Oral sex and the transmission of viral STIs

被引:131
作者
Edwards, S [1 ]
Carne, C [1 ]
机构
[1] Addenbrookes Hosp, Dept Genitourinary Med, Cambridge CB2 2QQ, England
关键词
oral sex; viral STIs;
D O I
10.1136/sti.74.1.6
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Objective: To review the literature on the role of oral sex in the transmission of viral sexually transmitted infections (STIs). Method: A Medline search was performed using the keywords ore-genital sex, and those specific to each infection. Further references from each article identified by Medline were also included, as were relevant references from "Current contents" Conclusions: Oral sex is a common sexual practice among both heterosexual and homosexual couples. The evidence suggests that HIV transmission can take place through ore-genital sex from penis to mouth and vagina to mouth. Case reports describe apparent transmission from mouth to penis although this appears less likely. The risk of ore-genital transmission of HIV is substantially less than from vaginal and anal intercourse. Receptive ore-genital sex carries a small risk of human papillomavirus infection and possibly hepatitis C, while insertive ore-genital contact is an important risk factor for acquisition of HSV 1. Ore-anal transmission can occur with hepatitis A and B. The transmission of other viruses may occur but is unproved. The relative importance of oral sex as a route for the transmission of viruses is likely to increase as other, higher risk sexual practices are avoided for fear of acquiring HIV infection.
引用
收藏
页码:6 / 10
页数:5
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