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. 2021 May 17;54(suppl 1):e2020633.
doi: 10.1590/0037-8682-633-2020. eCollection 2021.

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

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

Leonor Henriette de Lannoy et al. Rev Soc Bras Med Trop. .

Abstract

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.

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Figures

FIGURE 1:
FIGURE 1:. Risk of transmission of infectious agents that cause urethral discharge in unprotected sexual practices.
FIGURE 2:
FIGURE 2:. Recommendations for management of urethral discharge.
FIGURE 3:
FIGURE 3:. Treatment for urethritis.
FIGURE 4:
FIGURE 4:. Functions of the Ministry of Health, the National Reference Laboratory, and the Sentinel Sites under the SenGono Project.

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