Brazilian protocol for sexually transmitted infections, 2020: pelvic inflammatory disease
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Authors
Menezes, Maria Luiza Bezerra
Giraldo, Paulo Cesar
Linhares, Iara Moreno
Boldrini, Neide Aparecida Tosato
Aragon, Mayra Gonçalves
Issue Date
2021-05-17
Type
Article
Language
en_US
Keywords
Pelvic Infection , Pelvic Pain , Ectopic Pregnancy , Infertility , Chlamydia Trachomatis , Neisseria Gonorrhoeae
Alternative Title
Abstract
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.
Description
Citation
Menezes, M. L. B., Giraldo, P. C., Linhares, I. M., Boldrini, N. A. T., & Aragon, M. G. (2021). Brazilian Protocol for Sexually Transmitted infections, 2020: pelvic inflammatory disease. Revista da Sociedade Brasileira de Medicina Tropical, 54(suppl 1), e2020602. https://doi.org/10.1590/0037-8682-602-2020
Publisher
Journal of the Brazilian Society of Tropical Medicine