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Cervicite

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 24 Sep 2025
Last updated: 29 Apr 2025

Summary

定义

病史和体格检查

关键诊断因素

  • presença de fatores de risco
  • corrimento vaginal ou cervical purulento
  • sangramento intermenstrual/pós-coito
  • disúria e polaciúria
  • sangramento cervical facilmente induzido
完整详情

其他诊断因素

  • dispareunia
  • inflamação da vulva e/ou da vagina
  • colo uterino em morango
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危险因素

  • idade entre 15 e 24 anos
  • uso inconsistente de preservativo
  • múltiplas relações sexuais
  • ISTs prévias
  • vaginose bacteriana (VB)
  • profissional do sexo
  • ausência de lactobacilos produtores de peróxido de hidrogênio
  • infertilidade
  • grau de escolaridade <12 anos
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诊断性检查

首要检查

  • teste de gravidez
  • exame do corrimento cervical em câmara úmida
  • teste de amplificação de ácido nucleico (NAAT)
  • testes rápidos (OSOM Trichomonas, AFFIRM VPIII)
  • cultura cervical em placas de ágar Thayer-Martin
  • coloração de Gram de secreção cervical
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需考虑的检查

  • Citologia cervical
  • sorologia para o vírus do herpes simples (HSV)
  • sorologia do HIV
  • sorologias de hepatites B e C
  • teste de reagina plasmática rápida
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治疗流程

初步治疗

mulheres de alto risco não gestantes

急症处理

mulheres não gestantes

gestantes

持续性治疗

infecções recorrentes/resistentes

撰稿人

作者

M. Jonathon Solnik, MD, FACOG, FACS
M. Jonathon Solnik

Associate Professor of Obstetrics & Gynaecology

Head of Gynaecology & Minimally Invasive Surgery

University of Toronto Faculty of Medicine

Mount Sinai Hospital

Toronto

Canada

Раскрытие информации

MJS serves as a consultant for Medtronic, Olympus, and Hologic, and on the advisory board for Abbvie. He holds stocks in Felix and Field Trip Inc.

Выражение благодарностей

Dr M. Jonathon Solnik would like to gratefully acknowledge Dr Sharon Jakus, a previous contributor to this topic.

Раскрытие информации

SJ declares that she has no competing interests.

Рецензенты

Sandra R. Valaitis, MD

Associate Professor and Chief

Gynecology and Reconstructive Pelvic Surgery

University of Chicago

Chicago

IL

Раскрытие информации

SRV declares that she has no competing interests.

Justin C. Chura, MD

Associate Division Director

Gynecologic Oncology

Crozer Chester Medical Center

Upland

PA

Раскрытие информации

JCC declares that he has no competing interests.

Eva Jungmann, FRCP, MSc

Consultant Physician

GUM/HIV Camden Primary Care Trust

Archway Sexual Health Clinic

London

UK

Раскрытие информации

EJ declares that she has no competing interests.

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

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021 Jul 23;70(4):1-187.Полный текст  Аннотация

Boyer CB, Shafer MB, Pollack LM, et al. Sociodemographic markers and behavioral correlates of STIs in a nonclinical sample of adolescent and young adult women. J Infect Dis. 2006 Aug 1;194(3):307-15. Аннотация

Marrazzo JM, Weisenfeld HC, Murray PJ, et al. Risk factors for cervicitis among women with bacterial vaginosis. J Infect Dis. 2006 Mar 1;193(5):617-24.Полный текст  Аннотация

Scholes D, Grothaus L, McClure J, et al. A randomized trial of strategies to increase Chlamydia screening in young women. Prev Med. 2006 Oct;43(4):343-50. Аннотация

Статьи, указанные как источники

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