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《2020年巴西性传播感染诊疗规范:引起尿道分泌物的感染》

[Brazilian Protocol for Sexually Transmitted Infections 2020: infections that cause urethral discharge].

作者信息

Lannoy Leonor Henriette de, Silva Roberto José de Carvalho da, Nahn Júnior Edilbert Pellegrini, Oliveira Eduardo Campos de, Gaspar Pâmela Cristina

机构信息

Ministério da Saúde, Secretaria de Vigilância em Saúde, Brasília, DF, Brasil.

Secretaria de Estado da Saúde de São Paulo, Programa Estadual de DST/Aids, São Paulo, SP, Brasil.

出版信息

Epidemiol Serv Saude. 2021 Mar 15;30(spe1):e2020633. doi: 10.1590/S1679-4974202100009.esp1. eCollection 2021.

Abstract

This article approach infections that cause urethral discharge, theme which is part of 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. These guidelines were prepared based on scientific evidence and validated in discussions with experts. When urethritis is not treated correctly, or when the microorganism develops antimicrobial resistance, it can cause serious and even irreversible health damage. It is noteworthy that the high levels of antimicrobial resistance developed by pathogens that causes urethritis comprises a global emergency in public health. This article presents epidemiological and clinical aspects, recommendations on diagnostic and treatment, and strategies for surveillance, prevention and control actions of infections that cause urethral discharge, with the purpose of contributing with managers and health professionals to care qualification.

摘要

本文探讨引起尿道分泌物的感染,这一主题是巴西卫生部于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》的一部分。这些指南是基于科学证据编写的,并在与专家的讨论中得到验证。如果尿道炎未得到正确治疗,或者微生物产生耐药性,可能会导致严重甚至不可逆转的健康损害。值得注意的是,引起尿道炎的病原体产生的高耐药水平构成了全球公共卫生紧急情况。本文介绍了引起尿道分泌物感染的流行病学和临床方面、诊断和治疗建议以及监测、预防和控制措施的策略,旨在为管理人员和卫生专业人员提高护理质量做出贡献。

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