub294 \ub2a5\ub825\uc5d0 \ud55c\uacc4\uac00 \uc788\uc2b5\ub2c8\ub2e4. <\/p>\n

\ucd5c\uc801\ud654\ub41c \uac80\uc0ac\uc758 \ud601\uc2e0\uc801\uc778 \uc601\ud5a5<\/h2>\n

STI\ub97c \uc815\ud655\ud558\uace0 \uc801\uae30\uc5d0 \ubc1c\uacac\ud558\ub294 \uac83\uc740 \ud658\uc790\uc758 \uc608\ud6c4\ub97c \uac1c\uc120\ud558\ub294 \ub370 \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4. \uac80\uc0ac \ud504\ub85c\uc138\uc2a4\ub97c \ucd5c\uc801\ud654\ud558\uace0 \uce58\ub8cc \uc2dc\uac04\uc744 \ub2e8\ucd95\ud558\uba74 \uac10\uc5fc \uc804\ud30c\uc728\uc744 \ub0ae\ucd94\uace0 \ucd94\uc801 \uad00\ucc30 \ub204\ub77d\uc744 \uc904\uc774\ub294 \ub4f1 STI\uc640 \uad00\ub828\ub41c \uacfc\uc81c\ub4e4\uc744 \ud574\uacb0\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774\ub294 \uad81\uadf9\uc801\uc73c\ub85c \uc9c8\ubcd1\uc758 \ubd80\ub2f4\uc744 \uacbd\uac10\uc2dc\ud0b5\ub2c8\ub2e4. \ucc98\ub9ac \uc2dc\uac04 \uc678\uc5d0\ub3c4 STI \uac80\uc0ac \ucd5c\uc801\ud654\ub294 \uc784\uc0c1 \uc694\uad6c\uc5d0 \uac00\uc7a5 \uc801\ud569\ud55c \uac80\uc0ac \uc635\uc158\uc744 \uc120\ud0dd\ud558\ub294 \uac83\uc785\ub2c8\ub2e4. \ubd84\uc0b0\ud615 \uac80\uc0ac\ub294 \uc815\ud655\ud55c \uacb0\uacfc\ub97c \ube60\ub974\uac8c \uc81c\uacf5\ud558\ubbc0\ub85c \uc720\uc99d\uc0c1 \ud658\uc790\uc5d0\uac8c \uac00\uc7a5 \uc801\ud569\ud569\ub2c8\ub2e4. \ubc18\uba74, \uc911\uc559 \uc9d1\uc911\ud615 \uac80\uc0ac\ub294 \uc5f0\ub840 \uc120\ubcc4 \uac80\uc0ac, \ud658\uc790 \ucd94\uc801 \uad00\ucc30, \ubb34\uc99d\uc0c1\uc790 \uc0d8\ud50c \ubd84\uc11d \ubc0f \uc5ed\ud559 \uac10\uc2dc\uc5d0 \ud2b9\ud788 \uc720\uc6a9\ud558\uba70, \uc815\ubd80\uac00 \uc2e4\uc2dc\uac04 \ub370\uc774\ud130\uc5d0 \ub530\ub77c \uc790\uc6d0\uc744 \ud560\ub2f9\ud558\uace0 \uc911\uc7ac \ud504\ub85c\uadf8\ub7a8\uc758 \uc131\uacf5 \uc5ec\ubd80\ub97c \uce21\uc815\ud560 \uc218 \uc788\uac8c \ud574\uc90d\ub2c8\ub2e4. <\/p>\n

STI \uad00\ub9ac\uc758 \ubbf8\ub798: \uac80\uc0ac\uc2e4 \uc815\ubcf4 \uae30\ubc18\uc758 \uc9c4\ub8cc<\/h2>\n

AMR\uc758 \uc704\ud611\uacfc \ud568\uaed8 \uc544\uc2dc\uc544 \ud0dc\ud3c9\uc591 \uc9c0\uc5ed\uc758 STI \ubd80\ub2f4\uc774 \uc99d\uac00\ud568\uc5d0 \ub530\ub77c, \uc804\ud1b5\uc801\uc778 \uac80\uc0ac \ubc0f \uad00\ub9ac \ubc29\uc2dd\uc5d0\uc11c \uac80\uc0ac\uc2e4 \uae30\ubc18\uc758 \uc758\uc0ac \uacb0\uc815 \ubc0f \ud45c\uc801 \uce58\ub8cc\ub85c\uc758 \uc2e0\uc18d\ud558\uace0 \ud5cc\uc2e0\uc801\uc778 \uc804\ud658\uc774 \ud544\uc694\ud569\ub2c8\ub2e4. \uc138\ud3ec \ubc30\uc591\uacfc \uac19\uc740 \uac80\uc0ac\ubc95\uacfc \uad11\ubc94\uc704 \uce58\ub8cc \ubc29\uc2dd\uc744 \uc804\ub7b5\uc801\uc73c\ub85c \ub2e8\uacc4\uc801\uc73c\ub85c \ud3d0\uc9c0\ud558\ub294 \uac83\uc774 STI \uc804\ud30c\ub97c \ucc28\ub2e8\ud558\uace0 \uacf5\uc911 \ubcf4\uac74\uc744 \ubcf4\ud638\ud558\ub294 \uac00\uc7a5 \ud6a8\uacfc\uc801\uc778 \ubc29\ubc95\uc785\ub2c8\ub2e4. NAAT\uc640 \uac19\uc740 \uace0\ub3c4\ud654\ub41c \uac80\uc0ac\ubc95\uc740 \ub9e4\uc6b0 \ubbfc\uac10\ud558\uba70 \uc720\uc5f0\ud55c \uc0d8\ud50c \ucc44\ucde8\uac00 \uac00\ub2a5\ud569\ub2c8\ub2e4. \ubcf4\uac74 \uc2dc\uc2a4\ud15c\uc740 NAAT \uc0ac\uc6a9\uc744 \uc758\ubb34\ud654\ud558\uace0 \uc801\uc808\ud55c \uac80\uc0ac \uc635\uc158\uc758 \uc804\ub7b5\uc801 \ubc30\uce58\ub97c \ucd09\uc9c4\ud558\ub294 \uc5c5\ub370\uc774\ud2b8\ub41c \uc9c0\uce68\uc744 \ucc44\ud0dd\ud574\uc57c \ud569\ub2c8\ub2e4. \uc774\ub294 \uc120\ubcc4 \uac80\uc0ac\ub97c \uc704\ud55c \uc911\uc559 \uc9d1\uc911\ud615 \uac80\uc0ac\uc2e4 NAAT\uc758 \ub300\ub7c9 \ucc98\ub9ac \ud6a8\uc728\uc131\uacfc, \uace0\uc704\ud5d8\uad70 \ubc0f \uc6d0\uaca9\uc9c0 \ud658\uacbd\uc5d0\uc11c\uc758 POC \uac80\uc0ac\uac00 \uac16\ub294 \uc989\uac01\uc801\uc774\uace0 \ud658\uc790 \uc911\uc2ec\uc801\uc778 \uc774\uc810 \uc0ac\uc774\uc758 \uade0\ud615\uc744 \ub9de\ucd94\ub294 \uac83\uc744 \uc758\ubbf8\ud569\ub2c8\ub2e4. \uac80\uc0ac \uc815\ubcf4\uc5d0 \uae30\ubc18\ud55c \uc9c4\ub8cc \uc811\uadfc \ubc29\uc2dd\uc740 \uad81\uadf9\uc801\uc73c\ub85c \ud658\uc790\uc758 \ucd94\uc801 \uad00\ucc30 \ub204\ub77d\uc744 \ucd5c\uc18c\ud654\ud558\uace0 \ud56d\uc0dd\uc81c \uce58\ub8cc\uc758 \ud6a8\ub2a5\uc744 \ubcf4\ud638\ud560 \uac83\uc774\uc5c8\uc2b5\ub2c8\ub2e4. \uc774\ub7ec\ud55c \ubcc0\ud654\ub294 \uace0\uc704\ud5d8\uad70\uc744 \ub300\uc0c1\uc73c\ub85c \ud55c \ud45c\uc801 \uad50\uc721 \ubc0f \uc778\uc2dd \uac1c\uc120 \ucea0\ud398\uc778\uacfc \ubcd1\ud589\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. \uc774\ub97c \ud1b5\ud574 \uc0ac\ub78c\ub4e4\uc774 \uc815\uae30\uc801\uc778 \uc120\ubcc4 \uac80\uc0ac\ub97c \ubc1b\uace0 \uae0d\uc815\uc801\uc778 \uac74\uac15 \uc120\ud0dd\uc744 \ud558\ub294 \ub370 \uc788\uc5b4 \uc8fc\ub3c4\uc801\uc778 \uc790\uc138\ub97c \uac16\ub3c4\ub85d \ub3c5\ub824\ud574\uc57c \ud569\ub2c8\ub2e4. \uad81\uadf9\uc801\uc73c\ub85c \uc774\ub7ec\ud55c \ubcc0\ud654\ub294 \uae30\uc220 \uadf8 \uc774\uc0c1\uc758 \uc758\ubbf8\ub97c \uac16\uc2b5\ub2c8\ub2e4. \uc774\ub294 \uad00\ud589\uc744 \ubcc0\ud654\uc2dc\ud0a4\uace0 \uc9c0\uc5ed \uc0ac\ud68c\uc5d0 \uad8c\ud55c\uc744 \ubd80\uc5ec\ud558\uc5ec \ub354 \uac74\uac15\ud55c \ubbf8\ub798\ub97c \ud655\ubcf4\ud558\ub294 \uc77c\uc774\uc5c8\uc2b5\ub2c8\ub2e4. <\/p>\n

\n

\u00a0 \ucc38\uace0\ubb38\ud5cc<\/em> [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>doi:10.3389\/fmed.2022.851635.\u00a0<\/span> [2]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2024) <\/span>New report flags major increase in sexually transmitted infections, amidst challenges in HIV and hepatitis<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/news\/item\/21-05-2024-new-report-flags-major-increase-in-sexually-transmitted-infections—amidst-challenges-in-hiv-and-hepatitis<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 16\uc77c). <\/span> [3]<\/a>Chesson, H.W., Mayaud, P.\ubc0f Aral, S.O. (2017) \u2018Sexually transmitted infections: Impact and cost-effectiveness of prevention\u2019, <\/span>Disease Control Priorities, \uc81c3\ud310 (\uc81c6\uad8c): Major Infectious Diseases<\/span><\/i>, pp. 203\u2013232. <\/span>doi:10.1596\/978-1-4648-0524-0_ch10.<\/span> [4]<\/a> Yamani, L.N. et al. (2025) \u2018Associations between socio-demographics, sexual knowledge and behaviour and sexually transmitted infections among reproductive-age women in Southeast Asia: Demographic health survey results\u2019, BMC Public Health, 25(1). <\/span>doi:10.1186\/s12889-025-21962-7.<\/span>\u00a0<\/span> [5]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c (WHO) (2025) <\/span>Sexually transmitted infections (STIs)<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/sexually-transmitted-infections-(stis<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 16\uc77c).<\/span> [6] \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2023) <\/span>Laboratory and point-of-care diagnostic testing for sexually transmitted infections, including HIV<\/span><\/i>, \uc81c4\ud310, \uc81c\ub124\ubc14: \uc138\uacc4\ubcf4\uac74\uae30\uad6c.<\/span> [7]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (n.d.) <\/span>Sexually transmitted infections (STIs) in the Western Pacific<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/westernpacific\/health-topics\/sexually-transmitted-infections<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 16\uc77c).<\/span> [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>doi: 10.3390\/healthcare11081093.<\/span> [9]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (n.d.) <\/span>Global Sexually Transmitted Infections Programme<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/stis\/treatment-care<\/span> (\uc811\uc18d\uc77c: 2025\ub144 11\uc6d4 7\uc77c).<\/span> [10]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2024) <\/span>Chlamydia<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/chlamydia<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [11]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2025) <\/span>Gonorrhoea (Neisseria gonorrhoeae infection)<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/gonorrhoea-(neisseria-gonorrhoeae-infection<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [12]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2025) <\/span>Syphilis<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/syphilis<\/span> (\uc811\uc18d\uc77c: 2025\ub144 11\uc6d4 7\uc77c).<\/span> [13]<\/a> RACGP (2004) <\/span>STIs in pregnancy: an update for GPs<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.racgp.org.au\/getattachment\/0c4e7741-ce6c-44ab-86ea-4edc20f1e14f\/20040901ooi.pdf<\/span> (\uc811\uc18d\uc77c: 2025\ub144 11\uc6d4 7\uc77c).<\/span> [14]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2025) <\/span>Sexually transmitted infections (STIs)<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/health-topics\/sexually-transmitted-infections<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [15]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2023) <\/span>Antimicrobial resistance<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/antimicrobial-resistance<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [16]<\/a> Fifer, H.\ubc0f Johnson, A.(2025) \u2018The continuing evolution of antibiotic resistance in <\/span>Neisseria gonorrhoeae<\/span><\/i>: past, present and future threats to effective treatment\u2019, Journal of Antimicrobial Chemotherapy, 80(5), pp.1213\u20131219.<\/span> https:\/\/doi.org\/10.1093\/jac\/dkaf109<\/span>.<\/span> [17]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (n.d.) <\/span>What\u2019s super about super gonorrhoea? A Q&A with Dr Teodora Wi<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/campaigns\/world-amr-awareness-week\/2018\/features-from-around-the-world\/super-gonorrhoea-q-a-with-dr.-teodora-wi<\/span> (\uc561\uc138\uc2a4: [\uc6d0\ubcf8\uc5d0 \uba85\uc2dc\ub418\uc9c0 \uc54a\uc74c]).<\/span> [18]<\/a> \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (n.d.) <\/span>Gonococcal antimicrobial resistance in the Western Pacific region<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.who.int\/westernpacific\/health-topics\/sexually-transmitted-infections\/gonococcal-antimicrobial-resistance-in-the-western-pacific-region<\/span> (\uc811\uc18d\uc77c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [19]<\/a> Cosentino, L.A. et al. (2012) ‘Use of nucleic acid amplification testing for diagnosis of anorectal sexulatic infections’, Journal of Clinical Microbiology, 50(6), pp. 2005-2008. <\/span>doi:10.1128\/jcm.00185-12.\u00a0<\/span> [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>doi.org\/10.11604\/pamj.2020.36.299.20777<\/span>.\u00a0<\/span> [21]<\/a> Serra-Pladevall, J.et al. (2015) ‘Comparison between conventional culture and NAATs for the microbiological diagnosis in gonococcal infection’, Diagnostic Microbiology and Infectious Disease, 83(4), pp. 341-343. <\/span>doi:10.1016\/j.diagmicrobio.2015.08.005<\/span>.\u00a0\u00a0<\/span> [22]<\/a> Public Health Laboratory Network (n.d.) <\/span>Chlamydia (Chlamydia trachomatis) \u2013 Laboratory case definition<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2022\/06\/chlamydia-laboratory-case-definition<\/span>_0.pdf (\uc5f4\ub78c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [23]<\/a> Denison, H.J. (2018) \u2018Barriers to sexually transmitted infection testing in New Zealand: a qualitative study\u2019, Australian and New Zealand Journal of Public Health, 41(4), pp. 432\u2013437.<\/span> https:\/\/doi.org\/10.1111\/1753-6405.12680<\/span>.<\/span> [24]<\/a> Gaydos, C.A. (2005) \u2018Nucleic acid amplification tests for gonorrhea and chlamydia: practice and applications\u2019, Infectious Disease Clinics of North America, 19(2), pp. 367\u2013386. <\/span>doi.org\/10.1016\/j.idc.2005.03.006.<\/span> [25] \uc138\uacc4\ubcf4\uac74\uae30\uad6c(WHO) (2023) <\/span>Point-of-care tests for sexually transmitted infections: Target product profiles<\/span><\/i>, \uc81c\ub124\ubc14: \uc138\uacc4\ubcf4\uac74\uae30\uad6c.<\/span> [26]<\/a> Centers for Disease Control (CDC) (2021) <\/span>Chlamydial infections<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.cdc.gov\/std\/treatment-guidelines\/chlamydia.htm<\/span> (\uc5f4\ub78c: 2025\ub144 11\uc6d4 7\uc77c).<\/span> [27] Coleman, H.et al. (2023) <\/span>BASHH Summary guidance on testing for sexually transmitted infections<\/span><\/i>, \uc81c2\ud310, \ub7f0\ub358: British Association for Sexual Health and HIV (BASHH).<\/span> [28]<\/a> Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) (2024) <\/span>Chlamydia<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/sti.guidelines.org.au\/sexually-transmissible-infections\/chlamydia\/<\/span> (\uc5f4\ub78c: 2025\ub144 11\uc6d4 7\uc77c).<\/span> [29]<\/a> Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) (2024) <\/span>Gonorrhoea<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/sti.guidelines.org.au\/sexually-transmissible-infections\/gonorrhoea\/<\/span> (\uc561\uc138\uc2a4: [\uc6d0\ubcf8\uc5d0 \uba85\uc2dc\ub418\uc9c0 \uc54a\uc74c]).<\/span> [30]<\/a> Australian Department of Health, Disability and Ageing (2025) <\/span>National notifiable diseases surveillance system (NNDSS)<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.health.gov.au\/our-work\/nndss<\/span> (\uc5f4\ub78c: 2025\ub144 10\uc6d4 20\uc77c).<\/span> [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> [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>doi:10.1186\/s12879-020-4801-x.<\/span> [33]<\/a> Stay STI Free (n.d.) <\/span>About STIs<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.staystifree.org.au\/about-stis<\/span> (\uc561\uc138\uc2a4: [\uc6d0\ubcf8\uc5d0 \uba85\uc2dc\ub418\uc9c0 \uc54a\uc74c]).<\/span> [34]<\/a> Melbourne Sexual Health Centre (n.d.) <\/span>Accessing Our STI Clinic \/ Make a Booking<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.mshc.org.au\/clinics-services\/accessing-our-sti-clinic\/make-a-booking<\/span><\/a> (\uc5f4\ub78c: 2025\ub144 12\uc6d4 3\uc77c).<\/span> [35]<\/a> DSC Clinic, National Skin Centre, \uc2f1\uac00\ud3ec\ub974 (n.d.) <\/span>Clinical STI Testing<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.nsc.com.sg\/dsc\/our-services-for-patients-and-visitors\/dsc-services\/Clinical-STI-Testing\/Pages\/default.aspx<\/span><\/a> (\uc5f4\ub78c: 2025\ub144 12\uc6d4 3\uc77c).<\/span> [36]<\/a> Bumrungrad Hospital, \ud0dc\uad6d (n.d.) <\/span>C. trachomatis and N.gonorrhoeae by NAAT (Urethral Swab)<\/span><\/i> [\uc628\ub77c\uc778]. \ucc38\uc870 \uc0ac\uc774\ud2b8:<\/span> https:\/\/www.bumrungrad.com\/lab-service-guide\/labs\/c-trachomatis-and-n-gonorrhoeae-by-naat-(urethral-swab<\/span> (\uc5f4\ub78c: 2025\ub144 12\uc6d4 3\uc77c).<\/span> <\/p>\n","protected":false},"excerpt":{"rendered":"

\uc131\ub9e4\uac1c \uac10\uc5fc(STI)\uc758 \uc804 \uc138\uacc4\uc801\uc778 \uc720\ud589\uc740 \uc8fc\uc694 \uacf5\uc911 \ubcf4\uac74 \uacfc\uc81c\uc785\ub2c8\ub2e4. STI\ub294 \uc804 \uc138\uacc4\uc801\uc73c\ub85c \ubcf4\uace0\ub418\ub294 \uac00\uc7a5 \ud754\ud55c \uac10\uc5fc\ubcd1 \uc911 \ud558\ub098\uc785\ub2c8\ub2e4 [1]. \ub9e4\uc77c 100\ub9cc \uac74 \uc774\uc0c1\uc758 STI \uac10\uc5fc\uc774 \ubc1c\uc0dd\ud558\uba70, \ub9ce\uc740 \uc9c0\uc5ed\uc5d0\uc11c \ubc1c\uc0dd\ub960\uc774 \uacc4\uc18d\ud574\uc11c \uc0c1\uc2b9\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4 [2]. \ub9c9\ub300\ud55c \uc778\uc801 \uc601\ud5a5 \uc678\uc5d0\ub3c4, \uc774\ub7ec\ud55c \ubc1c\uc0dd\ub960\uc740 \ubcf4\uac74 \uc2dc\uc2a4\ud15c\uc5d0 \ud070 \ubd80\ub2f4\uc744 \uc8fc\uba70, \ud2b9\ud788 \uc790\uc6d0\uc774 \uc81c\ud55c\ub41c \uc800\uc18c\ub4dd \ubc0f \uc911\ub4f1\ub3c4 \uc18c\ub4dd \uad6d\uac00\uc5d0\uc11c \uadf8 \ubd80\ub2f4\uc774 \uc0c1\ub2f9\ud569\ub2c8\ub2e4 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