Menezes Maria Luiza Bezerra, Giraldo Paulo Cesar, Linhares Iara Moreno, Boldrini Neide Aparecida Tosato, Aragon Mayra Gonçalves
Universidade de Pernambuco, Departamento Materno-Infantil, Recife, PE, Brasil.
Universidade Estadual de Campinas, Departamento de Tocoginecologia, Campinas, SP, Brasil.
Rev Soc Bras Med Trop. 2021 May 17;54(suppl 1):e2020602. doi: 10.1590/0037-8682-602-2020. 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 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. Pelvic inflammatory disease is one of the most significant sexually transmitted infections, and in most cases, it is a main consequence of cervicitis.
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。盆腔炎是一种女性上生殖道急性感染，由内源性宫颈阴道微生物尤其是性传播微生物通过管道传播引起。在相关病原体中，沙眼衣原体和淋病奈瑟菌最为突出。主要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。临床怀疑后必须立即开始抗生素治疗。文中描述了针对卫生服务管理人员和卫生专业人员的诊断测试、治疗、随访、咨询、通报、处理性伴侣和特殊人群的指南。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。盆腔炎是最重要的性传播感染之一，在大多数情况下，它是宫颈炎的主要后果。
