Protocolo diagnóstico de la uretritis en el adulto sexualmente activo

  1. Arizcorreta Yarza, A. 1
  2. Quiles Machado, J.A. 1
  3. Palomar Muñoz, M.C. 1
  4. Gerez Neira, D.V.
  1. 1 Servicio de Medicina Interna General, Enfermedades Infecciosas y Cuidados Paliativos. Hospital Universitario Puerta del Mar, Cádiz
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Any de publicació: 2022

Títol de l'exemplar: Enfermedades infecciosas (VI)

Sèrie: 13

Número: 54

Pàgines: 3186-3191

Tipus: Article

Altres publicacions en: Medicine: Programa de Formación Médica Continuada Acreditado

Resum

Urethritis is a syndrome characterized by urethral inflammation which may lead to urethral secretion and/or dysuria. Cervicitis is the female equivalent and is characterized by inflammation of and secretion from endocervical mucosa. In sexually active adults, sexually transmitted infections (STI) are the most common etiology, with greater prevalence among certain risk groups. Although Neisseria gonorrhoeae and Chlamydia trachomatis are the most common etiological agents, other microorganisms of growing interest (Micoplasma genitalium, Trichomonas vaginalis) may be involved. The presumed diagnosis is based on symptoms of urethritis together with the presence of leukocytes in urethral/cervical secretions or in urine. Diagnostic confirmation is made via real-time polymerase chain reaction (PCR) tests and/or a urethral exudate culture. The aim of treatment is to identify and treat infected people before they develop complications and to decrease or avoid transmission and reinfection.

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