Brazilian Protocol for Sexually Transmitted infections, 2020: pelvic inflammatory disease

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Maria Luiza Bezerra Menezes, Paulo Cesar Giraldo, Iara Moreno Linhares, Neide Aparecida Tosato Boldrini, Mayra Gonçalves Aragon
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2021
• Subjects: Pelvic infection; Pelvic pain; Ectopic pregnancy; Infertility; Chlamydia trachomatis; Neisseria gonorrhoeae; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/0037-8682-602-2020; https://doaj.org/article/149e7889dd2b471c961f85eab0116e4e

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.