作者: Gilbert GG Donders , Jacques Ravel , Beatrice Vitali , Mihai G Netea , Andres Salumets
DOI: 10.1159/000478982
关键词: Obstetrics and gynaecology 、 Quality (business) 、 Computer science 、 Disease 、 Treatment efficacy 、 The Internet 、 Pathology 、 Clinical Practice 、 Medical emergency 、 Pace 、 Pathognomonic
摘要: The diagnosis of vulvo-vaginal complaints has always been enigmatic in obstetrics and gynecology. Patients with clear, pathognomonic symptoms end up a proper treatment most the time, but unfortunately we are now living world where women reach out to Internet readily get all information as which disease their correspond also find appropriate "over-the-counter." Because this trend, specialists increasingly confronted patients complex combined conditions. At same extremely sensitive accurate diagnostic tools being developed at rapid pace, allowing physicians diagnose substantially increased precision. Moreover, many these molecular biology (MB)-based tests have become so common affordable that self-sampling self-testing no longer utopia. On other hand, too much is available encompasses pitfalls, leading gross overtreatment psychological burden. As experienced caregivers, should supervise evolutions, define place use tools, utilize potential ad hoc follow-up efficacy guide how such can be used for responsible self-testing. In present paper, responding need appropriate, quality assured accessible vulvo-vaginitis huge delivered by rapidly developing MB methods, recommend broad regular discussion forum, composed both clinical technical experts opinion makers, order match needs opportunities ideally combine initiatives forces into direction. This forum then translate conceived strategies regularly updated, evidence-based national international guidelines.