Brazilian Protocol for Sexually Transmitted Infections, 2020: infections that cause urethral discharge

This article approaches infections that cause urethral discharge. This theme 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...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical 2021-01, Vol.54 (suppl 1), p.e2020633-e2020633
Main Authors: Lannoy, Leonor Henriette de, Silva, Roberto José de Carvalho da, Nahn Júnior, Edilbert Pellegrini, Oliveira, Eduardo Campos de, Gaspar, Pâmela Cristina
Format: Article
Language:English
Subjects:
Brazil - epidemiology
Chlamydia trachomatis
Clinical protocols
Consensus
Humans
Neisseria gonorrhoeae
Public health
Sexually Transmitted Diseases - diagnosis
Sexually Transmitted Diseases - epidemiology
TROPICAL MEDICINE
Urethritis
Urethritis - diagnosis
Urethritis - drug therapy
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Summary:This article approaches infections that cause urethral discharge. This theme 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. Urethritis can cause severe and even irreversible health damage when not properly treated, or when the microorganism develops antimicrobial resistance. It is noteworthy that the high levels of antimicrobial resistance grown by pathogens that cause 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 for infections that cause urethral discharge, to contribute to managers' and health professionals' care qualification. Associated factors with urethritis are: young age, low socioeconomic level, multiple partnerships or new sexual partnership, history of STI, irregular use of condoms, and lack of access to adequate diagnosis and treatment.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-633-2020