Freitas Francisca Lidiane Sampaio, Benzaken Adele Schwartz, Passos Mauro Romero Leal de, Coelho Ivo Castelo Branco, Miranda Angélica Espinosa
Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brasil.
Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, AM, Brasil.
Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020616. doi: 10.1590/S1679-4974202100004.esp1. eCollection 2021.
The Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections, published by the Ministry of Health of Brazil in 2020, includes the update on acquired syphilis. The document comprises rapid tests use, safety and efficacy of the administration of benzathine benzylpenicillin, follow-up of cases, clinical and laboratory management of neurosyphilis, approach to sexual partnerships, assistance and monitoring of diagnosed pregnant women, and specificities of syphilis and HIV co-infection, as well as a summary of the notification of cases. It is necessary to train health managers and professionals on a continuous basis, with a view to integrating care and surveillance, strengthening effective syphilis control actions, increasing the search for sexual partnerships, and expanding the access of the most vulnerable populations to health services.
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》包含了获得性梅毒的更新内容。该文件涵盖快速检测的使用、苄星青霉素给药的安全性和有效性、病例随访、神经梅毒的临床和实验室管理、性伴侣处理方法、对确诊孕妇的援助和监测、梅毒与艾滋病毒合并感染的特点以及病例通报摘要。有必要持续培训卫生管理人员和专业人员,以整合护理和监测工作,加强有效的梅毒控制行动,增加对性伴侣的追查,并扩大最脆弱人群获得卫生服务的机会。