Brazilian Protocol for Sexually Transmitted infections, 2020: pelvic inflammatory disease

Sociedade Brasileira de Medicina Tropical. Revista

article

Maria Luiza Bezerra Menezes¹  Paulo Cesar Giraldo²  Iara Moreno Linhares³  Neide Aparecida Tosato Boldrini⁴  Mayra Gonçalves Aragon⁵ 

[1]Universidade de Pernambuco, Departamento Materno-Infantil

[2]Universidade Estadual de Campinas, Departamento de Tocoginecologia

[3]Universidade de São Paulo, Departamento de Obstetrícia e Ginecologia

[4]Universidade Federal do Espírito Santo, Departamento de Ginecologia e Obstetrícia

[5]Brasil. Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Doenças Infecciosas

关键词: Pelvic infection;    Pelvic pain;    Ectopic pregnancy;    Infertility;    Chlamydia trachomatis;    Neisseria gonorrhoeae;   

DOI  :  10.1590/0037-8682-602-2020

学科分类：农业科学（综合）

来源: Sociedade Brasileira de Medicina Tropical

【 摘 要 】

Pelvic Inflammatory Disease is a topic included in the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Brazilian Ministry of Health in 2020. Pelvic inflammatory disease is an upper female genital tract acute infection due to canalicular spread of endogenous cervicovaginal microorganisms and especially the sexually transmitted microorganisms. Standing out among the etiological agents involved are Chlamydia trachomatis and Neisseria gonorrhoeae. The main sequelae are chronic pelvic pain, infertility, and ectopic pregnancy. Clinical diagnosis is the most important practical approach. Antibiotic treatment must start immediately after the clinical suspicion. Guidelines for health service managers and health professionals on diagnostic tests, treatment, follow-up, counseling, notification, handling sexual partners and special populations are described. Given the increased availability of the molecular biology techniques in Brazil, C. trachomatis and N. gonorrhoeae screening are recommended as a disease prevention strategy.

【 授权许可】

CC BY