Resumo
Definição
Анамнез и осмотр
Ключевые диагностические факторы
- presença de fatores de risco
- secreção uretral
- irritação ou prurido uretral
- disúria
Другие диагностические факторы
- orquialgia
- ausência de sensibilidade e/ou inchaço do epidídimo
- ausência de dor na pelve (mulheres)
- ausência de erupção cutânea pustular ou petequial
- ausência de artrite
- ausência de inflamação ocular
Факторы риска
- idade entre 15 e 24 anos
- sexo feminino
- homens que fazem sexo com homens
- novos ou vários parceiros sexuais
- IST prévia ou atual
- uso inconsistente de preservativo
- circuncisão
Диагностические исследования
Исследования, которые показаны в первую очередь
- coloração de Gram de secreção uretral e/ou sedimento da urina
- testes de amplificação de ácido nucleico (NAATs)
- cultura de secreção uretral
- preparação com hidróxido de potássio da secreção uretral
- teste de HIV
- Teste de sífilis
Исследования, проведение которых нужно рассмотреть
- urinálise e cultura
- câmara úmida de secreção uretral (mulheres)
- NAAT e cultura de urina ou swab uretral/vaginal para Trichomonas vaginalis
- NAAT para outros organismos
Алгоритм лечения
Coloração de Gram inicial sugestiva de gonorreia: não gestante
coloração de Gram inicial sugestiva de gonorreia: gestante
coloração de Gram inicial não sugestiva de gonorreia: não gestante
coloração de Gram inicial não sugestiva de gonorreia: gestante
uretrite recorrente ou resistente
Составители
Авторы
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
Раскрытие информации
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.
Выражение благодарностей
Dr Sheldon Morris would like to gratefully acknowledge Dr Christina Bailey, a previous contributor to this topic.
Раскрытие информации
CB declares that she has no competing interests.
Рецензенты
Vani Dandolu, MD, MPH
Associate Professor
Ob/Gyn and Urology
Director
Division of Urogynecology
Associate Residency Program Director
Temple University Hospital
Philadelphia
PA
Раскрытие информации
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
Раскрытие информации
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
Раскрытие информации
CF is an author of a number of references cited in this topic. CF has received programme 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.
Список литературы
Основные статьи
Centers for Disease Control and Prevention. Sexually transmitted infections treatment guidelines, 2021. Jul 2021 [internet publication].Полный текст
Centers for Disease Control and Prevention. National overview of STIs in 2023. Nov 2024 [internet publication].Полный текст
European Association of Urology. Guidelines on urological infections. 2023 [internet publication].Полный текст
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.Полный текст
British Association for Sexual Health and HIV. Urethritis and cervicitis. May 2023 [internet publication].Полный текст
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Infecção do trato urinário
- Balanite ou vaginite por candida
- Uretrite não infecciosa
Больше ОтличияРекомендации
- Mycoplasma genitalium
- Guidelines on urological infections
Больше РекомендацииЛифлеты для пациента
Clamídia
Gonorreia
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