編集長はCDC２０１５年版のSTDガイドラインを読み始めました。
第1報です。
今日はSTDの病歴聴取のポイント、５Pについて
（The Five P’s: Partners, Practices, Prevention of Pregnancy,Protection from STDs, and Past History of STDs）
1. Partners：
相手の性別、相手の数（直近、過去1年）、現在も関係のある相手に「あなた以外の相手」がいる可能性は？
• “Do you have sex with men, women, or both?”
• “In the past 2 months, how many partners have you had sex with?”
• “In the past 12 months, how many partners have you had sex with?”
• “Is it possible that any of your sex partners in the past 12 months had sex with someone else while they were still in a sexual relationship with you?”
2. Practices：
Sexの詳細、膣・直腸？ コンドーム使用は常時・時々・全然？ もし全然なら何故？ もし時々ならどういう場合？
• “To understand your risks for STDs, I need to understand the kind of sex you have had recently.”
• “Have you had vaginal sex, meaning ‘penis in vagina sex’?” If yes, “Do you use condoms: never, sometimes, or always?”
• “Have you had anal sex, meaning ‘penis in rectum/ anus sex’?” If yes, “Do you use condoms: never,
sometimes, or always?”
• “Have you had oral sex, meaning ‘mouth on penis/vagina’?”
• For condom answers:
• If “never”: “Why don’t you use condoms?”
• If “sometimes”: “In what situations (or with whom) do you use condoms?”
3. Prevention of pregnancy：
妊娠の予防は何をしてるの？
• “What are you doing to prevent pregnancy?”
4. Protection from STDs：
性感染症STDから身を守るために何している？
• “What do you do to protect yourself from STDs and HIV?”
5. Past history of STDs：
過去の性感染症の病歴。ある？ 相手にはある？ HIV感染症や肝炎については更に薬物の使用は？ お金や薬物のためのSexは？
• “Have you ever had an STD?”
• “Have any of your partners had an STD?”
Additional questions to identify HIV and viral hepatitis risk include:
• “Have you or any of your partners ever injected drugs?”
• “Have your or any of your partners exchanged money or drugs for sex?”
• “Is there anything else about your sexual practices that I need to know about?”
第1報です。
今日はSTDの病歴聴取のポイント、５Pについて
（The Five P’s: Partners, Practices, Prevention of Pregnancy,Protection from STDs, and Past History of STDs）
1. Partners：
相手の性別、相手の数（直近、過去1年）、現在も関係のある相手に「あなた以外の相手」がいる可能性は？
• “Do you have sex with men, women, or both?”
• “In the past 2 months, how many partners have you had sex with?”
• “In the past 12 months, how many partners have you had sex with?”
• “Is it possible that any of your sex partners in the past 12 months had sex with someone else while they were still in a sexual relationship with you?”
2. Practices：
Sexの詳細、膣・直腸？ コンドーム使用は常時・時々・全然？ もし全然なら何故？ もし時々ならどういう場合？
• “To understand your risks for STDs, I need to understand the kind of sex you have had recently.”
• “Have you had vaginal sex, meaning ‘penis in vagina sex’?” If yes, “Do you use condoms: never, sometimes, or always?”
• “Have you had anal sex, meaning ‘penis in rectum/ anus sex’?” If yes, “Do you use condoms: never,
sometimes, or always?”
• “Have you had oral sex, meaning ‘mouth on penis/vagina’?”
• For condom answers:
• If “never”: “Why don’t you use condoms?”
• If “sometimes”: “In what situations (or with whom) do you use condoms?”
3. Prevention of pregnancy：
妊娠の予防は何をしてるの？
• “What are you doing to prevent pregnancy?”
4. Protection from STDs：
性感染症STDから身を守るために何している？
• “What do you do to protect yourself from STDs and HIV?”
5. Past history of STDs：
過去の性感染症の病歴。ある？ 相手にはある？ HIV感染症や肝炎については更に薬物の使用は？ お金や薬物のためのSexは？
• “Have you ever had an STD?”
• “Have any of your partners had an STD?”
Additional questions to identify HIV and viral hepatitis risk include:
• “Have you or any of your partners ever injected drugs?”
• “Have your or any of your partners exchanged money or drugs for sex?”
• “Is there anything else about your sexual practices that I need to know about?”
