შეჯამება
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- urethral discharge
- urethral irritation or itching
- dysuria
სხვა დიაგნოსტიკური ფაქტორები
- orchialgia
- absence of epididymal tenderness and/or swelling
- absence of pelvic pain (women)
- absence of pustular or petechial rash
- absence of arthritis
- absence of eye inflammation
რისკფაქტორები
- ages 15 to 24 years
- female sex
- men who have sex with men
- new or multiple sex partners
- prior or current STI
- inconsistent condom use
- circumcision
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- Gram stain of urethral discharge and/or urine sediment
- nucleic acid amplification tests (NAAT)
- culture of urethral discharge
- potassium hydroxide prep of urethral discharge
- HIV test
- syphilis test
გასათვალისწინებელი კვლევები
- urinalysis and culture
- wet mount of urethral discharge (women)
- NAAT and culture of urine or urethral/vaginal swab for Trichomonas vaginalis
- NAAT for other organisms
მკურნალობის ალგორითმი
initial Gram stain suggestive of gonorrhea: nonpregnant
initial Gram stain suggestive of gonorrhea: pregnant
initial Gram stain not suggestive of gonorrhea: nonpregnant
initial Gram stain not suggestive of gonorrhea: pregnant
recurrent or resistant urethritis
კონტრიბუტორები
ავტორები
Sheldon Morris, MD, MPH
Assistant Professor
Division of Infectious Diseases
Department of Medicine
UCSD Antiviral Research Center
Division of Family Medicine
Department of Family and Preventive Medicine
UCSD La Jolla Family and Sports Medicine
San Diego
CA
გაფრთხილება:
SM has received funding from NIH, CHRP, CIRM, NASA, and Visby Medical. SM owns stock in Bristol Myers Squib and is the founder of Aspera Biomedicines. SM is an author of a number of references cited in this topic.
მადლიერება
Dr Sheldon Morris would like to gratefully acknowledge Dr Christina Bailey, a previous contributor to this topic.
გაფრთხილება:
CB declares that she has no competing interests.
რეცენზენტები
Vani Dandolu, MD, MPH
Associate Professor
Ob/Gyn and Urology
Director
Division of Urogynecology
Associate Residency Program Director
Temple University Hospital
Philadelphia
PA
გაფრთხილება:
VD declares that he has no competing interests.
Khalil Ghanem, MD, PhD
Assistant Professor of Medicine
Associate Fellowship Program Director
Division of Infectious Diseases
Johns Hopkins University School of Medicine
Baltimore
MD
გაფრთხილება:
KG declares that he has no competing interests.
Christopher Fairley, PhD
Professor of Sexual Health
University of Melbourne
Director
Melbourne Sexual Health Centre
Carlton
Victoria
Australia
გაფრთხილება:
CF is an author of a number of references cited in this topic. CF has received program grants of 6 figures US$.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
წყაროები
ძირითადი სტატიები
Centers for Disease Control and Prevention. Sexually transmitted infections treatment guidelines, 2021. Jul 2021 [internet publication].სრული ტექსტი
Centers for Disease Control and Prevention. National overview of STIs in 2023. Nov 2024 [internet publication].სრული ტექსტი
European Association of Urology. Guidelines on urological infections. 2023 [internet publication].სრული ტექსტი
Horner PJ, Blee K, Falk L, et al; International Union against Sexually Transmitted Infections. 2016 European guideline on the management of non-gonococcal urethritis. Int J STD AIDS. 2016 Oct;27(11):928-37.სრული ტექსტი
British Association for Sexual Health and HIV. Urethritis and cervicitis. May 2023 [internet publication].სრული ტექსტი
გამოყენებული სტატიები
ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.
Differentials
- Urinary tract infection
- Candida balanitis or vaginitis
- Noninfectious urethritis
მეტი DifferentialsGuidelines
- Guidelines on urological infections
- 2021 European guideline on Mycoplasma genitalium infections
მეტი GuidelinesPatient information
Chlamydia
Gonorrhea
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