Menezes Maria Luiza Bezerra, Giraldo Paulo Cesar, Linhares Iara Moreno, Boldrini Neide Aparecida Tosato, Aragón Mayra Gonçalves
Universidade de Pernambuco, Departamento Materno-Infantil, Recife, PE, Brasil.
Universidade Estadual de Campinas, Departamento de Tocoginecologia, Campinas, SP, Brasil.
Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020602. doi: 10.1590/S1679-4974202100011.esp1. eCollection 2021.
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 acute infection of the upper female genital tract due to canalicular spread of endogenous cervicovaginal microorganisms, in particular sexually transmitted organisms. Standing out among the etiological agents involved are Chlamydia trachomatis and Neisseria gonorrhoeae. The most important sequels are chronic pelvic pain, infertility and ectopic pregnancy. Clinical diagnosis is the most important practical approach. Antibiotic treatment should start immediately upon clinical suspicion. The article contains guidance for health service managers and health professionals on diagnostic tests, treatment, follow-up, counseling, notification, handling of sexual partnerships and special populations. In view of increased availability of the molecular biology technique in Brazil, C. trachomatis and N. gonorrhoeae screening is recommended as a disease prevention strategy.
盆腔炎是巴西卫生部于2020年发布的《性传播感染患者综合护理临床方案及治疗指南》中包含的一个主题。盆腔炎是女性上生殖道的一种急性感染，由内源性宫颈阴道微生物，特别是性传播微生物通过管道扩散引起。在相关病原体中，沙眼衣原体和淋病奈瑟菌最为突出。最重要的后遗症是慢性盆腔疼痛、不孕和异位妊娠。临床诊断是最重要的实际方法。一旦临床怀疑，应立即开始抗生素治疗。本文为卫生服务管理人员和卫生专业人员提供了有关诊断测试、治疗、随访、咨询、报告、性伴侣处理和特殊人群的指导。鉴于巴西分子生物学技术的可及性增加，建议将沙眼衣原体和淋病奈瑟菌筛查作为一种疾病预防策略。
