Brazilian Protocol for Sexually Transmitted Infections, 2020: infections that cause urethral discharge

被引:0
作者
de Lannoy, Leonor Henriette [1 ,2 ]
de Carvalho da Silva, Roberto Jose [3 ,4 ]
Nahn Junior, Edilbert Pellegrini [5 ,6 ]
de Oliveira, Eduardo Campos [7 ]
Gaspar, Pamela Cristina [1 ,8 ]
机构
[1] Secretaria Vigilancia Saude, Minist Saude, Brasilia, DF, Brazil
[2] Univ Fed Espirito Santo, Programa Posgrad Infectol, Vitoria, ES, Brazil
[3] Ctr Univ, Fac Amer, Sao Paulo, SP, Brazil
[4] Programa Estadual DST Aids, Secretaria Estado Saude Sao Paulo, Sao Paulo, SP, Brazil
[5] Univ Fed Estado Rio de Janeiro, Campus Macae, RJ, Brazil
[6] Fac Med Campos, Campos Dos Goytacazes, RJ, Brazil
[7] Gestao Estadual DST Aids HIV Santa Catarina, Secretaria Estado Saude Santa Catarina, Florianopolis, SC, Brazil
[8] Univ Brasilia, Programa Posgrad Saude Colet, Brasilia, DF, Brazil
关键词
Urethritis; Neisseria gonorrhoeae; Chlamydia trachomatis; Clinical protocols; Public health; MYCOPLASMA-GENITALIUM INFECTIONS; NEISSERIA-GONORRHOEAE; MACROLIDE RESISTANCE; MULTIDRUG-RESISTANT; PREVALENCE; CHLAMYDIA; CEFIXIME; FAILURE; RISK; MEN;
D O I
10.1590/0037-8682-633-2020
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
This article approaches infections that cause urethral discharge. This theme is part of the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Ministry of Health of Brazil in 2020. These guidelines were prepared based on scientific evidence and validated in discussions with experts. Urethritis can cause severe and even irreversible health damage when not properly treated, or when the microorganism develops antimicrobial resistance. It is noteworthy that the high levels of antimicrobial resistance grown by pathogens that cause urethritis comprises a global emergency in public health. This article presents epidemiological and clinical aspects, recommendations on diagnostic and treatment, and strategies for surveillance, prevention, and control actions for infections that cause urethral discharge, to contribute to managers' and health professionals' care qualification.
引用
收藏
页数:9
相关论文
共 51 条
[1]   Neisseria gonorrhoeae Treatment Failure and Susceptibility to Cefixime in Toronto, Canada [J].
Allen, Vanessa G. ;
Mitterni, Leo ;
Seah, Christine ;
Rebbapragada, Anuradha ;
Martin, Irene E. ;
Lee, Colin ;
Siebert, Heather ;
Towns, Lynn ;
Melano, Roberto G. ;
Low, Donald E. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 309 (02) :163-170
[2]   Prevalence of Mycoplasma genitalium in different population groups: systematic review and meta-analysis [J].
Baumann, Lukas ;
Cina, Manuel ;
Egli-Gany, Dianne ;
Goutaki, Myrofora ;
Halbeisen, Florian S. ;
Lohrer, Gian-Reto ;
Ali, Hammad ;
Scott, Pippa ;
Low, Nicola .
SEXUALLY TRANSMITTED INFECTIONS, 2018, 94 (04) :254-261
[3]   First nationwide antimicrobial susceptibility surveillance for Neisseria gonorrhoeae in Brazil, 2015-16 [J].
Bazzo, M. L. ;
Golfetto, L. ;
Gaspar, P. C. ;
Pires, A. F. ;
Ramos, M. C. ;
Franchini, M. ;
Ferreira, W. A. ;
Unemo, M. ;
Benzaken, A. S. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2018, 73 (07) :1854-1861
[4]   Should we screen for the sexually-transmitted infection Mycoplasma genitalium? Evidence synthesis using a transmission-dynamic model [J].
Birger, Ruthie ;
Saunders, John ;
Estcourt, Claudia ;
Sutton, Andrew John ;
Mercer, Catherine H. ;
Roberts, Tracy ;
White, Peter J. .
SCIENTIFIC REPORTS, 2017, 7
[5]   Macrolide Resistance and Azithromycin Failure in a Mycoplasma genitalium-Infected Cohort and Response of Azithromycin Failures to Alternative Antibiotic Regimens [J].
Bissessor, Melanie ;
Tabrizi, Sepehr N. ;
Twin, Jimmy ;
Abdo, Houda ;
Fairley, Christopher K. ;
Chen, Marcus Y. ;
Vodstrcil, Lenka A. ;
Jensen, Jorgen S. ;
Hocking, Jane S. ;
Garland, Suzanne M. ;
Bradshaw, Catriona S. .
CLINICAL INFECTIOUS DISEASES, 2015, 60 (08) :1228-1236
[6]  
Brigido HAZ, 2013, MED TROPICAL INFECT, P245
[7]   Bacterial sexually transmitted infections [J].
Buder, Susanne ;
Schoefer, Helmut ;
Meyer, Thomas ;
Bremer, Viviane ;
Kohl, Peter K. ;
Skaletz-Rorowski, Adriane ;
Brockmeyer, Norbert .
JOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT, 2019, 17 (03) :287-313
[8]   Mycoplasma genitalium: a review [J].
Daley, G. M. ;
Russell, D. B. ;
Tabrizi, S. N. ;
McBride, J. .
INTERNATIONAL JOURNAL OF STD & AIDS, 2014, 25 (07) :475-487
[9]   Effectiveness of syndromic management for male patients with urethral discharge symptoms in Amazonas, Brazil [J].
de Menezes Filho, Jonas Rodrigues ;
Gomes Sardinha, Jose Carlos ;
Galban, Enrique ;
Saraceni, Valeria ;
Talhari, Carolina .
ANAIS BRASILEIROS DE DERMATOLOGIA, 2017, 92 (06) :779-784
[10]   High Prevalence of Multidrug-Resistant Mycoplasma genitalium in Human Immunodeficiency Virus-Infected Men Who Have Sex With Men in Alabama [J].
Dionne-Odom, Jodie ;
Geisler, William M. ;
Aaron, Kristal J. ;
Waites, Ken B. ;
Westfall, Andrew O. ;
Van der Pol, Barbara ;
Xiao, Li .
CLINICAL INFECTIOUS DISEASES, 2018, 66 (05) :796-798