quarta-feira, 5 de setembro de 2012
Urethritis
The UNG can be caused by various microorganisms such as Trichomonas vaginalis, Cytomegalovirus, C. albicans and Chlamydia trachomatis. The latter is the most frequent etiologic agent.
Chlamydiae are gram negative bacteria with similar characteristics, of which differ because they are obligate intracellular parasites and possess DNA and RNA into the cytoplasm. Currently, there are 15 known serotypes of C. Trachomatis, of which, D and K are responsible for urogenital diseases.
Or you are not gonogocócicas urethritis (NGU) whose bacterioscopy the symptomatic urethritis by Gram stain and / or culture, are negative for the gonococcus.
Several agents have been implicated by these infections, including: Chlamydia trachomatis, Ureaplasma urealyticum, Candida albicans, Gardnerella vaginalis, Trichomonas vaginalis among others.
The C. trachomatis is the most common agent of UNG. It is a bacteria obligatorily intracellular, which also causes trachoma, conjunctivitis by including newborn and lymphogranuloma venereum.
It is estimated that two-thirds of men with partner stable host UNG C. trachomatis in the endocervix and can reinfect your sexual partner if they remain untreated.
Treatment
Azithromycin 1 g, V.O., single dose, or
Doxycycline 100 mg PO, 12/12 hours for 7 days, or
Oflaxacina 200 mg, VO, 12/12 hours for 7 days, or
Tetracycline 500 mg, VO, 6/6 hours for 7 days.
The (AS) partners (as) should receive the same sex treatment regimen that the patients
Prevention
The mainstay of prevention is condom use along with other measures such as proper selection of the partner and avoid sexual promiscuity.
Symptoms
In men, urethritis generally starts with a purulent discharge from the urethra when the cause is the gonococcus organism, or a mucous exudate when dealing with other microorganisms. Other symptoms of urethritis are pain during urination and a frequent and urgent need to urinate. An infection of the vagina may cause pain during urination as the urine, which is acidic, passes over the lips inflamed.
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